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재활전문 간호사 실무 표준 개발을 위한 기초 조사 (The Survey for The Standards of Care in Rehabilitation Nurse Specialist)

  • 강현숙;임난영;서문자;이명화;김정화;서연옥;조복희;김인자;이정자;송충숙;박인주;이성숙
    • 재활간호학회지
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    • 제5권2호
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    • pp.113-123
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    • 2002
  • The purpose of this study is to develop the standards of care in rehabilitation nurse specialist. This study was a descriptive survey. The data were collected 143 nurses who were worked in rehabilitation unit at 4 university hospital and 3 rehabilitation center in Korea from Aug. to Nov. 2000. The questionnaire was consisted of 78 items developed by the standards of care in rehabilitation nurse specialist in A.R.N. and the practice contents of care at rehabilitation unit in Korea. Collected data were analyzed by frequency, percentage, mean, S.D. ANOVA The results are as follows 1. For the adequency of the practice contents of rehabilitation nursing, area of skin care is the highest score, and safety, elimination, emotion, respiration, was ordered. 2. The adequency of the practice contents of rehabilitation nursing according to age, educational level, position, clinical experience, clinical experience in rehabilitation unit were significant difference.

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쾌락적 가치와 실용적 가치가 소비감정과 고객만족에 미치는 영향에 관한 연구 (Understanding the Effects of Hedonic and Utilitarian Values on Consumption Emotions and Customer Satisfaction)

  • 송자현;김현정
    • 한국조리학회지
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    • 제21권5호
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    • pp.180-191
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    • 2015
  • 본 연구의 목적은 지각된 가치(쾌락적 가치, 실용적 가치)가 소비감정과 고객만족에 미치는 영향을 살펴보고 나아가 각 개념들의 측정변수 사이에 내재한 관계를 파악하는데 있다. 연구 자료는 최근 한 달간 아시아 레스토랑을 방문한 경험이 있는 미국인들을 대상으로 수집하였으며, 총 435개의 자료를 가지고 기술통계분석, 요인분석, 신뢰도분석, 회귀분석을 실시하였다. 분석결과 쾌락적 가치와 실용적 가치 모두 긍정적 감정과 고객만족에 영향을 미치는 것으로 나타났으나, 실용적 가치만이 부정적 감정에 영향을 미치는 것으로 나타났다. 측정변수 간의 관계를 분석한 결과 쾌락적 가치인 전통음악, 전통음식, 레스토랑 배치가 긍정적 감정에 영향을 미쳤으며, 인테리어 디자인은 고객만족에 영향을 미치는 것으로 나타났다. 반면 실용적 가치인 음식의 맛과 건강한 음식종류는 긍정적 감정과 고객만족에 영향을 미쳤으며, 음식의 맛만이 부정적 감정에 영향을 미치는 것으로 밝혀졌다. 이에 대한 실무적 시시점을 결론에 제시하였다.

우리나라 병원의 마케팅 활동수준과 재무성과 (Marketing Activities and Financial Performance of Korean Hospitals)

  • 한창훈;김원중
    • 한국병원경영학회지
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    • 제4권2호
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    • pp.106-130
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    • 1999
  • The main objective of this paper is to perform an empirical analysis on the relationship between various marketing activities and financial performance of Korean hospitals. A survey was conducted through structured questionnaire for 495 hospitals, and data from 218 hospitals were utilized in the final anaylsis.(response rate: 44%) Survey items include general characteristics of the hospitals(size, type, location), degree of competition, financial performance. marketing organization! budget, and level of various marketing activities in service development, access improvement, promotion, and pricing. We examine descriptive statistics of the response scores on marketing activities to evaluate the current status of marketing management of Korean hospitals, compare the results across hospital size, type and location, and perform regression analysis to investigate the relaionship between marketing and financial performance. Major findings are as follows: 1) About 46% of the responding hospitals have marketing departments although they are named as 'planning' or 'PR' departments, and the marketing budget on average represents 1.74% of the total expenditures. 2) Average level of marketing activities is calculated to be about 3.32 on 5-point scale, meaning that Korean hospitals implement their marketing programs 'somewhat actively'; however, the scores on the areas of marketing plannning and strategy are relatively low. 3) Large hospitals tend to be more active in marketing than small hospitals, and public hospitals' activities in marketing are not lower compared to private hospitals. 4) Level of overall marketing activities is positively related with financial performance measured by various finacial indicators except for profitability, implying that marketing is successful in revenue generation but needs to be more cost-effective. Also, when the marketing variables are separately included in the regression, no significant relationship is found, which means that various marketing activities are more effective when they are collectively implemented.

