• Title/Summary/Keyword: Health Care Setting

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A Study on the Method of Ecological Healthcare Facility for the Healing Environment (치유환경 조성을 위한 생태적 의료시설 계획에 관한 연구)

  • 이소영;박재승
    • Korean Institute of Interior Design Journal
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    • no.31
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    • pp.41-48
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    • 2002
  • The purpose of this study is to suggest healthcare facilities as ecological architecture. The physical environmental health of human mainly depends on the Quality of architectural natural environment, so it is very important to prepare healing environment on the healthcare setting. This study proceeds to search planning factors of healthcare facilities in ecological architecture through configuration of three main goals. It also explain the importance of ecological planning methods, and suggest a way of architectural planning of health-care facilities in future, through the study of the features and analysis of application methods. The future hospital should provide reduction of the effect on environments, increasing amenity, healing landscape. To create healthcare facilities ecological is essential not only to human health but also human survival.

Literature Review of Empowerment Intervention Studies for Patients with Chronic Physical Health Conditions in Korea (만성적인 신체질환을 가진 환자에게 적용된 임파워먼트 중재 연구 고찰 - 국내를 중심으로)

  • Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.455-467
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    • 2020
  • This study was a systematic review examining the effect of empowerment intervention studies among patients with chronic physical health conditions in Korea. The PICOT-SD (Participants, Intervention, Comparison, Outcomes, Timing of outcome measurement, Setting, Study design) strategy was applied. A total of 19 studies published between January 2000 and April 2020 were selected. Study participants were rheumatoid arthritis patients, hemodialysis patients, stroke patients, diabetes mellitus patients, chronic pulmonary disease patients, hypertensive patients, cancer patients, chronic kidney disease patients, and kidney transplantation patients, etc. A total of 17 studies were found to have presented a conceptual framework. Empowerment skills were participation, dialogue, experience, interaction, support, and problem solving, etc. The most frequently used dependent variables were self-care (n=13), empowerment (n=10), self-efficacy (n=7), and depression (n=5). Self-care, empowerment, and self-efficacy showed significant improvement among patients in at least 60% of the included studies. Based upon this review, there is evidence that empowerment intervention studies are an effective method to improve the health of patients with chronic physical health conditions. This study further suggests the development of an empowerment intervention program to verify the effects of the various variables identified in this study.

A Study on Urinary Incontinence of Adult Women (여성의 요실금에 대한 연구)

  • Kim, Seong-Hak
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.305-312
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    • 2001
  • The purpose of this study were to identify the characteristics of incontinence in adult women and to identify it's relating factors, physiology, evaluation and treatment related urinary incontinence. Urinary incontinence is a common health problem for adult women. And the symptoms of urinary incontinence are causes of discomfort, shame, loss of self-confidence and result in sufferers to withdraw from social life. But many do not report this problem until they have had the symptoms for a long time. So physical therapy protocol for assessment, treatments, educational programs should be implemented in primary care setting. In conclusion, this study revealed that self·care agency may be a important that it would be necessary to promote quality of life in urinary incontinence women.

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The Effect of Built-Environment Features on Relocation among American Older Persons with Decline in Functional Ability (주택 내 보조설비가 미국 노인들의 생활기능 감소로 인한 주거이동에 미치는 영향)

  • 전경숙
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2002.11a
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    • pp.161-166
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    • 2002
  • Functional ability is an important criterion to predict the capability of older persons to maintain independent living in the community setting. This study focused on the effect of built-environment features to ameliorate declines in functional ability and reduce the likelihood of relocation. Using longitudinal data from the Asset and Health Dynamics Among the Oldest Old (1993, 1995), relocation was analyzed for 6,225 respondents aged 70 or older. Findings are that while functional decline in household activities of daily living among older persons increased their residential moves in the community, functional declines in basic activities of daily living, household activities of daily living, and advanced activities of daily living among them increased their entrance into an institutional care facility However, they were less likely to enter an institutional care facility when their home was equipped with built-environment features such as street level ramps, special railings, modifications to allow someone in a wheelchair, grab bars or shower seat in the bathroom, and special call device or system to get help.

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Development of Parent Coaching Domains for the Health Management of Childhood Leukemia Survivors (백혈병 생존 아동 건강관리를 위한 부모코칭 영역 개발)

  • Lim, Sung Hyun;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.68-77
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    • 2018
  • Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives. Results: Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development. Conclusion: This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.

A Study on the Development of Standardized Nursing Care Plans for Computerized Nursing Service (간호업무 전산화를 위한 표준화된 간호계획의 개발에 관한 연구)

  • 김조자;전춘영;임영신;박지원
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.368-380
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    • 1990
  • A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.

