• 간호행정학회지
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• 제13권1호
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• pp.40-52
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• 2007

Purpose: The purpose of this paper was to investigate opinions and experiences of hospital CEOs' and QI managers toward the National Hospital Evaluation Program which was implemented in 2004 and to recommend various strategies to improve the program. Methods: We conducted a mail survey with CEOs and QI　managers' of 78 hospitals with 500 beds or more that participated the 2004 National Hospital Evaluation Program. Results: About 70.8% of the participating CEOs and 64.0% of the QI　managers felt that the objectives of the evaluation program weren't fully achieved. Most respondents said that the current program required a partial or an overall change. Evaluation Criteria was the most often cited area for a change. Many respondents pointed out the importance of including clinical quality indicators in the evaluation tool. Conclusions: To upgrade hospital services with better quality, it is most important to first reach consensus on objectives and approaches of the evaluation program among various players. For a consistent planning and implementation, it is urgent to set up a more systematic organization and financing mechanism. Also, evaluation approaches, including evaluation criteria, methods, patient satisfaction assessment, as well as ways to summarize and publicize each hospital's performance should be improved.

• 근관절건강학회지
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• 제21권2호
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• pp.153-163
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• 2014

Purpose: This study was to analyze the job of coordinators working in the regional cardiocerebrovascular center. Methods: Using Developing a Curriculum (DACUM) method, the role of coordinators was defined and their duties and tasks were identified. The developed duties and tasks were classified and validated according to importance, difficulty, and frequency of the job. Results: A coordinator is defined as a clinical nurse specialist affiliated in a cardiocerebrovascular center. The coordinator is responsible for managing the major critical pathway to provide adequate medical service and providing education to the patient with myocardial infarction and cerebrovascular attack admitted via emergency room for prevention and management of disease. Ten duties and sixty-nine tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks showed as A, B, C respectively. Based on determinant coefficient of the task, the highest ranked task was 'analysis for variation of CP' and the lowest was'investing the articles in stock'. Conclusion: The results of study showed that coordinators were doing various duties and tasks and they felt burden from their work and were in confusion. The results of this study can be used to develop training programs for coordinators and evaluation-scale of the coordinators' job performance as the basic data.

• 대한간호학회지
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• 제33권4호
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• pp.510-518
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• 2003

Background. Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life. Objectives. To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease. Methods. Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening self-efficacy with four self-efficacy sources-performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge. Results. Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.0l). There was also a significant difference in the total quality of life scores increments between the two groups (p<.0l). However, no significant changes were noted in the increments of total health behavior scores between the two groups. Conclusion. A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.

• Journal of Nutrition and Health
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• 제50권6호
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• pp.595-602
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• 2017

Purpose: Malnutrition is a major concern in patients with gynecologic cancer receiving chemotherapy. The aim of this study was to evaluate the prognostic significance of malnutrition in patients with gynecologic cancer undergoing chemotherapy. Methods: A prospective, observational study was conducted on a total of 99 subjects who were treated at a tertiary hospital in Korea. Data regarding demographic, clinical, nutritional, and psychological characteristics at baseline and survival were obtained. Results: Performance status, nutritional status, depression, and annual income were significantly different between survivors and non-survivors. Multivariate Cox modeling after adjusting for other factors showed that a malnourished status in patients with gynecologic cancer undergoing chemotherapy was a significant and independent negative influencing factor for survival. Conclusion: These findings provide evidence that adequate nutritional assessment and intervention may assist in improving survival in patients with gynecologic cancer undergoing chemotherapy.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2015년도 제46회 하계학술대회
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• pp.1431-1432
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• 2015

A system was developed to continuously monitor the respiratory signal under critical care, followed by performance evaluation for clinical application. Very much accurate pressure measurement was made in the endo-tracheal tube with mean relative error of 0.13%. In the comparative experiment simulating inspiration and expiration, the tidal volume measurement was also accurate within mean relative error of 3%, validating reliable measurement of respiratory signals.

• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.18-24
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• 2022

This study attempts to provide basic data for the development of manpower maintenance programs by checking the degree of job stress and emotional burnout for nurses working in a university hospital and identifying factors affecting emotional burnout. Data were obtained through a structured questionnaire survey conducted on 187 nurses. The average score for job stress of nurses was 2.50 (range 1 to 4) and emotional burnout was 3.29 (range 1 to 5). The factors affecting emotional burnout were occupational climate, job demand, job insecurity, and lack of reward, which accounted for 44% of explanatory power. In order to reduce the emotional burnout of nurses, the management of medical institutions needs administrative and financial support. Further, it is necessary to improve the organizational culture regarding job assignment through job analysis, employment security, and a performance-based reward system.

