• 간호행정학회지
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• 제6권1호
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• pp.135-146
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• 2000

The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

• 한국컴퓨터정보학회논문지
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• 제11권6호
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• pp.107-111
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• 2006

IT산업 발전에 따라 일상생활은 점차 편리해지고 있으며 이와 비례하여 환경오염의 확산과 각종 질병들에 대한 위험도 점차 높아지고 있다. 인간의 생명을 위협하는 위험한 질병 중에는 사전에 예방하지 않으면 돌이킬 수 없는 사태로 확산되기도 하지만 바쁜 현대인들에게는 자신의 건강상태를 사전에 파악하고 관리하기 힘든 실정이다. 이에 유비쿼터스 환경에 접어든 IT기술을 바탕으로 의료진단 및 예방 시스템을 구축하여 사용자들이 센서를 통해 컴퓨터를 직접 이용하지 않더라도 자신의 건강상태를 유지 관리할 필요가 있다. 그러므로 본 논문에서는 이와 같이 유비궈터스 환경으로 변화해가는 기술적 변화를 바탕으로 의료 진단 및 예방이 가능한 시스템 구축을 위한 모델로서 뇌혈관 질환에 대한 모델을 제시하고자 한다. 또한, 이를 통해 향후 구축하고자 하는 u-헬스 케어 의료진단 시스템 구축 모델에 활용하고자 하며, 본 모델을 통해 의료정보를 활용한 산업 발전과 인류의 편이성 증대 및 건강상태의 주기적 검사를 통해 향상된 복지문화를 유도할 수 있을 것이다.

• 한국보육학회지
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• 제18권4호
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• pp.123-143
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• 2018

본 연구에서는 포커스 집단 인터뷰를 통하여 어린이집 원장의 남자교사 채용에 관한 인식과 개선방안을 탐색해 보고자 하였다. 이를 위해 보육현장에서 남자교사를 채용하였거나 실습을 지도한 경험이 있는 어린이집 원장 8명을 연구대상으로 선정하였다. 자료수집방법으로는 포커스 집단 인터뷰 방법을 적용하였고 매회 2시간~2시간 30분 정도, 총 4회의 면담이 진행되었다. 본 연구에서 수집된 자료를 통하여 분석해 본 결과 어린이집 원장의 남자교사 채용에 관한 인식은 (1) 다가올 어려움에 대한 막연한 두려움 (2) 보육현장 조직문화에서의 남자교사의 명과 암 등의 2가지 주제와 6개의 하위주제로 나타났다. 도출된 결과를 구체적으로 살펴보면, 다가올 어려움에 대한 막연한 두려움 주제에서는 '행정적인 불이익', '성과 관련된 사회적 분위기', '역할 수행에 대한 불확실성' 등의 하위주제를 도출하고, 보육현장에서의 남자교사의 명과 암 주제에서는 '여성중심의 조직 문화와 적응', '보육현장의 비전', '보육현장에서의 남자교사의 역할' 등의 하위 주제가 도출되었다. 다음으로 보육현장에서 남자교사의 채용을 위한 개선방안에 관해서는 보육현장으로 진입하기 위한 남자교사의 길의 주제가 도출되었는데, 이 주제에서는 '영유아 보육 경험 및 실습 기회 확대', '남자가 아닌 개인의 문제라는 인식으로의 전환', '남자로서의 장점 극대화', '시스템의 변화' 등의 4가지 하위주제가 도출되었다. 이는 무엇보다도 남자교사 채용을 위해서는 보육현장에서 교사 성불균형 문제를 해결해야 함을 시사하고 있다.

