• 한국의료질향상학회지
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• 제21권1호
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• pp.52-61
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• 2015

Objectives: Because recently hospital had to faced with financial hardship, we have to have more effective hospital management. The purpose of this study was to reduce loss costs of the hospital through the systematic management of medical supplies and increase operational efficiency. Methods: The team was composed of outpatient nursing staff, medical record administrator, nurses in medical insurance, medical computer center, dermatologists for this study. We surveyed for 114 people including outpatient nursing staff, nurse aids, medical assistant, physician assistant. Pre-survey period was 2013.03.11 ~ 03.30(2 weeks), and post-survey period was 2013.09.03 ~ 09.17(2 weeks). Result: We improved this way through the computational improvement, conservation campaigns, inventory management, staff training, replaced by low-cost medical supplies. The finding of this study were as follows: Comparing before and after the activity of outpatient nursing staff's degree of knowledge, performance, economic consciousness, the degree of knowledge, performance was increased, but there was no significant change in economic consciousness. Performance of Married person is higher than the unmarried, In addition, the high-position people were more the degree of knowleage, economic consciousness. After activity, correlation of goods and treatment, examinations is increasing, but statistically there was no mean. Conclusion: This study revealed that knowledge in a short period of activity, but also can improve, perform the same change in behavior is not easy. This one shows the intensive training required to sustained and systematic behavioral changes, such as changes in behavior, perform rituals to help the economy. Expensive medical supplies to replace a similar effect as the cost of materials just to have a lot of cost savings. Therefore, more medical supplies change is necessary to develop alternative treatment and cost cutting.

• 치위생과학회지
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• 제5권4호
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• pp.155-163
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• 2005

본 연구는 울산광역시 근무하는 치과위생사의 실무능력수준을 파악하고 그 관련요인을 규명하기위한 탐색적 연구이다. 연구의 대상은 울산광역시 치과 병, 의원에 근무하는 치과위생사이고 자료수집기간은 2005년 6월부터 7월까지 총 87부의 설문지를 배포하여 회수된 77부의 설문지를 최종분석에 사용하였다. 본 연구에서 실무능력은 장에 의해 개발된 실무능력에 관한 행동지표를 수정, 보완한 도구를 이용하여 측정하였으며 13개 영역의 실무능력을 4개의 실무능력군으로 구분하였다. 조사된 연구대상자의 일반적 특성과 총 실무능력간의 관련성은 SPSS 11.5 로 분석하여 다음과 같은 결과를 얻었다. 1. 연령에 따른 실무능력은 과학적 실무능력군과 심미적 실무능력군에서 연령이 높을수록 실무능력이 높아지는 것으로 통계적으로 유의성을 보였다. 2. 결혼여부에서는 미혼인경우가 기혼인경우보다 윤리적 실무능력군을 제외한 3개의 실무능력군에서 높게 나타났으며 통계적으로도 유의한 차이가 있었다. 3. 학력과 근무지에 따른 실무능력에서는 전문대졸이 대학 재학 이상보다 4개의 실무능력군에서 실무능력이 높게 나타났고 근무지에 따라서는 윤리적 실무능력군을 제외한 3개의 실무능력군에서 치과의원이 높게 나타났으나 별다른 유의한 차이는 볼 수 없었다. 4. 월 급여에 따른 실무능력은 월급여가 높을수록 과학적 실무능력군과 심미적 실무능력군에서 실무능력이 매우 높게 나타났으며 통계적으로도 유의성을 나타내었다. 5. 경력에 따른 실무능력은 경력이 높을수록 과학적 실무능력이 높게 나타난 반면 다른 3개의 실무능력군에서는 별다른 유의성이 없었다. 6. 같이 근무하는 구성원에 따른 실무능력을 살펴보면 치과위생사만 근무하는 경우보다 간호조무사와 같이 근무하는 경우 과학적 실무능력군에서 높은 실무능력을 보이는 것으로 나타나 통계적으로 유의성을 보였다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.583-595
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• 2014

