• 제목/요약/키워드: Day Care

검색결과 1,972건 처리시간 0.031초

간접간호중재의 수행 및 위임에 관한 분석 (Identification and delegation of indirect care interventions)

  • 염영희;김소인;차보경
    • 간호행정학회지
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    • 제5권2호
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    • pp.197-207
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    • 1999
  • The purpose of this research was fourfold: (a) to identify the use rate of the indirect care interventions performed by nurses, (b) to estimate the time to perform each intervention, (c) to identify the indirect care interventions to be delegated to others, and (d) to determine the level of provider preparation needed to delegate indirect care interventions. The sample consisted of 199 nurses working in three hospitals. The Indirect Care Survey developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean and validated by nurse experts. Each of the 26 indirect care interventions were used several times a day. Four interventions (i.e.. Documentation, Shift Report, Specimen Management, and Transport) were performed several times a day by 50% or more of the nurses. The most frequently used intervention was Documentation, followed by the interventions Shift report. Environmental Management, Transport, and Examination Assistance. The least used intervention was Quality Monitoring, followed by the interventions Order Transcription, Referral, Health Care Information Exchange, Multidisciplinary Care Conference, and Product Evaluation. The intervention taking the most time to per-form was Technology Management (155.3 minutes), followed by the interventions Documentation, (122.2 minutes), Delegation (84.4 minutes), Supply management (83.4 minutes), and Preceptor: Student (79.9 minutes), Overall, the nurses reported that they would not delegate to others the majority of the interventions. More than 50% of the nurses would not delegate 21 interventions. Shift Report would not be delegated by 95% of the nurses and Documentation would not be delegated by 92% of the nurses. Caregiver Support would be delegated by 68% of the nurses to family. Three interventions (i.e.. Environmental Management, Examination Assistance, and Transport) would be delegated by more than 50% of the nurses to Nursing Assistant. This study will contributes to determining costs of nursing services and enhancing quality of nursing care. Replication study will be needed with large sample.

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중환자실에서의 K-DRG 분류와 개두술환자군의 간호시간과 간호원가연구 (A Study on the Classification of ICU Patients by K-DRG and the Nursing Care Hours and Costs of Craniotomy Patients)

  • 조정숙
    • 간호행정학회지
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    • 제4권1호
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    • pp.229-246
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    • 1998
  • This dissertation classifies sample patients by a measure of K-DRG to identify the most frequent group. and investigates the differences in the dependency of nursing by patient classification system in the SICU of Seoul National University Hospital in Korea. It also calculates the mean nursing care hours and costs per craniotomy patient, who is shown to be the most frequent patient group. The results of the research can be used as basic data for the development of relevant nursing cost system in the future. The results of the research are as follows: 1. Using data from 97 sample patients, as many as 26 groups are identified when the patients are classified by K-DRG. KDRG-001 (craniotomy) is found to be the most frequent group(43.30%). 2. The result from patient classification system grouping in craniotomy patients shows homogeneity in terms of dependency of nursing with 35 patients in the 4th group, 145 patients(74.36%) are in the 5th group. and 15 patients are in the 6th group among the total 195 sample patients. 3. The direct nursing care hours for the 4th, 5th, and 6th patient classification system groups are found to be 381 minuites. 483 minuites, and 519 minuites, respectively, which shows that the nursing care hours increases as the dependency of nursing is intensified. The indirect nursing care hours are found to be 454 minuites(7.57 hours). The total mean nursing care hours, which is the sum of the direct nursing care hours(467 min.: 7.78 hours) and the indirect nursing care hours (454 min.: 7.57 hours), is 921 minuites(15.35 hours) per patient a day. 4. The nursing care cost is calculated to be 123,297 won per patient a day. Considering the average duration in the ICU, we can find the total nursing care cost is 610,318 won.

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도심 어린이집 주변 도로상 대기오염도 특징 (On-road Air Pollution Characteristics around a Day-care Center in Urban Area)

  • 우성호;이승복;김경환;이광재;류성희;김종범;배귀남
    • 한국입자에어로졸학회지
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    • 제10권2호
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    • pp.61-75
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    • 2014
  • Five on-road measurements were made using a mobile laboratory (ML) to characterize spatial and temporal air pollutant distributions over roads around a day-care center in urban area on 30 August 2013. Fixed monitoring was also done near the day-care center using the ML during the periods between on-road measurements. On-road air pollution monitoring route was classified into seven sections and three zones to identify severe polluted roads among many roads having different traffic volumes and directions. Typical pollutants emitted from vehicles such as $NO_x$, black carbon, particle-bound polycyclic aromatic hydrocarbons, and submicron particles including nanoparticles were monitored using real-time instruments. Peak concentration episodes were frequently observed during the on-road measurements and most peaks were simultaneously monitored at four pollutants. Colored on-road air pollution map for each pollutant provides an insight on spatial air pollution distribution, showing heavily polluted roads and sections. Average on-road $NO_x$ concentration of each run was similar to that monitored at the nearest roadside air monitoring station.