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응급실 응급구조사의 감염노출 예방행위 수행정도에 영향을 미치는 요인 (Influencing factors of prevention practices against infection exposure among emergency medical technicians in emergency rooms)

  • 심경율;김지희;이효철;김철태
    • 한국응급구조학회지
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    • 제22권1호
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    • pp.21-34
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    • 2018
  • Purpose: The purpose of this study was to investigate the influencing factors of prevention practices against infection exposure among emergency medical technicians (EMTs) in emergency rooms. Methods: A self-reported questionnaire was filled out by 100 EMTs in emergency rooms from June 1 to August 31, 2017. The questionnaire consisted of items concerning the defensive environment for the prevention of infection exposure, perception of preventive behavior, and degree of performance of preventive actions against infection based on a five-point Likert scale. Data were analyzed by descriptive statistics, ${\chi}^2$ test, ANOVA, Pearson's correlation coefficients, and linear regression. Results: The defensive environment for the prevention of infection exposure was 4.12. The perception of preventive action was 4.71, and the degree of performance of preventive actions against infection was 4.54. There was a significant relationship between the degree of performance of preventive actions against infectious exposures and the degree of perception of preventive behavior(r=.506, p=.01) and prevention of infectious exposure(r=.506, p=.01). The protective environment(B=.360, t=3.236, p=.002) and perceived level (B=.904, t=4.662, p=.000) were influenced by the degree of prevention of infection exposure. Conclusion: It is important to manage the protection environment for infection exposure prevention and to enhance the awareness of infection prevention actions against infection exposure among the EMTs in emergency rooms.

노인요양병원의 노인학대 실태 분석 (Analysis on Elder Abuse of the Korea Elderly Long-term Care Hospital)

  • 권금주;이서영;박태정
    • 한국산학기술학회논문지
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    • 제17권1호
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    • pp.553-560
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    • 2016
  • 본 연구는 노인요양병원에서 발생하고 있는 노인학대 실태와 노인학대 방지를 위한 병원의 대응 방법에 따라 노인학대 감소와 유의미한 차이가 있는지 분석하였다. 전국 노인요양병원 중 표본추출을 통해 선정한 대상 병원 중에서 설문에 응답한 86개소를 분석한 결과 노인학대 실태는 정서적 학대인 감정 상한 언행(39.5%), 요구무시(24.4%), 위협적 언행(22.1%) 등이 목격되었고, 신체구속(29,1%) 및 폭행(15.1%), 그리고 생존위협(5.8%) 등의 신체적 학대, 그리고 성적수치심(22.1%)을 주는 성적 학대가 목격되었다. 노인요양병원의 노인학대 방지를 위한 대응 방법에서는 노인학대 관련 규정 여부 또는 노인학대 교육 여부는 노인학대 감소에 도움이 되지 않으며, 처벌규정, 모니터링단 구성, 신고인 비밀보장, 조사위원회 및 위원회 결과 공지 등 대응 방법이 노인학대 행위와 차이를 보여 규정이나 교육 보다는 실제적인 조사 및 대처 등에 주력하여 운영되거나 감독되어야 함을 시사하였다.

