• 한국산학기술학회논문지
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• 제19권6호
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• pp.345-354
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• 2018

본 논문은 간호 간병통합서비스병동간호사의 환자안전문화인식, 비판적 사고성향과 환자안전간호활동을 파악하고, 환자안전간호활동에 영향을 미치는 요인을 규명하고자 하였다. B시 3개 종합병원에서 간호 간병통합서비스병동간호사 150명을 대상으로 2017년 8월 20일부터 9월 10일까지 자료를 수집하였고, SPSS WIN 21.0을 이용하여 분석하였다. 간호 간병통합서비스병동간호사의 환자안전문화인식은 $3.32{\pm}0.32$점, 비판적 사고성향은 $3.50{\pm}0.31$점, 환자안전간호활동은 $4.28{\pm}0.46$점으로 나타났다. 환자안전문화인식은 간호 간병통합서비스병동 근무경력(F=4.79, p=.001)에 따라 유의한 차이를 보였다. 비판적 사고성향은 연령(F=3.89, p=.010), 직위(F=6.40, p=.002)에 따라 유의한 차이를 보였다. 환자안전간호활동은 직위(F=3.19, p=.044)에 따라 유의한 차이가 있었다. 간호 간병통합서비스병동간호사의의 환자안전간호활동 영향요인은 병원의 환자안전문화(${\beta}=.25$, p=.014), 상관/관리자의 태도(${\beta}=.20$, p=.046), 직위 ${\beta}=.14$, p=.040)였고, 설명력은 44.4%이었다. 간호 간병통합서비스간호사의 환자안전간호활동을 증진시키기 위해서는 병원의 환자안전문화에 대한 긍정적 인식 조성과 상관/관리자의 지지가 요구된다.

• 대한간호학회지
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• 제37권1호
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• pp.52-63
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• 2007

Purpose: Effective communication is an essential aspect of nursing care. This qualitative study was performed to analyze nurse-patient conversations about medication. Method: The nurse-patient dialogue was collected by video tape recording during the nurse's duty time in an internal medicine ward. One hundred seventy-eight episodes were extracted from the conversation. Using conversational analysis, the functional phases and patterns of dialogue sequence pertaining to medication were analyzed. Results: Conversations about medication were very brief dialogues, so 68.8% of the dialogue had a duration of less than 20 seconds. However, it was a systematic and comprehensive dialogue which had structures and sequential dialogue patterns. Four functional phases were explored. greeting, identifying the patient, medicating, finishing. The medicating phase was essential, in which the nurse gave the drug to the patient and provided information initiated by the nurse simultaneously. The patterns of the dialogue sequence represented were the nurse provided information first, and then, patients responded to the nurse as accepting, rejecting, raising an objection, or asking again later. Conclusion: As the results of this study show, a nurse's role is important as an educator. For effective conversation about medication, the development of an educational program should be considered, which includes knowledge about medication and communication skills.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제33권2호
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• pp.173-180
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• 2007

According to the increase in use of implants in clinical dentistry, new kinds of complications happen. Complications that can happen during implant placement are bleeding, nerve injury, jaw fracture, fenestration of maxillary sinus or nasal cavity, dehiscence, fenestration, injury of adjacent tooth. And complications that can happen after implant operation are infection, bleeding, hematoma, chronic sinusitis, peri-implantitis. Problems that are confronted during implant placement happen by inadequate preoperative treatment plan, inadequate consideration about individual anatomic difference, inadequate operation process and lack of experience of clinician. It is important that clinicians consider possible complications in advance and make a comprehensive treatment plan. We report the patient who was happened ramus fracture during block bone harvesting from ramus of severely atrophic mandible, the patient who came to emergency ward due to postoperative swelling and bleeding and the patient whose implant was migrated to maxillary sinus with a review of literature.

• 아태비즈니스연구
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• 제12권3호
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• pp.117-136
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• 2021

Purpose - The research is aimed at investigating the dynamics of economic cooperation among countries which share historical and genetic affinity. Research design, data, and methodology - The study analyzed historical and genetic affinity after reviewing related thesis data on countries with historical relations studied by domestic historians. After that, it was applied to the method of designating the counterparts for economic cooperation and suggesting economic cooperation measures within a comprehensive range. Results - Economic cooperation with the counterparts should complement the ongoing economic cooperation with each country among their planned national strategies. Korea proposes such matters in a way that cooperates and develops to obtain mutual economic benefits. Among the associated countries, Mongolia is for the underground resource processing industry, Turkey for the investment of companies advancing into neighboring countries, Kazakhstan for the diversification of business centered on the manufacturing industry, Uzbekistan for the modernization and diversification of industrial production, Turkmenistan for the localization of resource-based industries and Export promotion, Hungary for the increase in investment in line with the East-ward policy, Finland is for the cooperation in the knowledge-based industry. Conclusion - This economic cooperation can raise Korea's international status to the next level and further strengthen our voice right in the international community.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.185-194
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• 2023

