• The Korean Journal of Pain
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• v.12 no.1
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• pp.101-107
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• 1999

Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.105-115
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• 2004

The nation is turning into aging society, and safety accidents among elderly people are on the rise. When death roll caused by safety accidents was investigated, senior citizens who died from safety accidents outnumbered the other age groups who died for the same reason. The most common cause of death was traffic accidents, followed by suicide and a hurt from a fall, and Korea rated first among OECD member nations in death roll by traffic accidents. Aging brings a lot of physical changes to elderly people, and they are often likely to be involved in accidents such as a hurt from a fall due to degenerated sensory organs like hearing and eyesight and deteriorated motor skills. Unsafe social facilities also have them face a lot of accidents, including fracture and death, and such accidents take place even at home that is usually considered safe, or are triggered by things of daily use. As a result of comparing every age group's death roll by safety accidents, the number of senior citizens who died from safety accidents was far higher than that of the other age groups who died for the same reason in every accident field. In aging society, a sharp increase in the elderly population and ensuing safety accidents are expected to pose a serious threat to national economy, and diverse efforts should be put into tacking this problem. For instance, safety education should be provided to people in general including senior citizens on a regular basis, and more safety facilities should be prepared. Besides, safety equipment should be developed.

• The Journal of Korean Academic Society of Nursing Education
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• v.9 no.2
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• pp.298-309
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• 2003

The educational preparation of nurses has been the focus of considerable debate globally. It is needed the change of the basic nursing education for professional nurse to prepare the trends of the health care needs of clients for coming new generation. And also it is believed that educational preparation for being nurses is to be responsible to clients' needs. The purpose of the study was to develop a baccalaureate program in nursing. This study were implemented through three stages from April 2001, to April 2002.: preparation stage which were consisted of reviewing of the literatures, interviewing the fellow nurses in a variety workplace, and consulting professors who were concerned with the nursing education to identify the present educational problems, and analyzing the contents of seven major courses in nursing education, evaluation stage about a new developed curriculum with the directors of the five nursing schools, and confirmation stage of new developed education programme. The developed education programme was designed as a four year program with 126 credit hours including 39 credit hours of liberal arts, 34 credit hours of supplementary courses, and 53 credit hours of nursing major based on the four basic nursing dimensions of human, health, environment and nursing. Nursing majors were consisted of Nursing Ⅰ(oxygenation), Nursing Ⅱ(nutrition elimination), Nursing Ⅲ(activity rest), Nursing Ⅳ(neurologic- endocrine protection), Nursing Ⅴ(fluids electrolytes/sex reproductive), Nursing Ⅵ(psycho-social), Community Health Nursing, Fundamental Nursing, School Health, and Emergency care. This new nursing programme was focused on the nursing education for prevention and rehabilitation nursing care as well as the acute and chronic nursing care at hospital, on the integrated nursing programme to become effective, and the nursing process to encourage the critical thinking. The new education programme focused on the professional nurses who are responsible the nursing ethics, communication skills, and professional beliefs to suit the future trends in health. And also it will be needed for faculties to manage the integrated curriculum, to analyze the contents of each subject, and to communicate with each other before a new education programme apply to their education programme in future. This research was supported by the Han Kok Medical Science Foundation

• Journal of the Korea Society of Computer and Information
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• v.24 no.10
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• pp.175-182
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• 2019

The study was conducted to verify the effect of basic life support training on the skill ability of police officers. The subjects of this study were 10 experimental group and 10 comparative group with voluntary consent after explaining the theory and significance of the training experiment at the police station located in K. The education program used in this study consists of theoretical education and practical training, and the theoretical education is 60 minutes and the practical training is 30 minutes. The measurement tool for basic resuscitation performance was measured based on the 'CPR and ECG Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care' presented by the American Heart Association. The results are as follows. The experimental group showed higher performance skills than the traditional control group in field confirmation performance skills, primary evaluation performance skills (A, B, C, medical evaluation), and BLS performance skills (heart compression, artificial respiration, medical evaluation) which are the basic resuscitation performance skills. In conclusion, this study confirmed that the theory and practice education program is more effective in improving the clinical performance of police officers than the traditional lectures and practice education, so it is possible to apply this simulation education program to the cardiac arrest patient emergency treatment.