• 한국의료질향상학회지
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• 제20권1호
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• pp.60-73
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• 2014

Objectives: This study aims at decreasing spatial dose rate through work improvement whilst spatial dose rate is the cause of increasing personal exposure dose which occurs in the process of handling radioisotope. Methods: From February 2013 until July 2013, divided into "before" and "after" the improvement, spatial dose rate in laboratory of nuclear medicine was measured in gamma image room, PET/CT-1 image room, and PET/CT-2 image room as its locations. The measurement time was 08:00, 12:00 and 17:00, and SPSS 21.0 USA was opted for its statistical analysis. Result: The spatial dose rate at distribution worktable, injection table, the entrance to the distribution room, and radioisotope storage box, which had showed high spatial dose rate, decreased by more than 43.7% a monthly average. The distribution worktable, that had showed the highest spatial dose rate in PET/CT-1 image room, dropped the rate to 42.3% as of July. The injection table and distribution worktable in the PET/CT-2 image room also showed the decline of spatial dose rate to 89% and 64.4%, respectively. Conclusion: By improving distribution process and introducing proper radiation shielding material, we were able to drop the spatial dose rate substantially at distribution worktable, injection table, and nuclide storage box. However, taking into account of steadily increasing amount of radioisotope used, strengthening radiation related regulations, and safe utilization of radioisotope, the process of system improvement needs to be maintained through continuous monitoring.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.27-40
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• 2013

Objectives: This study was conducted at a request for cooperation through an analysis of the effect of toothbrushing facilities at a public health center in Seongdong-gu. Also, with the aim of furnishing basic data to the proposal of a program for improving the ability of school aged children in managing oral cavities and developing a correct toothbrushing habit, the study conducted an investigation of how toothbrushing facilities affect change in the oral environment management ability and behavior of oral health care. Methods: From among elementary schools located in Seongdong-gu, Seoul the study selected A Elementary School where toothbrushing facilities were established and have been operated since 2008, B Elementary School in an adjacent region within the jurisdiction of Seongdong-gu where the demographic environment was similar among schools where toothbrushing facilities were newly established in 2012, and C Elementary School without toothbrushing facilities. Then the study was aimed at first grade students of the schools and an investigation was carried out from April to December 2012. Through a dental checkup, the study evaluated the teeth and periodontal health conditions, and a test of the oral environment management ability was undertaken three times. Regarding change of oral health care behavior, the study carried out a self-recording survey. Results: 1. Concerning decayed and filled tooth(dft) and decayed and filled surface (dfs), A Elementary School where toothbrushing facilities have been established and operated from the past showed a relatively lower decayed, missing, and filled teeth index than B Elementary School where toothbrushing facilities were established in 2012 or C Elementary School without toothbrushing facilities; however, there was no significant difference (p>0.05). For CPI, there was no significant difference by school; however, in looking into the difference between boy students and girl students, Code (0) was discovered higher in boy students whereas Code (1) was shown higher in girl students. 2. In the PHP index test in accordance with the existence of toothbrushing facilities before the installation of toothbrushing facilities, for A Elementary School where toothbrushing facilities have been established and operated from the past, the school recorded 4.28 points whereas B Elementary School where the facilities were established in 2012 recorded 3.51 points. Meanwhile C Elementary School without the facilities posted 4.30 points. Therefore there was a statistically significant difference according to the existence of toothbrushing facilities (p<0.05). 3. In a comparison of teeth health care behavior according to the existence of toothbrushing facilities, the number of answers that the respondent did not brush their teeth after lunch over the past one week was higher in B Elementary School and C Elementary School where there were no toothbrushing facilities. Regarding the average number of brushing after lunch for one week, it was discovered higher in A Elementary School (p<0.01). 4. In change of teeth health care behavior before and after the establishment of toothbrushing facilities, the case of answering that the respondents did not brush their teeth after lunch for one week increased more after establishment than before establishment. Also the average number of teeth brushings after lunch for one week decreased further after the establishment of toothbrushing facilities; however, it did not show a significant difference (p>0.05). One of the reasons that they do not brush their teeth, "the lack of a place", decreased significantly after establishment than before establishment (p<0.05), whereas the answer, "because their friends do not brush their tooth" increased greatly after establishment than before establishment; however, there was no significant difference (p>0.05). 5. In the comparison of the degree of knowledge about dental health according to the existence of toothbrushing facilities, the degree of knowledge about dental health was shown significantly higher in A Elementary School with toothbrushing facilities than in B Elementary School and C Elementary School where there were no toothbrushing facilities (p<0.01). Conclusions: Given the above results, it is difficult to attract change in behavior only with an environmental improvement; therefore, it is deemed necessary to develop an educational program that will help children to make a habit of oral health care not only through a school but also through a related policy and financial support of government organizations as well as the construction of the basis of a systematic and consistent cooperative system with relevant organizations.