요양보호사의 억제대 사용에 대한 인식 (A Study on Caregiver's Perception of Restraints)

  • 강혜경
    • 한국산학기술학회논문지
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    • 제17권5호
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    • pp.452-458
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    • 2016
  • 본 논문은 노인요양시설 요양보호사들의 억제대 사용에 대한 인식을 조사한 서술적 조사연구이다. 자료수집은 2016년 1월 13일부터 2월 10일까지 노인요양시설 요양보호사 113명을 대상으로 자기기입식 설문을 통해 이루어졌다. 억제대 사용의 인식에 대한 전체 평균은 3.43(${\pm}0.24$)이였으며, 억제대 적용 이유로 가장 중요하게 생각하는 항목은 "대상자를 침대에서 떨어지지 않도록 보호하기 위하여"였으며, 주로 노인 대상자들의 안전사고를 예방하기 위한 항목에서 억제대 사용을 중요하게 생각하는 것으로 나타났다. 억제대 사용에 대한 지식은 18점 만점에 평균 11.23점으로 보통 수준이었으며, 50세 이하의 요양보호사들의 지식수준이 다소 낮았다. 억제대 사용에 대한 태도는 전체평균 9.19점으로 다소 긍정적으로 가급적 억제대 사용을 자제해야 한다고 생각했으며, 근무경력 3년 이하의 요양보호사들이 더 높게 나타났다. 억제대는 노인대상자의 신체 정신적 그리고 인권과 밀접한 관련이 있는 것으로 가장 많은 시간을 함께 하는 요양보호사들의 억제대 사용에 대한 인식의 고려와 향상을 위하여 억제대 사용에 대한 정확한 지침과 눈높이에 맞는 교육이 제공되어야 한다.

Work-related Musculoskeletal Pain and Health-related Quality of Life among Physical Therapists in Korea

  • Kim, Giwon;Lee, Kyunghee
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.39-45
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    • 2016
  • Purpose: Physical therapists are likely to be exposed to work-related musculoskeletal pain due to excessive repetitive tasks. This study was conducted to identify the relationship between work-related musculoskeletal pain and quality of life of physical therapists. Methods: A self-reported questionnaires was sent to 200 physical therapists at in Seoul and Kyoungido. The questionnaires was returned by 170 physical therapists. The questionnaire had included 4 items that coveringed demographic information, areas of musculoskeletal problems, pain rating scale, and WHOQOL-BREF. The analysis was completed using descriptive statistics, and differences between pain and demographic variables were identified using the chi-square test. The relationship between work-related musculoskeletal pain and quality of life was analyzed by t-test and Pearson's correlation. Results: The overall prevalence of work-related musculoskeletal pain was 76.8%. The most affected pain sites included the low back (48.8%), shoulder (45.,2%), hand and wrist (43.5%), and neck (33.3%). Pain ratings of subjects with pain was were moderate. There was a A significant difference for the subdomains of quality of life was observed between the subjects with musculoskeletal pain and those without pain. Weak negative correlations (r=-0.28) were observed between pain rating scale and QOL. Conclusion: These findings show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain and physical domain of QOL. Therefore, Ffurther research is needed to investigate examine the effect of risk factors and ergonomics as physical load, general health status on prevalence of musculoskeletal pain.

Psychometric Evaluation of Uterine Cervical Cancer Screening Embarrassment Questionnaire among Korean Women: Complementary Use of Rasch Model

  • Cho, Eun-Jung;Chung, Bok-Yae;Lee, Kwan;Consedine, Nathan S.;Lee, Won-Kee
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.463-473
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    • 2011
  • Purpose: Cervical cancer can be prevented by regular cervical screening. Embarrassment has been reported as one important barrier to cervical screening uptake. The absence of appropriate instrumentation, however, has limited our understanding of the links between embarrassment and health care outcomes. The purpose of this study was to evaluate psychometric attributes of the uterine cervical cancer screening embarrassment questionnaire. Methods: A convenience sample for field study was recruited from four gynecological clinics in Gyeongju, Korea. Within a cross-sectional descriptive design, 339 women who had cervical screening completed self-administered measures of embarrassment including a visual analogue, general medical embarrassment, dispositional embarrassment, and Pap smear related negative emotion. Results: Rasch analysis of items demonstrated the evidence of one-dimensional construct and good 7-point rating scales functioning. Factor analysis revealed that uterine cervical cancer screening embarrassment was comprised of two domains-bodily manifestations and perceiving an undesirable social face. Construct validity was demonstrated by a high subscale-to-subscale correlation. Convergent and discriminant validity was evidenced by significant correlations with a 100 mm VAS scale, general medical embarrassment, and Pap smear related negative emotion. Known-group validity was established by comparing women with high versus low trait embarrassment. Both two sub-scales and overall scale demonstrated good internal reliability. Conclusion: The Uterine uterine cervical cancer screening questionnaire is a reliable and valid instrument suited to assessing the manifestations of embarrassment during screening. The use of instrument can be extended to understand the client's embarrassment undergoing health examinations which require the exposure of their private parts.