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Accessibility of the disabled to Health Care Institution : A Case Study of Chongno-Gu in Seoul (장애인의 의료기관 접근성 조사: 서울시 종로구 병의원을 대상으로)

  • Lee, Jin-Yong;Jang, Myung-Wha;Kim, Ka-Yun;Yun, Su-Mi;Lee, Ja-Ho;Jeong, Ju;Do, Young-Kyung;Lee, Bum-Suk;Kim, Wan-Ho;Park, Ki-Dong;Kim, Yong-Ik
    • Health Policy and Management
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    • v.16 no.3
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    • pp.19-36
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    • 2006
  • The purpose of this study was to assess adequately equipped with convenience facilities for the disabled in 160 healthcare institutions in Jongno district, Seoul. Healthcare institutions were equipped an average of 3.7 facilities out of 10. General hospitals had an average of 5.0 facilities, which was higher than an average of 3.6 facilities for private clinics (p<0.05). Of 160 healthcare institutions, only 13 (8.1%) offered easy access to the outpatient setting from the entrance for wheelchair users, highlighting difficult wheelchair access within hospitals. To provide easy access to medical service for the disabled, more accessible designs need to be adopted as part of the effort to improve public facilities for the disabled. Also, universal designs could be applied for newly constructed roads, structures and transportation vehicles to maximize accessibility for the disabled. Increased accessibility for the disabled in the community will eventually increase the use of healthcare institutions.

Effects and Challenges of Cluster Curriculum of Gyeonggi-do Province in Korea: High School Students' Participation Experience in Health (고등학교 클러스터 교육과정의 성과 및 과제: 보건 교과목 고등학생의 참여경험)

  • Yang, Hye Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.105-112
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    • 2022
  • This study is a qualitative study that analyzes the achievements and tasks of the cluster curriculum through the experiences of high school students who participated in the health cluster curriculum. As a result of the study, topics such as "Best Choice in a Competitive Environment," "Change in Health Perception," "Desire to Experience Various Health Worlds," "Limits in Non-regular Curriculum Operation," and "Feel Good Imagination" were derived. Through this study, students who participated in the cluster curriculum changed their perception of health positively, and confidence in career setting and career decision-making was improved through acquiring information on health care. However, supplementing the curriculum content in the specialized fields of health care, including classes and practice, was found to be a task to be improved. It is suggested that policy alternatives for career education should be developed by sharing the achievements and tasks raised in this study.

Enhancing Acute Kidney Injury Prediction through Integration of Drug Features in Intensive Care Units

  • Gabriel D. M. Manalu;Mulomba Mukendi Christian;Songhee You;Hyebong Choi
    • International journal of advanced smart convergence
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    • v.12 no.4
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    • pp.434-442
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    • 2023
  • The relationship between acute kidney injury (AKI) prediction and nephrotoxic drugs, or drugs that adversely affect kidney function, is one that has yet to be explored in the critical care setting. One contributing factor to this gap in research is the limited investigation of drug modalities in the intensive care unit (ICU) context, due to the challenges of processing prescription data into the corresponding drug representations and a lack in the comprehensive understanding of these drug representations. This study addresses this gap by proposing a novel approach that leverages patient prescription data as a modality to improve existing models for AKI prediction. We base our research on Electronic Health Record (EHR) data, extracting the relevant patient prescription information and converting it into the selected drug representation for our research, the extended-connectivity fingerprint (ECFP). Furthermore, we adopt a unique multimodal approach, developing machine learning models and 1D Convolutional Neural Networks (CNN) applied to clinical drug representations, establishing a procedure which has not been used by any previous studies predicting AKI. The findings showcase a notable improvement in AKI prediction through the integration of drug embeddings and other patient cohort features. By using drug features represented as ECFP molecular fingerprints along with common cohort features such as demographics and lab test values, we achieved a considerable improvement in model performance for the AKI prediction task over the baseline model which does not include the drug representations as features, indicating that our distinct approach enhances existing baseline techniques and highlights the relevance of drug data in predicting AKI in the ICU setting.

Evaluation of Applicability of Food and Nutrition Standards for Child Care Setting in the Seoul Metropolitan Government (서울시 영유아 공공급식 식품영양관리 기준의 적용 가능성 평가)

  • Jeon, Hye-Min;Kim, Kirang;Yi, Hae-Yeon;Hwang, Ji-Yun
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.46 no.8
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    • pp.997-1011
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    • 2017
  • This study aimed to evaluate the applicability of "food and nutrition standards for child care setting in the Seoul Metropolitan Government" using quantitative and qualitative surveys and lay the groundwork for future expansion. To evaluate the understanding and applicability of each item of the standards and utilize goodness of fit as an evaluation item to improve practicality of the child care center's health foodservice, we surveyed 82 child care centers, kindergartens, and community children centers in Seoul by e-mail through the Seoul Metropolitan Government in November 2015. Using focus group interviews with directors of child care centers and kindergartens as well as dieticians of child care support centers who had conducted public foodservice in Seoul, the appropriateness of each standard was finally reviewed, and amendments to extend this standard were derived. Results of the survey show an understanding of 86.9% and an applicability of 80.7%. Moreover, the applicability of the evaluation items for assessing improvement of health foodservice practices at the child care center was 82.6%. Qualitative evaluation of the applicability of standards through focus group interviews identified four factors for extended application: necessity of a guideline for separate food ingredient suppliers, conformity of the basis and purpose of the item, consideration of contextual situations, and necessity of establishing a Seoul-level foundation. Therefore, guidelines for the standards should be suggested for those providing public food services for children. Furthermore, separate guidelines categorized by items that food ingredient suppliers need to provide should be mandatory or recommended. Evaluation of the applicability of the standards suggests that revising and supplementing the guidelines in order to extend the standards can contribute to health promotion and a sustainable environment for children using public foodservice. Follow-up studies and supports are needed for sustainable food and nutrition management programs.