본 연구는 전담간호사의 운영현황 및 업무 실태를 전수조사 하여 전담간호사 관련 정책 수립의 기초 자료를 제공하기 위해 시도되었다. 총 318개의 종합병원 이상의 의료기관 부서장에게 설문조사를 시행했고, 141개 병원에서 근무하는 704명의 전담간호사를 대상으로 2011년 4월부터 5월에 자료수집이 시행되었으며, 수집된 자료는 SPSS 12.0 program을 이용하여 분석하였다. 연구결과 전담간호사의 평균연령은 32.5세이며, 교육수준은 대졸이 가장 많았고, 전문간호사 자격증 보유자는 13.4%이었고, 전담간호사의 전반적인 업무 만족도는 5점 만점에 평균 3.13점이었으며, 불명확한 업무 구분이 전담간호사를 가장 힘들게 하는 요인으로 나타났다. 전담간호사 역할정립을 위해 업무에 대한 법적 보호 장치 마련(5점 만점에 평균 4.71)이 가장 시급한 것으로 나타났다. 현재 전담간호사 실태는 열악한 근무환경으로 인한 낮은 만족도, 부적합한 자격과 업무에 대한 법적 보호장치가 마련되어 있지 않은 속에서 어려움을 겪고 있다. 향후 전담간호사의 활용도를 향상시키기 위해 전담간호사를 법적으로 보호할 수 있는 장치를 마련하고, 교육 프로그램을 개설하며, 한국 실정에 맞는 전담간호사 제도 확립이 절실하다고 할 수 있겠다.

• 부모자녀건강학회지
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• 제6권1호
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• pp.31-45
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• 2003

This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

• Child Health Nursing Research
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• 제14권2호
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• pp.129-137
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• 2008

Purpose: To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. Method: A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, ${\chi}^2$-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. Results: Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. Conclusion: This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.

• Perspectives in Nursing Science
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• 제10권1호
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• pp.65-76
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• 2013

Purpose: To identify an associations between health care workers' uniforms and health care-associated infection. Methods: Electronic databases, including Ovid-Medline, the Cochrane Library, CINAHL, EMBASE, KMbase, and KoreaMed, were searched. The search terms included doctor, nurse, health care worker/staff/assistant, clothing, (white) gown, uniform, (neck)tie, and attire. Only papers published in English and Korean were included. Results: 16 studies were selected from 1,900 references screened. All of the studies were non-comparative studies except for one. Four were conducted with doctors, six with nurses, one with health care workers including physiotherapists and one for medical staff plus visitors in a neonatal intensive care unit. Doctors more frequently changed their uniforms than neckties; therefore, the degree of contamination was more serious in neckties. The cuff zone was more likely to be heavily contaminated than other areas of long-sleeve gowns. Coats become contaminated quickly once worn, and colony counts reached a similar level within the first few hours after wearing them. Wearing a plastic apron or protective clothing did not prevent the bacterial contamination of nurses' uniforms, and the best way to decrease the contamination was changing to newly laundered uniforms before starting every duty. Conclusion: Healthcare workers' uniforms are a potential source of health care-associated infection although there was no robust evidence. The government must establish standards for laundering of uniforms or a requirement for institutions to provide a laundering service for healthcare workers' uniforms.

• 근관절건강학회지
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• 제14권2호
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• pp.109-117
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• 2007

Purpose: The purpose of the study was to identify the effect of a self-exercise program on low back pain, abdominal-back muscle strength and waist flexibility in hospital nurses. Method: An experimental research design was employed. 43 subjects (20 in the experimental group and 23 in the control group) who worked in a general hospital in W city agreed to participate in this study. The intervention had 6 sessions with self-exercise program including flexion and extension demonstrated by a trained research assistant. A Visual Analog Scale was used to measure the subjective pain severity. Abdominal-back muscle strength was measured with a back strength dynamometer, while waist flexibility was gauged by the standing of the subject's upper body. Analysis included descriptive statistics, $x^2$ test, t-test and ANOVA. Result: The experimental group exhibited significantly decreased low back pain, an increase in abdominal-back muscle strength, and increased waist flexibility after 6 sessions. The experimental group were not significantly increased in abdominal-back muscle strength than the control group. Conclusion: These results suggest that further research is needed to replicate for verification of clinical validity with the methodological rigors, and to utilize the self-exercise program for care and prevention of low back pain.