Purpose: This study aimed to prepare basic data for the development of a nursing intervention program to improve nursing performance by identifying the factors affecting nursing performance in an integrated nursing care service ward. Methods: Participants were 166 nurses who had worked for more than six months in the integrated nursing care service wards of three general hospitals located in B city. Data were collected from July 15 to August 30, 2022 using structured questionnaires and analyzed by T-test, ANOVA, Scheffé test, Pearson's correlation coefficients and multiple linear regression using the IBM SPSS/WIN 25.0 statistical program. Results: Factors affecting the nursing performance of participants were age (β=.58, p<.001), positive psychological capital (β=.41, p<.001), and social support (β=.28, p<.001). The total explanatory power of these variables for nursing performance was 55.8%. Conclusion: The results of this study suggest the need for programs that improve psychological capital and social support while considering nurse's age to enhance their performance in nursing integrated service wards.

• 시큐리티연구
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• 제10호
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• pp.215-242
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• 2005

현대범죄의 특징인 지능화, 광역화, 폭력화 등의 범죄 형태에 효율적인 범죄예방 및 진압을 하기 위한 방안의 하나인 기계경비시스템을 이용한 공공장소에서 CCTV의 감시는 일상생활에서 널리 사용되고 있다. 이는 급속히 발달하고 있는 과학기술을 이용한 경찰활동으로 증가하는 범죄사건을 효율적으로 대응할 수 있는 대안점이기도 하다. 그러나, 이러한 CCTV의 폭넓은 활용은 범죄예방이라는 긍적적인 점과 시민의 기본권 침해라는 양자간의 가치가 충돌하는 문제가 발생되고 있다. 공공부문에 있어서 경찰의 CCTV활용은 그 효과성에 대한 명확한 논의가 계속되고 있음에도 불구하고 계속적으로 증대하고 있다. 이것은 시민의 기본권에 대한 침해의 소지가 많아 생겨날 수 있다는 것이다. 기본권의 침해는 쉽지만 그 회복은 많은 비용과 시간이 투입되어야 한다. 또한, 현재 한국에서는 CCTV 운용에 대한 구체적인 법적 규제도 없는 현실에서는 자칫 시민의 기본권 침해에 대한 사실을 무감각하게 만들 수 있다는 것이 문제가 될 수 있다. 본 연구에서는 경찰의 CCTV활용에 대한 선행연구를 기초로 한 법적 문제점, 설문조사를 통한 인식적측면을 고찰하고, 선진국들의 CCTV활용에 대한 현황을 기초로 하여 법적측면과 인식적측면 운영적측면을 중심으로 한국 경찰의 CCTV 운영에 대한 개선방안을 제시하고자 하였다.

• 기본간호학회지
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• 제5권2호
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• pp.280-292
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• 1998

Pressure sores are a serious concerns in that respect to increasing risk of medical complications and medical costs. Prevention and care of pressure sores is an essential area of nursing practice. The nurse at ICU should be more careful of maintaining the skin integrity of patients especially than at any other place. This study was conducted to determine if the risk facotrs of pressure sores and nutritional status of the patients at risk for pressure sores is related the occurance of pressure sore. The risk group refers the patients having the below 14 scores of the braden scale. The 100 subjects were recruited from the ICU ward at an university hospital in Choongnam. The parameters for nutritional status are the blood chemistry including plasma protein, albumin, hemoglobin and the anthropometric measurements consisting of weight, BMI, LBM, the proportion of body fat, body fluid and triceps skin fold using bioimpedence analizer and caliper. The results are as follows : 1. The subjects were 55 years and stayed 8 days on average. Of the 100 subjects, males were 61%, neurologic/neurosurgical diseases were 68% and the incidence of pressure sores was 17% mainly occuring within 3days after the admission. 2. The present paralysis(or paraplegia) and edema(arm, leg, trunk) were showed more significantly the subjects with pressure sores than those without pressure sores. 3. Regarding with the nutritional status, the subjects with pressure sores had significantly lower the weight, BMI, LBM, body fluid, albumin than the ones without pressure sores. This results were supported the reports of previous studies that the decreased weight and albumin could be the important predictors of pressure sores. Thereafter we should encourage these factors to be utilized in predicting pressure sores for a comprehensive assessment. Nurse should identify patients at risk of the development of pressure sores, assess their nutritional status and dietary intake at regular intervals.

