• Title/Summary/Keyword: Comprehensive Care

Search Result 848, Processing Time 0.04 seconds

The role and responsibility of community health practitioner based on the rural community development and the reform of health care system (농어촌 개발과 의료보장 개혁에 따른 보건진료원의 책임)

  • Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
    • /
    • v.5 no.2
    • /
    • pp.101-108
    • /
    • 1994
  • This study was conducted by community survey of 215 community health practitiner's posts and literature review of official documents. The result was as follows ; 1. The role and responsibility of community health practitioner's post must be studied by the community health practitioner and the community health leader, and on the basement of community health needs, community development plan, and reforom of health care system. 2. Comprehensive health care of community is very important role and responsibility of community health practitioners. However, it was supervised by the senior community health practitioner in provincial government. 3. The community health practitioner must be trained by formal inservice educational program focused on comprehensive health care. 4. The community health practitoner must be the health guider and health leader as the member of community.

  • PDF

Characteristics of Noise in the Nurse Station of Comprehensive Care Wards (간호·간병통합서비스병동 간호스테이션의 소음 특성 분석)

  • Bang, Sujeong;Oh, Younghun;Lee, Hyunjin
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.24 no.1
    • /
    • pp.41-49
    • /
    • 2018
  • Purpose: It is recently reported that the increasing noise in the hospitals has caused psychological and physiological stress problems with patients, and medical staffs. This study intends to investigate and analyze the noise levels in the sub stations in comparison with those in the wards in general. This study tries also to find some alterative solutions to the immediate problems. Methods: Noise measurements are conducted in advance prior to analyzing their results at two general hospitals with more than 900 beds, in the comprehensive nursing service wards and in the main/ sub stations located in the general wards Results: Although the noise level in the comprehensive nursing service wards has been slightly lower than that in the general wards, this result is over the recommended noise levels. Therefore it is recommended that efforts should be made to low down the noise level as an alternative and to replace the aged carts as well. Implications: The comprehensive nursing service wards are required to take measures against the various noise sources.

The Activities of Childhood Cancer Foundation in Taiwan (대만 어린이암재단의 활동)

  • Lee ChungHsiang
    • Korean Journal of Hospice Care
    • /
    • v.2 no.1
    • /
    • pp.182-192
    • /
    • 2002
  • Childhood Cancer Foundation of ROC(CCFROC) has been founded since 1982. Its goal is to provide comprehensive care for cancer children and their families. And in turn, under the provision of good and complete care, they can be back to the school and society. To achieve this goal, it needs to get every body's effort of the society together. The foundation has been founder under this concept and tried to fulfil this task. The first step is to educate the public to know that childhood cancer can be cured and the process of treatment is long and expensive. In order to reach this life-saving procedure, campaigns for raising money is most important thing. Then, pediatric hematologists / oncologists try to organize study group, named Taiwan Pediatric Qncology Goupp(TPOG), to make treatment protocols for childhood cancers. Its primary purpose is to increase the cure rate to prove the earlier the diagnosis and treatment, the better the prognosis. The second step is to provide full support of medical expenses and further to give help for emergent need to living. Through the varieties of active exercises of cancer children or families, foundation provides opportunities for them to share the experience during the different periods of diseases. The third step is to extend the scope of training activities for many kinds of personnel who devote to the care for cancer children. On the other hand, it promotes the cooperation or communication with international organizations and sets up recreation playing ground in the communities. The aim is to provide a comprehensive and integrated care for cancer children during their education, breeding and even accomplishment period. Besides the financial support of medical care, it provides social services to give psychological support for children and their families, to strengthen doctor-patients or doctor-families relationship. The foundation provides the mourning religious activities to cherish the memory of their children who passed away and to comfort their sadness. Since the childhood cancer is curable, its treatment should be active, comprehensive and it needs to provide to all cancer children without exception. Indeed, the work of CCFROC should be changed according to the environment and different time period. But, it needs the full support from the society. We hope the scope and content of the work will be more extended and its achievement will be better than now in the future.

  • PDF

Factors Influencing Turnover Intention of Nurses in Comprehensive Nursing Care Wards : Focused on Emotional Labor, Role Conflict, and Reciprocity (간호간병통합서비스 병동 간호사의 이직의도에 영향을 미치는 요인 : 감정노동, 역할갈등, 호혜성을 중심으로)

  • Lee, Soo-Jin;Kim, Eun-A
    • Journal of Digital Convergence
    • /
    • v.18 no.6
    • /
    • pp.467-477
    • /
    • 2020
  • The purpose of this study is to examine the effects of nursing emotional labor, role conflict, and reciprocity on turnover intention in comprehensive nursing care wards nurses. 209 nurses working in comprehensive nursing care wards across 13 hospitals in G and M city participated in this study. Data were analyzed descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and hierarchical multiple regression analysis. As a result, the research model explained 52.9%(F=14.458, p<.001) of intention to turnover. The most significant factor affecting turnover intention was emotional labor(β=.311), followed by reciprocity and role conflict. Therefore, it is necessary to devices and guidelines to protect nurses who encounter various situations in the process of emotional labor, and to implement a human resource management system that can maintain friendly and equal relationships.