• 한국치위생학회지
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• 제11권3호
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• pp.353-361
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• 2011

Objectives : This study was to examine the social value of dental hygienists, their values about the health system and the relationship of all the related variables. Methods : The subjects in this study were 205 dental hygienists who worked in dental clinics and hospitals on Seoul. A survey was conducted from August 12 to October 15, 2010. The questionnaire consisted of nine items about general characteristics, two items about social values and 11 about values of the health system. The items related to social values and values of the health system were prepared by translating the items used in David et al's study, and the Cronbach alpha coefficient of those items respectively 0.80 and 0.76. Results : The dental hygienists got 3.94 in social values, which was above the average. In terms of values about the health care system, their values of the treatment delivery system(3.92) rated highest, followed by values of patient rights(3.79) and values of institutional restrictions(3.25). Their socal values had a closest positive correlation to their values of the treatment delivery system, and their values of patient rights had a strong positive correlation to those of the treatment delivery system and was positively correlated to those of institutional regulations as well. And there was a positive correlation between their values of the treatment delivery system and institutional regulations(r=.276). Conclusions : The above-mentioned findings illustrated that the social values of the dental hygienists had a positive correlation to their values of the health system. Therefore the kinds of educational programs that help dental hygienists to build their social values and values of the health system should be developed to improve their job efficiency as oral health experts.

• 중환자간호학회지
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• 제12권1호
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• pp.36-45
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• 2019

Purpose : The purpose of this study was to identify status and characteristics of patients who have been readmitted to ICU, and to analyze risk factors associated with the readmission to ICU within 48hours. Method: Data were collected from patient's electronic medical reports from one hospital in B city. Participants were 2,937 patients aged 18 years old or older admitted to the ICU. Data were analyzed using odd ratios (ORs) from multivariate logistic regressions. Results: 2.2% of the 2,937 patients were early readmitted to ICU. Risk factors for early readmission to ICU were existence of respiratory disease, use of mechanical ventilator, and duration of hospitalization (longer). Conclusion: The assessment on the respiratory system of the patient who will be discharged from the ICU was identified as an important nursing activity. Therefore, the respiratory system management and education should be actively conducted. In addition, early ICU readmission may be prevented and decreased if a link was built to share the information on patient condition between the ICU and general wards.

• 농촌의학ㆍ지역보건
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• 제24권1호
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• pp.49-63
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• 1999

