• Journal of the Korean Dietetic Association
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• v.10 no.3
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• pp.293-299
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• 2004

The purposes of this study were to : a) investigate the current status of contracted hospital food services, b) analyze and clarify various perspectives of contractors and hospitals. Thirty six hospitals and their contractors which were having more than 100 beds located in Seoul, Inchon and Kyungkido, were the subjects of this study. Data were collected through surveys. The survey was conducted during March to April in 2002. Questionnaires were mailed to the 36 directors of dietetic departments of hospitals and 36 managers of contract foodservice management company. Statistical analysis was completed using SPSS Win(11.0) for descriptive analysis, t-test and $x^2$-test. The results of the study can be summarized ; 1. The type of contract considered adequate by directors of dietetic departments and managers of contractors was fee-contract, combined type, followed by profit-and-loss contract. 2. According to the results from analysis on the contract cost per meal considered adequate by directors of dietetic departments and managers, the directors of dietetic department indicated that showing no difference with the current contract cost per meal. However, the managers of contractor indicated that showing significant differences compared with the current contract cost per meal(regular diet p<0.01, therapeutic diet p<0.001). 3. In the composition of contract cost per meal considered adequate, the managers of contracting businesses accounted labor cost (p<0.01) as a major cost, whereas the chiefs of nutrition departments accounted miscellaneous or controllable expense (p<0.001) and VAT (p<0.01) as major costs. 4. The directors of dietetic departments and managers thought that the hospital should be responsible for utility costs. On the other hand, directors of dietetic departments regarded that the contractor and managers thought that the hospital should pay for facility investment cost.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5196-5205
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• 2012

Purpose: The Purpose of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture by nurses and hygienists. Method: The data were collected from september to December, 2010 using Hospital survey on patient safety culture questionnaires. The subjects were 399 Nurses, hygienists, recruited from the hospital in Busan & Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Spearman rank coefficient. Result: The perception level of nurses on patient safety culture was 3.48. In case of hygienists, the level was 3.51. Compared to nurses, hygienists showed a significantly difference on the items "Staff arrangement"(t=2.841, p<.01) and "Administator attitude"(t=-2.471, p<.05), "Feedback and communication in accident"(t=-3.356, p<.01). Nurses and hygienists' age and career, working hour per week were identified as factor associated with patient safety culture. Conclusion: The perception level of hospital health providers on patient safety culture was moderate. and identified factors associated with patient safety culture were age and career, working hour per week.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1400-1410
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• 2000

Purpose : To determine whether there is a discrepancy between the medical professions perception of what patients should know and that of the patients themselves, we studied patients need to be informed about different aspects of epilepsy and compared findings with medical personnels perceptions of the issue. Methods : Our study population consisted of 39 patients with epilepsy from the inpatient epilepsy unit, and 51patients from the outpatients clinic of the S. University Hospital between July and November 1997. However, the patients who declined to participate or who were not able to understand the directions and content of the questionnaire were excluded. The medical personnel participated in this study were 56 residents or nurses who were working in either Neurology or Neuro surgery Units. The questionnaire with 5 indicating the highest need. The data were analyzed with descriptive statistics, students t-tests, and chi-square. Results : Of the 90 patients and 56 medical personnel studied, the need for lifestyle information such as smoking, drinking, sleep, driving, employment, and marriage was significantly higher from medical personnel than that of the patients(p=0.00). Regarding medical knowledge about epilepsy, the patients group had higher scores in the need for information on the structure of the brain (p=0.00), whereas medical personnel had higher scores on the symptoms of epilepsy. There was no correlation between the length of epilepsy and the need for information on every item on the questionnaire. The patients had higher rank regarding diet, although it was not significantly different from the medical personnel. Regarding antiepileptic drugs and what to do when there is an attack, medical personnel scored higher. The items on which the patients group scored higher than 4.5 were the possibility of inheritance, the factors that might reduce the number of attacks, the period of usage of AED, and the food they have to avoid or the food they have to take to reduce seizure attacks. Conclusions : Our study indicates that the patients group requires higher educational need in the structure of the brain, diet, and surgical treatment, but less in lifestyles and what to do when there is an attack. The educational program for the patients with epilepsy should emphasize medical knowledge with regard to brain anatomy, what to eat and what to avoid, and details of surgical treatment.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1543-1555
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• 2000