The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh

  • Fahima, Khatun;Lee, Tae Wha;Ela, Rani;Gulshanara, Biswash;Pronita, Raha;Kim, Sue
    • 여성건강간호학회지
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    • 제24권1호
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    • pp.49-57
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    • 2018
  • Purpose: Postpartum fatigue can impact maternal well-being and has been associated with levels of perceived self-care. This study aimed to examine the relationship among fatigue, depressive mood, self-care agency, and self-care action among postpartum women in Bangladesh. Methods: A descriptive cross sectional survey was done with 124 first-time mothers from two tertiary hospitals in Dhaka, Bangladesh. The Modified Fatigue Symptoms checklist, Denyes' Self Care Instrument, the Edinburgh Postnatal Depression Scale, and items on sociodemographic and delivery-related characteristics, were used in Bengali via translation and back-translation process. Results: High fatigue levels were found in 18.5% (n=23) and 73.4% had possible depression (n=91). There was a significant negative relationship between fatigue and self-care agency (r=-.31, p<.001), and self-care action (r=-.21, p<.05). Fatigue differed by level of self-care agency (t=4.06, p<.001), self-care action (t=2.36, p=.023), newborn's APGAR score (t=-2.93, p=.004), parental preparation class participation (F=15.53, p<.001), and postpartum depressive mood (t=-4.64, p<.001). Conclusion: Findings suggest that high level of self-care efficacy and behaviors can contribute to fatigue management, and highlight the need for practical interventions to better prepare mothers for postpartum self-care, which may, in turn, alleviate postpartum fatigue.

Study of Work-Related Musculoskeletal Pain and Health-related Quality of Life among Hospital Workers

  • Kim, Giwon;Lee, Chun Sun;Lee, Kyunghee
    • The Journal of Korean Physical Therapy
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    • 제31권5호
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    • pp.304-310
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    • 2019
  • Purpose: This study examined the work-related musculoskeletal pain and quality of life of hospital workers. Methods: Self-reported questionnaires were sent to 350 hospital workers at Seoul and Gyeonggi-do, of which 341 were returned. The questionnaire had four items that covered the demographic information, areas of musculoskeletal problems, pain rating scale, and quality of life. The analysis was completed using descriptive statistic, and the differences between pain and demographic variables were identified using a chi-square test. The differences between the type of occupation and quality of life were analyzed by one-way analysis of variance and a Kruskal-Wallis test. Results: The 12-month prevalence of work-related musculoskeletal pain was 86.1% of physical therapists, 86.5% of occupational therapists, 77.1% of dental hygienists, and 75.8% of nurses. A significant difference in the general and work related variables was observed between the subject with a physical burden and type of occupation. The most affected pain sites of the physical therapist included low back, hand and wrist, shoulder, and neck. The occupational therapists included the hand and wrist, shoulder, neck, but the nurses and dental hygienists reported the shoulder, back, hand and wrist. A significant difference in the quality of life was noted between the subjects in physical therapists and dental hygienists and the subjects in the nurses and occupational therapists (p=0.00). Conclusion: These findings show that hospital workers appear to be high risk for work-related musculoskeletal pain, and the quality of life of physical therapists and nurses was higher than that of dental hygienists and occupational therapists.