Comparative Study for the Clinical Nurses' Work Satisfaction, Job Stress and Turnover Intention - in General ward, Comprehensive nursing care service ward, and Anshim unit (일반병동, 포괄간호서비스병동, 안심병동 간호사의 직무만족도, 업무스트레스, 이직의도 비교연구)

  • Lee, Nam Suk;Koh, Myung Suk
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.1
    • /
    • pp.516-526
    • /
    • 2015
  • The purpose of this study is to compare with work satisfaction, job stress and turnover intention of nurses who work in Comprehensive nursing care service ward, Anshim unit and general ward. The subjects are nurses of general ward, Anshim unit, Comprehensive nursing care service ward from two hospitals in Seoul and one hospital located in Gyeongi province. The summary of the research is as follows. Nurses in a general ward, a Comprehensive nursing care service ward and an Anshim unit don't have meaningful difference in job satisfaction(F=0.50, p=.602), job stress(F=1.12, p=.326), turnover intention.(F=0.02, p=.972). There were some statistic differences of Work satisfaction, job stress and turnover intention according to general characteristics. Henceforth it needs diverse consideration on these factors to reduce turnover intention of nurses.

Qualitative study on the scaling experience through the application of comprehensive dental hygiene care : A grounded theory approach (포괄치위생관리 과정을 적용한 스케일링 수행 경험에 관한 질적 연구 : 근거이론적 접근)

  • Park, Seon-Mi;Moon, Sang-Eun;Kim, Yun-Jeong;Kim, Seon-Yeong;Cho, Hye-Eun;Kang, Hyun-Joo
    • Journal of Korean society of Dental Hygiene
    • /
    • v.20 no.4
    • /
    • pp.395-408
    • /
    • 2020
  • Objectives: This study was performed in order to provide evidence-based data for the expected professional impact of dental hygienists, and to apply and disclose the comprehensive dental hygiene care process through an in-depth analysis of their scaling experience and investigation of the importance of an evidence-based scaling work performance. Methods: The data were collected from June 3, 2019 to October 3, 2019 by conducting in-depth individual interviews on 10 dental hygienists who are working in dental clinics and hospitals by region. The data were analyzed by using the grounded theory methodology, which is a field of qualitative research method. Results: Study results showed that the core category derived from the paradigm model and change process in this study was 'a process of becoming a mature professional outside practical work'. Conclusions: In this study, the participants were able to gain a sense of occupational accomplishment as dental hygienists by performing scaling based on the comprehensive dental hygiene care (CDHC) process, and to advance into professionals through continuous efforts and research in order to enhance their job competencies.

Effects of Nursing Organizational Culture and Self-leadership on Job Satisfaction for Nurses Working in the Comprehensive Nursing Care Service Ward in Public Hospitals (간호조직문화, 셀프리더십이 공공병원 간호·간병통합서비스 병동 간호사의 직무만족에 미치는 영향)

  • Jo, Eun Jin;Lee, Kyung-Sook;Jeon, Jaehee
    • Journal of muscle and joint health
    • /
    • v.26 no.2
    • /
    • pp.111-119
    • /
    • 2019
  • Purpose: This study investigated the effects of nursing organizational culture and self-leadership on job satisfaction for nurses working in the comprehensive nursing care service ward in public hospitals. Methods: The participants were 138 nurses working in Gyeonggi-do medical center. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and regression analysis with SPSS/WIN 23.0. Results: Factors affecting job satisfaction were innovation-oriented culture (${\beta}=.29$, p<.001), want to work in this department (${\beta}=-.25$, p<.001), the cognitive strategy of self-leadership (${\beta}=.23$, p=.002), hierarchical-oriented culture (${\beta}=-.21$, p=.002), and marital status (${\beta}=.18$, p=.005). These factors accounted for 42.0% of the variability in job satisfaction. Conclusion: In order to improve the job satisfaction of nurses in the comprehensive nursing care service ward in public hospitals, institutional-level efforts should be made to encourage an innovation-oriented culture and avoid a hierarchy-oriented culture. In addition, education and program development are needed to improve the cognitive strategy of self-leadership.