서울 시내 변두리 저소득지역 유아원 어린이의 영양실태조사 (Nutrition survey of young children in a day care center in the low income area of seoul)

  • 이혜상
    • 대한가정학회지
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    • 제24권2호
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    • pp.37-50
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    • 1986
  • A nutrition survey of 128 perschool children, 4 to 6 years old, in the Saemaul Youlgok day care center, located in one uplane, overpolulated, poor area of the city of Seoul, sponsered by the Korean Red Cross Society, was undertaken between August 21 and 31, 1984, to investigate dietary and nutritional status. RESULTS: Mean values of height, weight, arm circumference, girth of chest, and head circumference ranged from 95 to 100% of KIST mean. However, 4.8~14.2% of the subjects were assessed as undernourished in terms of 'weight for height'. Mean hemoglobin vcalue was 12.1±0.7gm%, and mean hematocrit value was 38.5±2.2%; 4.1% of the subjects were proven to be anemic according to the criterion of hemoglobin established by the ICNND. Mean urinary urea nitrogen/creatinine ratio was 11.4±3.8. Regarding mean energy and nutrient intake, the following percentages had intakes below two-thirds of the 1985 RDAs: 28.8% of children, for protein; 48.8% of children, for iron; and 28.8% of children, for calcium. About 25% of children had vitamin A intake below one-third of the recommended allowance. Carbohydrate provided 71% of total energy intake; protein accounted for 13%; fat provided 16%. Energy intake was divided among breakfast, lunch, dinner and snacks in a percentage ration of 19:26:21:34. The lunch, and snacks which were served at the day care center provided 36.5~79.1% of daily energy and nutrient intake. The survey clarified that the day care feding largely supplemented the inadequate dietary intakes of these young children at home. According to factor analysis of energy and nutrient intake, there were two factor groups : the first factor group, for energy, protein, carbohydrate, iron and niacin, mainly provided by grains; and the second factor group, for calcium, vitamin A, thamin, riboflavin and ascorbic acid, provided by vegetables, fruits, milk and milk products. The survey also revealed significant correlation coefficients between family factors such as family income, educational level of parents, and number of children; and dietary or nutritional status of the subjects.

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어린이집 교사들의 영양지식과 영양교육에 대한 인식 조사연구 (A Survey of Teachers' Recognition on Nutrition Knowledge and Nutrition Education at Day-care Centers)

  • 박금미
    • 대한지역사회영양학회지
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    • 제10권6호
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    • pp.920-929
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    • 2005
  • This study was aimed at knowing the recognition of teachers' nutrition knowledge and nutrition education at day-care centers in Seong-nam. Teachers were all female, most of whom were in the 20, and their careers were less than 3 years. And $76.2\%$ of the teachers graduated from high school and junior college. The score of the nutrition knowledge was average $14.3\pm2.2$ (out of 20). It shows that they are lack of general information of nutrition. As the teachers had higher education, they scored higher nutrition knowledge levels (p < 0.01). It also says that there was meaningful interrelationship between the nutrition knowledge and the number of children they had (p < 0.05). $93\%$ of the teachers said that nutrition education should be given when children are three years old, at least and most of the teachers thought that nutrition education is necessary and should be taught in a separate course. $50.4\%$ of the teachers thought that nutrition education for early childhood should be taught by a nutritionist, but $35.2\%$ of them thought that the teachers themselves should be in charge of it. About $60\%$ of the teachers thought that 'Cooking Activity for Early Childhood' course should be established and it is desirable that the nutrition education should be in the area of cooking activity for childhood at day-care centers. The teachers thought that dietary habit is the most important subject in nutrition education and they got more information from the internet rather than in the class related to nutrition. (Korean J Community Nutrition 10(6) : $920\∼929$, 2005)

부양형태에 따른 주부양자의 부양부담의 차이 및 영향 변수에 관한 연구 -재가, 주간보호시설, 시설거주 노인의 주부양자를 대상으로- (A Study on Differences in the Caregiving Burden of Primary Caregivers by Type of Caregiving -Focused on Caregivers in Home Stay, Day Care Center, and Nursing Home Situations-)

  • 김윤정
    • 한국지역사회생활과학회지
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    • 제18권1호
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    • pp.71-85
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    • 2007
  • This study investigates differences by type of caregiving using data on three groups of caregivers, 177 from home stay situations, 189 from day care centers, and 138 from nursing homes. First, the result shows that characteristics of both caregivers and elders differ by type of caregiving. Second, caregivers in the home stay situation have the highest caregiving burden of the three groups. Third, from examination of the related variables, the caregiving burden of home stay caregivers is affected by family income, caregivers' health, type of job, and whether or not the elder has symptoms of dementia. Also, the study reveals that emotional services for elders reduce the aggravation of family relations and economic burden, but that instrumental services highly increase economic burden. It reveals that caregivers of elders in day care centers, especially those who are in bad health, are more likely to experience feelings of constriction, aggravation of family relations and economic burden. On the other hand, caregivers who receive more emotional services have better experiences in family relations, including relations with the elder. In case of the elders of nursing homes, if the main caregiver is a daughter-in-law, aggravation of family relations is higher than if the main caregiver is a spouse. Finally, the caregiver's burden is affected by their own health and income, and by whether the elder has symptoms of dementia or stroke.