• The Korean Nurse
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• v.36 no.4
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• pp.61-74
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• 1997

This study is a descriptive study which was done to examine the circumstances surrounding burn accidents in children in order to develop a burn prevention program. The subjects for the study were the mothers of 107 children admitted to two burn specialty hospitals in seoul and the mothers of 172 healthy children attending day care or kindergarten. The tool used in the study was developed by the researchers, pretested and refined. Cronbach's alpha was 0.72. Data collection was done between November 1995 and April 1996. Statistically analysis was done using SAS Version 6.04 and the data was analyzed using test, chi square, regression and logistic analysis. A suumary of the results shows the following : Eighty percent of the children in both groups lived in nuclear families but comparatively more of the children with burn accidents lived in apartments. More of the parents in the group of healthy children had university education and held white collar or professional jobs, while the parents of the children with burn accidents were slightly younger than the parents of the healthy children. but not significantly younger. A significantly greater number of families of children with burn accidents had more than one child and the characteristics of the children with burn accidents that they were more frequently boys, either first or last born and very active. Most of the burn accidents occurred in fall or winter. sometime between noon and midnight and the majority occurred in the home and were caused by hot liquid. In 86% of the cases emergency care was not given at home but the child was brought to the hospital emergency unit. Most of the burns were second degree or greater. involved the arms or legs. required admission, and 41.5% occurred when the parents were preparing or eating meals. In a test of knowledge of preventive measures, the mothers of children who had suffered burn accidents scored slightly higher than the mothers who had no experience with burn accidents, but this was not statistically significant. As to what to do in the case of a fire, the mothers of the healthy children had more knowledge about who to notify. but 70% of the mothers in both groups did not know how to escape from the house if it was of fire. 80 to 96% did not know what do to in case of a fire, such as rolling if clothes were on fire. 80% did not know what emergency care to give for a burn, and 74 to 87% did not know when it is appropriate to try to put out a fire. It can be concluded from this study that. since the results show that the most frequent situation which resulted in burn accidents was when the parents were not aware of the danger of burns or were not paying attention to the child. and when there were no protective devices to prevent burns. and that accidents most frequently occurred at home. the most effective way of preventing accidents is to develop in the parents a "safety mind", Since burn accidents in children are usually more severe than in adults. the physical. emotional. psychological and social damage is greater. In order to develop and awareness of this in the general public. the use of mass media. books and pamphlets and other educational media that provide education on prevention of burn accidents need to be utilized.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1455-1466
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• 2000

The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to demonstrate and evaluate the efficiency of it. The study was carned out over a period of 3years from September 1996 to August 1999. The researchers developed Standards for operations, this was all aimed toward a home care recording system, and an assessment intervention algorithm for various diseases quality control and standardization. In the center, 185 patients enrolled, and of the enrollments cerebrovascular disorder and cancer were the most prevailment diseases. Also, a home care nursing activity classification was developed in six domains. Those domains were assessment, medication, treatment, education and consultation, emotional care, and referral or follow-up care. Ten sub-domains were divided according to the systematic needs. Among these nursing activities, treatment, assessment, and education and consultation were frequently performed. In sub-domain classification, skin integrity, respiration, circulation, and immobility related care were provided most frequently. The cost of home care nursing per visit was also suggested. The cost include direct and indirect nursing care, management, and transportation cost. Also, the researchers tried to overcome the limitations of hospital-based home care to provide more accessible, efficient, safe, and stable home care nursing. Therefore, clients were referred from other patients, families, public health care centers, industries, and even hospitals. As a result of this study, several limitations of operation were found. First, it was difficult to manage and communicate with doctor in the emergency situations. Second, there was too much time spent for transportation. This was because they are only five nurses, who cover all of the areas of Seoul and nearby cities. Third, preparation for special care of home care nurses was lacking. Fourth, criteria for the termination of care and the frequency of home visits were ambiguous. Finally, interconnection with home care machinery company was so yely needed. New paragraphs' strategies for solving these problems were suggested. This study will be the basis of community-based home care nursing, and the computerized information delivery system for home care nursing in Korea.