The Effects of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities among Nurses in Comprehensive Nursing Care Units (간호·간병통합서비스 병동 간호사의 조직몰입과 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Noh, Sook;Kim, Tae Im
    • Journal of Korean Clinical Nursing Research
    • /
    • v.27 no.1
    • /
    • pp.12-22
    • /
    • 2021
  • Purpose: The purpose of this study is to identify the effects of organizational commitment (OC) and perceived patient safety culture (PPSC) on patient safety nursing activities (PSNA) among nurses in comprehensive nursing care units. Methods: Participants were 173 nurses working at five general hospitals in Chungcheong area. Data were analyzed using descriptive statistics, 𝑥2 test, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with SPSS/WIN 23.0 programs. Results: The mean scores of the OC and PPSC were 3.28±0.50 and 3.85±0.35, respectively. The mean score of PSNA was 4.55±0.41, and PSNA was significantly different by the experience of participating in hospital's safety culture campaigns (t=2.70, p=.008). The results of the multiple regression analysis showed that 'patient safety knowledge and attitudes' (β=.27, p=.006) and 'unpunished environment to error' (β=.22, p=.004) as the sub-categories of PPSC were affecting factors on PSNA with an explanatory power of 26.0% (F=6.40, p<.001). Conclusion: The results of this study suggest that in order to promote PSNA among nurses in comprehensive nursing care units, it is necessary to develop a program to enhance patient safety-related knowledge and attitudes. In addition, the hospital's organizational efforts such as operating safety campaigns and creating an unpunished environment to error should be needed.

Development of Eligibility Criteria for Comprehensive Medication Management Programs in Long-term Care Facilities Using RAND/UCLA Appropriateness Method (RAND/UCLA Appropriateness Method를 이용한 요양시설의 포괄적 약물관리 프로그램의 대상자 기준 개발)

  • Jang, Suhyun;Kang, Cinoo;Ah, Youngmi;Lee, Ju-Yeun;Kim, Jung-Ha;Jang, Sunmee
    • Korean Journal of Clinical Pharmacy
    • /
    • v.32 no.3
    • /
    • pp.260-269
    • /
    • 2022
  • Background: Comprehensive medication management is essential to achieve safe and optimal drug use for the elderly in long-term care facilities (LTCF). This study aimed to develop eligibility criteria for "Comprehensive medication management program in LTCF" using the RAND/UCLA Appropriateness Method (RAM). Furthermore, we attempted to estimate the number of beneficiaries who met the criteria by analyzing the National Health Insurance claims data. Methods: Twelve criteria were selected initially. We composed a panel of 14 experts with expertise in long-term care. We conducted two survey rounds to reach a consensus. Rating for appropriateness and decision regarding agreement were applied per RAM. We analyzed the National Health Insurance data to estimate the number of LTCF residents who met each eligibility criterion. Results: Of the 11 items agreed upon, ten items were determined to be appropriate. In 2018, 83.6% of 165,994 residents of LTCF met one or more eligibility criteria. The largest number of subjects met the "New residents of LTCF" criterion, followed by "Take high-alert drugs" and "Chronic excessive polypharmacy." Since the items evaluated as most appropriate by the expert panel and those with a large number of subjects were similar, we confirmed the external validity of our criteria. Conclusion: It is worth noting that this is the first attempt to establish the eligibility criteria for medication management in LTCF. Further preliminary research is needed to identify the selected subjects' drug-related problems and revise the criteria according to the results.

Implications of American Early Head Start for the Korean Infant/toddler Care System (미국 조기헤드스타트의 문헌고찰을 통한 한국의 영아보육에 관한 연구)

  • Kim, Ji-Eun
    • Journal of the Korean Home Economics Association
    • /
    • v.43 no.12 s.214
    • /
    • pp.97-111
    • /
    • 2005
  • Early Head Start (EHS) can provide services to a child and family from pre-birth until the child is three years old. Services are comprehensive, intensive, individualized and flexible according to child and family needs, and integrated with community service delivery systems. The local program designs and operations were developed and carried out within the framework of the Head Start Revised Performance Standards, which included specific provisions for services to pregnant women, infants and toddlers and emphasized prevention, early intervention, safety, and health education. As with preschool Head Start, EHS programs are required to make available 10 percent of their enrollment for infants and toddlers with disabilities as defined by Part C regulations of the state in which the program operated. Quality child care has become a priority for EHS. A majority of EHS children need child care, and the quality is important to their development. An evaluation of EHS in 17 programs selected from the first program cohorts showed that the program had significant and positive impacts on a wide range of parent and child dimensions, some with implications for children's later school success. Among the issues for policy attention identified by American EHS for the Korean system are: - The need to create a comprehensive infant/toddler care system - The need to address access of teachers for young children - The need to improve quality.