• 간호행정학회지
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• 제8권3호
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• pp.457-474
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• 2002

Purpose : The purpose of this study was to construct the Organizational Effectiveness Model that explains and predicts the effectiveness of a nursing unit from the organizational-behavioral perspective. Furthermore, this study arms to develop a comprehensive organizational effectiveness model. Method : The subjects of this study consist of two groups: 455 nurses and 538 patients. Staff nurses who were employed and twenty patients from each ward in four university hospitals located in Seoul, Pusan and Kyungki were involved. Data were collected from October 4th to October 14th in 2000 by self-report questionnaire. Data were analyzed by the SAS for the general characteristics of the subjects, descriptive statistics, test for the reliability and correlations. Fitness of the hypothetical model were tested using Lisral 8.12(a) program. Result : With the findings from this study, duration of employment and the locus of control among the characteristics of the nurses, job enrichment among the characteristics of nursing job were direct or indirect predictors of the organizational effectiveness of the nursing units. Group dynamics in the nursing units and the characteristics of organizational behavior were mediating variables for the organizational effectiveness of the nursing units, and affect directly and indirectly on the individual outcome and group outcome to the great extends. Conclusion : Therefore, nursing managers ought to develop career ladder program and based job enrichment program in order to improve the organizational effectiveness of the nursing units. Additionally, programs to improve organizational effectiveness via improve group dynamics and characteristics of the organizational behaviors should be developed.

• 한국재난정보학회 논문집
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• 제20권2호
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• pp.257-269
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• 2024

Purpose: The purpose of this study is to explain the pivotal role of the travel forecasting process in urban transportation planning. This study emphasizes the use of travel forecasting models to anticipate future traffic. Method: This study examines the methodology used in urban travel demand modeling within transportation planning, specifically focusing on the Urban Transportation Modeling System (UTMS). UTMS is designed to predict various aspects of urban transportation, including quantities, temporal patterns, origin-destination pairs, modal preferences, and optimal routes in metropolitan areas. By analyzing UTMS and its operational framework, this research aims to enhance an understanding of contemporary urban travel demand modeling practices and their implications for transportation planning and urban mobility management. Result: The result of this study provides a nuanced understanding of travel dynamics, emphasizing the influence of variables such as average income, household size, and vehicle ownership on travel patterns. Furthermore, the attraction model highlights specific areas of significance, elucidating the role of retail locations, non-retail areas, and other locales in shaping the observed dynamics of transportation. Conclusion: The study methodically addressed urban travel dynamics in a four-ward area, employing a comprehensive modeling approach involving trip generation, attraction, distribution, modal split, and assignment. The findings, such as the prevalence of motorbikes as the primary mode of transportation and the impact of adjusted traffic patterns on reduced travel times, offer valuable insights for urban planners and policymakers in optimizing transportation networks. These insights can inform strategic decisions to enhance efficiency and sustainability in urban mobility planning.

• 한국의료질향상학회지
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• 제3권2호
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• pp.52-59
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• 1997

Background : In many Nursing Delivery System, Nursing Department at D Hospital had used to traditional nursing practice model what is called functional activities based system. It has a lot of merit that carried out specialized and rapid works but tend to ignore indivisual professional responsibility and task-based work assignments. In addition this system showed high turnover rates due to heavy workload, timesum of handing over duties, lack of support from peers and interstaff communication. So we performed conversion of Nursing Delivery System to My Patients Nursing Care System for providing comprehensive nursing to patient and reducing turnover rates and increasing job satisfaction to nurse. Method : 1. 1st step(96.4.9): Detected the problem of Nursing delivery System and estabilished improving planning 2. 2nd step(96.4.26): Visited other hospital on job training 3. 3th step(96.4.29): Discussed to premonitoring problem after conversion Nursing Delivery System and prepared structure 4. 4th step(96.5.6): My Patients Nursing Care System practical application 5. 5th step(96.7.20): Held complementary meeting 6. 6th step(96. 7): The other ward application 7. 7th step(96. 10): Extended application to whole wards Results: 1. Workload: (1) reduction(55.6%) (2) addition(44.4%) 2. Strong points after conversion: (1) decreased timesum of handing overduties (35.2%) (2) increased responsibility(33%) (3) broaden nurse's outlook to duties(14.8%) 3. Shortcoming after conversion: (1) understanding difficulties except my patient(57.8%) (2) weak teamwork(23.3%) (3) intensive stress to low grade nurse(12.2%) 4. Effective complemental way: (1) manpower(76.7%) (2) conversion of though (8.9%) (3) education(14.4%) 5. Patient's satisfaction: (1) satisfaction(64%) (2) no effect(36%) 6. Physician and peer's satisfaction: (1) satisfaction(12.5%) (2) dissatisfaction(21.6%) (3) no interest(44.3%) 7. Nurse's satisfaction: (1) satisfaction(74.7%) (2) dissatisfaction(5.5%) (3) unknown(20.5%) 8. Want to continued: (1) want(76.4%) (2) try to any other system(18%) Conclusion : Even though Nursing Delivery System conversion still has many problem, we gained more merits than traditional nursing delivery system. So we suggest that My Patients Nursing Care System should be encouraged for comprehensive nursing care and satisfaction to nurses.