Home health care is moving into a set of new realities. An era of competition and cost containment has arrived. Before nurses are able to contain costs or describe the relationship between nursing activities, cost must be accurately measured based on the nurse's workload. Nurses in home health care usually desire to measure expenses for one of three reasons : reimbursement, management, or research. The purpose of the study was to investigate the work input by Registered Nurse in each of the home health care activities by relative value units and identify the factors affecting the nurses' total work input in health care services. To measure the work input by nurses, work was defined by four dimensions: time, physical effort, mental effort, and stress. This study used a descriptive-correlational design. Data collection consisted of two phases. In phase I, data on home health activities performed by nurses were collected. In phase II, data on nurses' time, physical effort, mental effort, and stress in each of home health care activities discovered phase I were collected. In this method, the respondent was asked to rate a service in relation to a reference service using a ratio scale. The sample included 39 home health care nurses. The results of the study indicated that home health care activities performed by the nurses were in 10 categories and 69 items. Measuring the relative work inputs in each of home health care activities, and foley catheterization was selected as the reference to service. In terms of time and physical effort dimensions, full bath service was rated as the most strenuous among 69 activities by the respondents, and intramuscular injection was rated as least. It was found that emergency treatment required the highest mental effort and the highest stress, while blood sugar tests required the lowest mental effort. Approximately 91.3% of the variance in total work input was accounted for by the linear combination of time, physical effort, mental effort judgement, and stress. Examining the regression coefficients of those variables, physical effort, time, and stress were found as the predictors which were significantly associated with the total work of nurses in home health care. Professional nursing's next step in the conundrum of economic volatility is to develop a tool to reflect the interaction of functional deficiency and direct professional nursing care. And this will be a more accurate predictor of nursing resource use and ultimately a great forcaeter cost.

• Journal of Digital Convergence
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• v.16 no.9
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• pp.329-338
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• 2018

The purpose of this longitudinal study was to investigate confidence in core basic nursing skill each period of clinical practicum and discover the changes, depending on characteristics of periods. The data was collected for 94 nursing students attending a university located in J-do from Mar. 9 to Dec. 16 2016 for 4 times in total. For data analysis, the frequency analysis, descriptive statistics and paired t-test were used. The research findings showed that confidence in core basic nursing skill by each period of clinical practicum was lowest before clinical practicum in general but gradually increased depending on lapse of time and experience of clinical practicum. However, it decreased in all items after having first clinical practicum in the $2^{nd}$ semester, compared to after first clinical practicum in the $1^{st}$ semester. In addition, the difference of confidence in core basic nursing skill between clinical practicum periods was higher after the first clinical practicum in the $1^{st}$ semester and after clinical practicum at the end of school year, compared to before clinical practicum and after the first clinical practicum in the $2^{nd}$ semester respectively. Therefore, this study suggested that it's necessary to have efficient and systematic clinical practicum education strategy, reflecting the characteristics of periods in clinical practicum in order to improve the confidence in core basic nursing skill of nursing students.

• Journal of Fisheries and Marine Sciences Education
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• v.13 no.1
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• pp.99-116
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• 2001

Testing is a procedure used to measure a sample of behaviour in order to discover how well a seafarer performs, usually in comparison with others, or compared with identified performance criteria. In this context It is important that the test, in whatever form it is being used, yields consistent results by being valid, reliable and practical. Whilst we can only take a sample of a person's knowledge or comprehension about topic in this way, testing methods do provide a more reliable estimate of performance than most other observational techniques; unsystematic or irregular observation being too unreliable. The method of examination has been specified in the provisions of Regulation 12 of the Decree of the ship officers act as followings. Other necessary matters for conducting oral and written examinations have been set out by the Minister. But written examination is too shortage of period and small number of question to cover the qualification of each level and oral test is just simple and namely Traditionally, written examinations have been provided as the only means for determining the acquisition of knowledge by the mariner. Typically, the examination formats have taken the format of either an essay or multiple choice examinations. Essay items, used in the vast majority of subject examination(not in Korea), consisted of three basic types: situational, descriptive and computational. The level of certificate being examined determined the number and mix of the type of essay questions selected. Oral question has again been used by assessors of seafarer in a wide variety of contexts. Also, oral questioning is often used when observation of performance is undertaken to ask why a certain action has been taken, or to be broaden the scope of what has been observed. At end, Each techniques have their own advantage and disadvantage, so we have to choose some or all of the following techniques, depending upon the certificate, qualification or job for which the trainee is aiming. But in high lank, we have to use both of essay type and multiple choice and with enough time of oral test at least 30 minutes. Who would be the assessor? According to the STCW Code Section A-I/6, instructors, supervisor and assessors are appropriately qualified for particular types and levels of training or assessment of competence of seafarers either on board or ashore, as required under the Convention, in accordance with the provisions of this section.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.464-474
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• 2020

This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p=.034). Among sub items of illness perception are consequence (β=-.20, p=.031), treatment control (β=.19, p=.040), and illness coherence (β=-.18, p=.049). In addition, among physiological indicators are hematocrit (β=.38, p<.001), hemoglobin (β=.29, p=.005), BUN (β=-.25, p=.010), and phosphorous (β=.22, p=.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.