• Journal of Korean Clinical Nursing Research
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• v.19 no.3
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• pp.455-467
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• 2013

Purpose: This study investigated some extent of nurses' knowledge level of sepsis in the intensive care units (ICUs). Methods: A total of 178 nurses from 5 ICUs at one hospital were asked to complete a structured questionnaire from September 10, 2012 to September 17, 2012. The questionnaire was composed of 30 items invented by Robson and colleagues and based on the guidelines published by Dellinger and colleagues. Independent t-test and ANOVA with post-hoc test were used for statistical analyses. Results: The mean score about sepsis of ICU nurses was $25.1{\pm}3.3$, and the average percentage who got correct answers was 83.8%. Of the participants, 25.3% thought they knew about understood sepsis well, and 89.1% wanted to have a sepsis screening tool. Conclusion: The ICU nurses' knowledge level on sepsis was low. Continuing education for ICU nurses is, therefore, required. For this, the development of educational programs and screening tools about sepsis should be preceded.

• Journal of Home Health Care Nursing
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• v.25 no.2
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• pp.219-229
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• 2018

Purpose: This study explored the sexual harassment-related experience, awareness, coping, and institutional prevention schemes for health personnel in industrial settings. Methods: Data were collected using self - report questionnaires from 300 health personnels. Data were collected between September 1 and December 31, 2017. The collected data were analyzed using descriptive statistics. Results: Health personnels experienced 29% of sexual harassment, in order of verbal, visual, physical. The frequency of sexual harassment was higher when women were younger, particularly younger than men. Although the average health personnel's awareness of sexual harassment was high, the common coping style was passive such as distancing form the perpetrator. Institutional efforts to prevent sexual harassment included separating employees and staff, but perpetrators tended to account for a high proportion of the supervisors and staff. Conclusion: Health care managers should develop an effective and effective sexual harassment prevention education program by raising gender equality awareness in relation to the awareness of sexual harassment and identifying the influencing factors that can bring about appropriate sexual harassment coping behavior.

• Journal of the Health Care and Life Science
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• v.10 no.2
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• pp.369-377
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• 2022

The purpose of this study was to develop safety care practice measurement tool for childcare teachers. The tool for this study was developed and validated according to DeVellis' scale development process. The construct validity of the instrument was analyzed by major analysis of Varimax rotation, and the internal inertia was verified by Cronbach's α. The final scale was a 4-point scale, consisting of 22 items in 7 domains. The total explanation was 59.32% and the Cronbach's α was .80. Therefore, it is judged that the tool developed in this study is a useful tool to measure the level of safety practice care behavior of childcare teachers.

• Journal of Korean Critical Care Nursing
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• v.11 no.2
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• pp.75-85
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• 2018

Purpose : The purpose of this study was to examine the possible direction of critical care nursing research in the future by analyzing the trends of recent Korean studies. Method : Using a database search, we selected 263 articles on critical care nursing that were published in Korean journals between 2008 and 2017. Then, we conducted an integrative review of the contents of the selected articles and analyzed the English abstracts using the relevant packages and functions of the R program. Results : The number of studies concerning critical care nursing has increased over the 10-year period, and the specific topic of each study has diversified according to the time at which it was conducted. In terms of quality, the majority of the research was published in high-level academic journals. The key words regularly studied over the past decade were: knowledge, delirium, education, restraint, stress, and infection. Studies related to vancomycin-resistant enterococci infection, compliance, and standards have decreased, while studies related to death, communication, and safety have increased. Conclusion : Randomized controlled trials and protocol research for evidence-based critical care need to be conducted, as does research on family involvement. The key word analysis of unstructured text used in this study is a relatively new method; it is suggested that this method be applied to various critical care nursing research and develop it methodologically.