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일 주간보호센터 이용노인의 만족도에 관한 조사 연구 (A Study on the degree of satisfaction at Day Care Center's Service among elderly clients)

  • 김순영;강경숙
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.422-434
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    • 1999
  • The purpose of this study was to describe the degree of satisfaction at day care center's services and the degree of relationship between each service and overall satisfaction. The data collection was performed from July 1, 1999 to July 15, 1999. And total 199 elderly clients were interviewed in Koksung-kun. The results of the study is as follows: 1. The percentage of satisfactory response at transport service was 95.2%, food supply 94.3%, bath 93.2%, hair cutting 90.8%, physical therapy 90.2%, medical treatment 89.3%. And oriental medical treatment 82.0%. 2. For question of the degree of satifaction at day care service, the distribution of answer was 75.1% in exellent. 15.5% in good, 3.6% in moderate, 3.6% in poor, 2.1% in most poor. 3. The subjective satisfaction was not significantly different by sex, age, the presence or absence of religious, educational level, the presence or absence of family and economic level. 4. A significant association between the program satisfaction and the subjective satisfaction was observed: odds ratios were 26.9 in food supply, 26.4 in luncheon supply, 17.4 in bath, and 14.5 in hair cutting. The following is suggestion based on results of this study: A service program should be developed to fit conditions of rural elderies by specifically analyzing needs of the elderly.

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성동구내 어린이집 어린이의 수면 및 식생활 실태와 성장과의 관련성에 대한 보고 (A Study on the Relations between Growth and the Current Conditions of the Day-care Center Children's Sleeping Patterns and Diet patterns in Seongdong-district)

  • 박유진;윤지연
    • 대한한방소아과학회지
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    • 제23권2호
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    • pp.159-177
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    • 2009
  • Objectives : The purpose of this study is to examine sleeping patterns and diet patterns of the children in day-care centers in Seongdong-district and to find out the relationships between those two patterns and children growth. Methods : 686 day-care center kids participated in the examination. We measured their heights and weights. We also conducted a questionnaire survey (of them) on their sleeping patterns and diet patterns. Based on the findings, we have analyzed correlations of the factors. Results : 1. We have interviewed 686 children in day-care centers in Seongdong-district. Substantial survey was conducted to 672(14 kids didn't go through regular medical checkups). Their age ranged from 4 months to 120 months and weights covered from 6.20 kg to 50.80 kg with the average of 16.97kg. Their height ranges were from 70.4cm to 140.6cm and the average was 100.76cm. 2. The survey results showed that birth-height affects children's current height. The results from the group of age over 25months and the group covering 2 to 6 years indicated that birth-height affected the current height as well. However, the result from the age group over 37 months showed that birth-height didn't relate to the current height. 3. Results from questionnaires on sleeping patterns indicate that children sleeping longer are taller than the other. Results of other questionnaires showed no substantial relations to height. 4. Results from questionnaires on diet patterns, cold food eating habit affects growth. Conclusions : According to the results above, sleeping patterns substantially affects the growth. In order to find out, however, the specific relations between them, further research would be necessary.

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재난관리스템을 이용한 어린이집 안전관리에 관한 연구 (A Study on Safety Management of Day Care Center using disaster management system)

  • 정창식;권미란
    • 한국인터넷방송통신학회논문지
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    • 제18권1호
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    • pp.29-35
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    • 2018
  • 최근 어린이집에서 안전사고가 빈번하게 발생하고 있다. 유형별로는 부딪힘, 넘어짐, 끼임, 화상, 떨어짐, 통학버스 교통사고, 이물질 삽입... 등이 있으며, 이러한 안전사고 즉, 재난으로 인해 사망까지 이르는 영유아들이 매년 꾸준히 증가하는 추세이다. 이에 따라 안전사고, 즉 재난에 대한 예방이 시급한 실정이다. IoT(Internet of Things)는 위험을 예방하기 위해서 다양한 센서와 관련제품들이 생활공간에서 인터넷으로 연결해 관리되고 있다. 특허 IoT 제품은 언제 어디서든 스마트폰이나 센서 등으로 자동 제어하기 때문에 에너지와 시간을 아끼고, 편리하고 신속 정확하게 지킬 수 있다. 이 논문은 학습현장 즉, 학교나 유치원 및 어린이집과 같은 곳에서 건물재난관리를 위한 사물인터넷 전용망인 SK LoRa 통신망과 아두이노를 이용하여 재난에 대응하고 예방할 수 있는 연구 모델을 제안하고자 한다. 그리고 건물재난관리에 필요한 다양한 센서로 건물 내 다양한 안전 상태를 표현하고 데이터는 스마트폰으로 송수신하여 주거환경을 제어할 수 있는 시스템 모델을 제안한다.