• 가정∙방문간호학회지
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• 제5권
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• pp.20-31
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• 1998

The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to examine the validity of it. For these, home care nursing study team of College of Nursing, Seoul National University has studied home care nursing system since September, 1996, and has operated home care center since August, 1997. This study has been supported by the Korean Sience Foundation. We organized Committee of rules, and Clinical specialist consultant group for more efficient running of the home care center. In nursing station, research assistant controlled general work, and 5 home care nurses were hired for home visiting. We developed the Standards for operations, that included criteria for clients, central supply system of nursing materials, central management of nursing care cost, advertisement, patient referral system, and so forth. In our center, 108 patients enrolled, and neurologic disorders including cerebrovascular accident, and cancer were the most prevailing diseases. We tried to overcome the limitations of hopital -based home care, and to provide more accessible, efficient, safe, and stable home care nursing. Therefore, we were referred clients from patients and families, public health care center, industries, as well as from hospitals. Meanwhile, we developed home care recording system and assessment-intervention algorithm for various diseases for quality control and standardization. Also, we did continuing education, and tried to detect problems and to find solutions by regular meeting between the committee of rules and home care nurses. As the results of this study, several limitations of operation were found. First, it was difficult to manage and communicate with the doctor in the emergency situation, Second, we spent too much time for trasnsportation, because only five nurses covered all areas of Seoul and nearby cities. Third, preparation for special care of home care nurses were lacked. Forth, criteria for termination of care and frequency of home visit were ambiguous. Fifth, some difficulties were found in retrospective payment system. And finally, interconnection with home care machinery company were needed. Strategies for solving these problems were suggested.

• 한국간호교육학회지
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• 제19권3호
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• pp.384-395
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• 2013

Purpose: This study aimed to investigate the nurse's image and role projected in media and perceived by elementary, middle and high school students. Methods: Data were collected from 544 students in J city, Korea during December 2010 to February 2011. The nurse's image was measured by the instrument developed by Yang (1998). Nursing experiences and nurse's role in media was measured by self-administered questionnaires with 8 questions. Statistical analysis was made with t-test and ANOVA using SPSS win 18.0. Result: The score on personal image was the highest, while the score on social image was the lowest. Elementary school students reported a positive image compared with middle and high school students. Male students had a more positive image than female students. Of various media, students had more experiences related to nurses from TV rather than internet sites, books and newspaper/magazines. Especially, the nurse's role on TV 'seemed to be an assistant of a doctor' was rated the highest by the students. Conclusion: It is necessary to develop a strategy to improve the social image of the nurse through TV by providing correct information on the nurse's role. For this purpose, it is required to consistently monitor and analyze the nurse's role shown in media.

• 대한임상독성학회지
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• 제2권2호
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• pp.123-128
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• 2004

Purpose: In recent review of physician suicides] the relative risk of physicians is higher than the general population. The majority of physician suicide were by poisoning. The purpose of this study was to analyse the medical personnels with suicide by poisoning compared with the general population. Methods: We reviewed medical records of 15 medical related personnels with suicide by poisoning who visited the emergency medical centers of St. Mary's and Kangnam St. Mary's hospitals from March 1998 to Aug 2004. For the comparison with general population in analysis] the collected data was acquired from medical records of 677 intoxicated patients in St. Mary's Hospital during the same period. Results: Fifteen suicides of physicians (n=7), nurses (n=4), medical students (n=2), pharmacist (n=1) and medical assistant technician (n=1) was evaluated with regard to the method of poisoning. Preferred methods were ingestion of medications orally ($54\%$) and by infusion/injection ($46\%$). The results were compared with the general population group (n=677: oral ingestion of medications $98\%$, inhalation $1.6\%$). Intoxications by infusion/injection predominated more clearly in physicians than in the total collective. Conclusion: Comparing with the general population, the tendency to a method of suicidal poisoning being typical of the profession rises among physicians and related occupations with the degree of specialization, caused by increasing knowledge, easier access to appropriate drugs and methods.