• 한국융합학회논문지
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• 제8권2호
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• pp.137-147
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• 2017

본 연구는 초 중등학교에 근무하는 보건교사의 융합적 직무경험에 따른 심폐소생술 수행 의지와 자신감에 대한 차이를 파악하기 위한 서술적 조사연구이다. 연구대상자는 193명의 보건교사이다. 측정도구는 일반적 특성, 직무경험 특성, 심폐소생술 수행의지와 자신감 등으로 구성하였다. 연구결과는 대상자의 직무경험에 따른 심폐소생술 수행의지 차이는 교육경력(${\chi}^2=15.991$, p=.000), 임상간호 경력(${\chi}^2=13.808$, p=.003), 심정지 환자를 만난 경우(${\chi}^2=8.455$, p=.004)에 유의한 차이를 나타냈으며, 직무경험 따른 심폐소생술 자신감 차이는 종교(${\chi}^2=18.994$, p=.025), 현재 근무하고 있는 학교의 학제(p=.000), 교육경력(.003), 심폐소생술 교육받은 횟수(p=.000), 심정지 환자를 만난 경우(p=0.036)에서 유의한 차이를 나타내었다. 심정지 응급상황에서 심폐소생술을 실시하는 이유는 연령(p=.010), 임상간호 경력(${\chi}^2=19.238$ p=.004), 심폐소생술 교육받은 횟수(p=.007), 심폐소생술 수행경험(p=.001), 심정지 환자를 만난 경우(p=.001)에서 유의한 차이가 나타났으며, 심폐소생술을 수행하지 않는 이유는 심폐소생술 교육받은 경험(p=.029)에서 유의한 차이를 보였으며, 이는 감염이나 두려움에 의한 것으로 나타났다.

• International Journal of Advanced Culture Technology
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• 제10권1호
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• pp.187-195
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• 2022

Since most of the first witnesses of cardiac arrest in clinical settings are nurses, the ability to perform CPR is important. The purpose of this study is to provide basic data for developing education that strengthens CPR performance in the future by examining inactive nurses' CPR knowledge, attitude, performance confidence, device discomfort, continued use intention, and educational achievement. The final subjects of this study were 88 inactive nurses residing in B city. The study period was from June 23, 2020 to December 24, 2020. The collected data were analyzed by descriptive statistics and Pearson correlation using SPSS WIN 24.0 program. After obtaining the subject's consent for the study, an inactive nurse who understood the purpose of the study and voluntarily consented to the study participated. To investigate the perception of experience, the subjects watched 360-degree virtual reality contents about CPR in the hospital using HMD. The data of this study were analyzed using SPSS WIN 22.0.program. As a result of this 360-degree study on CPR in the hospital, the average score for the inactive nurses on CPR knowledge was 12.70±3.43, the average score for performance confidence was 6.04±2.45, and the average score for attitude was 4.63±0.80. As a result of experience recognition of 360-degree virtual reality contents for CPR in hospitals, the average score for device discomfort was 4.01±0.94, the average score for continued use intention was 2.07±0.85, and the average score for educational achievement was 2.11±0.79. As a result of correlation analysis, educational achievement and continued use intention were significantly positively correlated (r=.77, p<.001). Based on the results of this study, in order to strengthen the CPR performance capability of inactive nurses in emergency situations, it is necessary to increase CPR knowledge and confidence in performing CPR, and to cultivate a positive attitude toward performing CPR. In addition, it is necessary to implement CPR simulation education based on patient cases by applying content that considers educational achievement and continuous use intention.

• 대한간호
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• 제31권1호
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• pp.68-87
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• 1992

The purpose of this study is to develop a patient care standard which is the basis of unit based quality assurance. The subjects were 570 nurses of 6 hospitals is Seoul. Patient Care Standards were developed from 3 times of clinical Nurses Association's workshop & the joint meeting of Clinical Nurses Association & the Korean Nurses Academic Socity of Nursing Administration. Respondents were instructed to rate of the 2 types of 5 - point Likert type questionnaire(one is the level of perceived importance, the other is the level of actual performance) Findings of this study were as follows 1. As a results of reliability analysis, each questionnaire ranged from $\alpha$=0.79 to 0.94