1. 건강증진을 위한 농촌형과 도시형을 특성을 고려한 다양한 시설 및 프로그램의 개발이 필요하다. 순천시 주민의 건강실천행위는 미흡하다고 할 수 있으며 특히 농촌지역은 기본적인 의료시설 뿐만 아니라 건강증진을 위한 체육시설도 갖추고 있지 않다. 건강 행태를 실천하도록 유도하기 위한 다양한 시설과 교육프로그램을 개발하여 올바른 생활습관이 되도록 유도해야 할 것이다. 2. 건강증진을 위하여 지역사회와의 제휴를 형성하여 지역 구성원들이 적극 참여하도록 해야 한다. 좋은 보건교육프로그램이 있다 하더라도 지역 주민의 참여와 지원 없이는 성공할 수 없다. 그러므로 사기관, 자선기관, 공공보건조직을 프로그램에 따라 연계하여 실질적으로 전 주민의 참여를 유도할 수 있어야 한다. 3. 보건소의 역할에 대한 중요성을 재인식하고 지역의료체계의 핵심적인 중추기관으로서의 기능을 재정립해야 한다. 의료시설이 미비한 농촌지역의 경우는 보건지소와 보건진료소가 의료시설의 역할을 대행할 수 있는 수준으로 준비가 되어 접근성이 부족한 주민들의 불편함을 보완할 수 있다. 보건소가 지금까지 수행해온 기능을 재정리하고 지역주민이 무엇을 원하고 있는가를 파악하여 지역보건의료에 관련된 전체적인 계획을 수립하는데 기초로 삼아야 할 것이다. 이제까지의 사업실적위주의 업무에서 탈피하여 구체적인 기획을 수행하는 의사결정기구로서의 역할에 그 중요성을 두어야 할 것이다. 4. 지역주민의 요구사항을 적극 수용할 수 있는 정보시스템의 구축이 필요하다. 현대는 정보화 시대이기 때문에 빠른 업무 수행이 그 성과의 승패를 좌우할 수 있을 것이다. 현장에서 직접 주민의 요구를 수용하여 정책으로 처리하기 위해서는 정보화가 필수적이다. 순천시인 경우 그 특성상 농촌형과 도시형이 함께 존재하는데, 현재와 같이 일일이 개별 방문만을 통한 관리는 시간적으로나 경제적으로 효율적이지 않으므로 주민들의 요구를 정확히 파악하여 필요한 정보관리를 위해서는 보건의료 정보화의 구축이 시급하다.

• 한국의료질향상학회지
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• 제28권1호
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• pp.55-66
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• 2022

Purpose: This study aims to investigate the factors influencing health personnel's occupational stress on turnover intention regarding healthcare accreditation. Methods: A survey was conducted from May 17 to May 31, 2021, among participants to examine occupational stress and turnover intention among health personnel working at a 188-bed specialized hospital in Seoul that is preparing for healthcare accreditation. Results: Occupational stress regarding healthcare accreditation was found to have a positive correlation with turnover intention (r=.698, p <.001), and influenced turnover intention the most, which explains the variance of 55.8% (F=29.015, p <.001). There were significant differences between occupational groups in job stress (F=13.292, p<.001) and turnover intention (F=10.930, p <.001) in the healthcare accreditation. Conclusion: Occupational stress regarding healthcare accreditation is higher in nursing than in other occupations, indicating the need to lower the turnover intention of nurses by preparing a national institutional standard for nursing manpower and also put in place an appropriate compensation system for each hospital seeking accreditation.

• 대한조현병학회지
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• 제22권1호
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• pp.8-13
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• 2019

Objectives: The aim of this study was to explore the prevalence of type 1 diabetes in patients with schizophrenia and their total medical costs and risk of hospitalization. Methods: This study used Health Insurance Review and Assessment Service data in Korea. To examine total medical costs and risk of hospitalization, we selected 1,510 subjects with schizophrenia (half with and half without type 1 diabetes) that were 1:1 matched via propensity score matching. In health care system perspective, total medical costs included out-of-pocket and insurer's costs. Logistic regression models were used to examine the risk of hospitalization. Results: The prevalence of type 1 diabetes in patients with schizophrenia was 3.87 per 1,000 person year. Among patients with schizophrenia, the amount of total average medical costs and hospitalization costs in patients with type 1 diabetes was 1.49 and 1.59 times higher than those in patients without it, respectively. The odds of hospitalization were higher among patients with type 1 diabetes compared with those without it (odds ratio, OR=1.97 ; 95% CI 1.60-2.43). Conclusion: This study showed that medical costs and risk of hospitalization were higher in schizophrenia patients with type 1 diabetes. Therefore, these individuals may require specific care programs.