• Korean Journal of Occupational Health Nursing
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• v.12 no.1
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• pp.80-88
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• 2003

Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

• Journal of Korean Academy of Nursing Administration
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• v.10 no.1
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• pp.25-36
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• 2004

Purpose: Nursing puts much weight en the organization of hospital. Therefore it is necessity to improve nursing care. One of the most important things is to secure confident nurses and to develop nurse' potentiality. It directs nurse evaluation system. The concept of "performance appraisal tools" is extremely important in evaluation system. Therefore, the purpose of this study aims to define performance appraisal process. Method: In order to do this, two main study has been observed interviewing appraisers and employees in-depth and analyzing performance appraisal tools of seven hospitals and analysed validity, reliability, acceptability and practicability. Result: The result of this study can be summarized as follows; Firstly, the result of analysis of performance appraisal tools. Regard to validity, Hospitals had a typical goal, but had not put to practice use. Regard to reliability, 1) Appraisal rule had been focused on appraiser's error, how to avoid. 2) 5 hospitals accessed nurses with relative rating and 2 hospitals with absolute rating both in practice. 3) 3 hospitals informed nurses the result of performance appraisal but 4 hospitals did not. 4) All hospitals in this study had conducted superiors rating. Regard to acceptability, 1)Rating scale method had been implemented by 6 hospitals and among those conducted beth ranking method and descriptive method. 2) Most hospitals had focused on personal traits in performance appraisal factors. Regard to practicality, The term of appraisal took $10{\sim}14$ days; performance appraisal happened 1 or 2 times per year; appraisal factors were based on 10 different items. Secondly, the result of in-depth interview with head nurses and staff nurses Regard to validity, head nurses and nurses wared that the goal of performance appraisal is to develop nurse's ability. Regard to reliability, head nurses pointed out that they were doubt of the justice of performance appraisal and they should have got training. Nurses insisted that raters should have been trained due to lack of qualification of appraiser; Head nurses and nurse proposed to convert form relative rating to absolute rating; to inform the result of appraisal; to implement peers rating. Regard to acceptability, One of the critical problems of performance appraisal tools was abstract of appraisal factors ; Lack of job analysis. Regard to practicality, Head nurses used to take overtime for appraisal. There was only a little respond despite of their efforts. Nurses questioned that appraisal tools exist for only appraisal; there was less cost-effectiveness. Conclusion: Based en these findings, it could be suggested to improve the performance appraisal tools for nurses evaluation. Firstly, it is necessary to describe goal of performance appraisal clearly set up, so that nurses could improve their positive word performance and develop their potentiality. Secondly, it is necessary to obtain various training on raters, implement absolute rating and inform the result of appraisal to nurses and use peers rating. Thirdly, it is necessary to convert from rating scale method to management by objectives or behaviorally anchored rating scale and take measurable appraisal factors based en job analysis. Finally, it is necessary to reduce the appraisal cost but increase effectiveness of performance appraisal.

• Journal of Korean Public Health Nursing
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• v.13 no.2
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• pp.143-160
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• 1999

The purpose of this descriptive survey study was to examine the following items. 1) Score distribution of life satisfaction. powerlessness. perceived health status and self-esteem 2) Demographic characteristics and the affection of socioeconomic characterictics to life satisfaction. powerlessness. perceived health status and self-esteem 3) Correlationship between life satisfaction. powerlessness. perceived health status and self-esteem 4) Determining the factors affecting life satisfaction The subjects were 167 urban elderly people. Data were collected from May to July in 1998 using the questionaires. The data were analyzed by mean. ANOVA. Pearson correlation coefficient and stepwise multiple regression with SPSS win 7.5 program. The results were as follows : 1) The degree of life satisfaction and powerlessness were relatively low with the mean score of 42.4 and 39.79 respectively. and perceived health status and self-esteem were relatively high with the mean score of 3.15 out of 5 and 27.3 respectively. 2) There were no significant differences between demographic characteristics and life satisfaction. Education(F=2.91. p=0.02), previous employment(F=2.23. p=0.03) and marital status(F=3.85. p=0.04) showed significant differences in the relationship between demographic characteristics and powerlessness. Sex(F=6.40. p=0.0l). education(F=3.30. p=0.0l). marital status(F=7.13. p=0.008) and kinds of living togather(F=3.69. p=0.003) showed significant differences in the relationship between demographic characteristics and perceived health status. There were no significant differences between demographic characeristics and self-esteem. 3) Monthly allowance(F=3.68. p=0.007). participation in social activity(F=5.90. p=0.000) and number of social activities(F=5.27. p=0.000) showed significant differences in the relationship between socioeconomic characteristics and life satisfaction. Monthly allowance(F=3.13. p=0.01) and number of social activities(F=2.7. p=0.02) showed significant differences in the relationship between socioeconomic characteristics and powerlessness. There were no significant differences between socioeconomic characteristics and perceived health status. Montly allowance(F=4.82. p=0.001). particpation in social activity(F=2.90. p=0.02) and number of social activities(F=3.79. p=0.003) showed significant differences m the relationship between socioeconomic characteristics and self-esteem. 4) Powerlessness showed negative correltionship with perceived health staus(r=-0.295. p<0.001). self-esteem(r=-0.463. p<0.001) and life satisfaction(r=-0.514. p<0.001). Perceived health status showed positive correltionship with self-esteem(r=0.312. p<0.001) and life satisfaction (r=0.377. p<0.001). Self-esteem showed positive correlationship with life satisfaction(r=0.652. p(<0.001). 5) The predicting variances for life satisfaction m elderly people were self-esteem. powerlessness. participation in social activity and perceived health status. The most influencing factor among the variances was the self-esteem$(42.5\%)$ and powerlessness was the second. Both of self-esteem and powerlessness accounted for $48.2\%$ in life satisfaction. The addition of participation of social activity and perceived health status accounted for $52.9\%$ in life satisfaction.