• Title/Summary/Keyword: Health Promoting Hospitals

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Qualitative Study on Vocational Rehabilitation Program Participation Experience of Mentally Ill Patients in Psychiatric Day Hospital Care (정신과 환자의 낮병원 직업재활 프로그램 참여 경험에 관한 질적 연구)

  • Kwang-Jin Eom;Jung-Yoo Kim
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.209-220
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    • 2023
  • This study used general qualitative research and G-PhotoVoice methods to study the experience of psychiatric patients participating in vocational rehabilitation programs in daytime hospitals. The researcher in this study conducted interviews more than two times with five patients who took part in the program and data was also collected from additional conversations while patients were admitted or on outpatient visit after being discharged from the day hospital. In addition, semi-structured group interview with photos was also conducted. As a result of the study, the participants' experience of participating in the day hospital vocational rehabilitation program was found to be "experiencing difficulties in vocational activities," "joying working together," "getting a sense of stability," and "feeling that they have grown."Based on these findings, this study discussed the implications of activating vocational rehabilitation in daytime hospitals and promoting the growth of psychiatric patients.

Breast-feeding & Breast-feeding Health Behavior among first-time mothers (초산모 영아의 월령별 모유수유양상 및 모유수유건강행위실천에 관한 연구)

  • Park, Eun-Ok;Lee, Kun-Sei;Jang, In-Soon;June, Kyung-Ja
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.382-392
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    • 2001
  • The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

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The Influences of Workplace Spirituality and Emotional Intelligence on the Organizational Citizenship Behavior for Clinical Nurses (임상간호사의 일터영성과 감성지능이 조직시민행동에 미치는 영향)

  • Yoo, Myung-Sook
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.59-70
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    • 2016
  • Objectives : This study was done to identify the influences of workplace spirituality and emotional intelligence on the organizational citizenship behavior of clinical nurses. Methods : The subjects were 230 clinical nurses, working over 6 months in four general hospitals in three cities. Data were obtained from March 20 to March 30, 2016, with a self-report questionnaire, and analyzed using the IBM SPSS 21.0 program. Results : The factors related to the organizational citizenship behavior of nurses were workplace spirituality(${\beta}$=.36), emotional intelligence(${\beta}$=.29), 40 years of age or higher(${\beta}$=.26), working in a special ward(${\beta}$=.11), and turnover intention(${\beta}$=.10). These variables explained 61.6% of the variance in organizational citizenship behavior of nurses. Conclusions : In order to improve the quality of nursing services and business performance in hospital organizations, it is necessary to enhance workplace spirituality and emotional intelligence. This would lead to promoting organizational citizenship behavior through the development and application of intervention programs from a nursing organization perspective.

Resilience, Coping and Adjustment to Illness in Children with Chronic Illness (만성질환아의 극복력(resilience)과 대처, 질병적응)

  • Sim, Mi-Kyung;Shin, Yeong-Hee;Kim, Tae-Im
    • Child Health Nursing Research
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    • v.12 no.2
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    • pp.151-159
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    • 2006
  • Purpose: The purpose of this study was to describe the relationships between resilience, coping and adjustment to illness and to identify the effect of resilience on adjustment in children with chronic illness. Method: The participants in this study were 71 children who were seen at one of 3 hospitals, either in outpatient clinics or as admitted patients. Instruments used in this study were self-reported questionnaires. The data were collected from March to October, 2005 and analyzed using descriptive statistics, t-test or ANOVA, Pearson correlation coefficient and stepwise multiple regression. Result: Adjustment to illness was significantly different according to sex and birth rank. There was a significant correlation between resilience, coping and adjustment to illness. Resilience was a predictor of adjustment to illness and accounted for 28% of thevariance. Conclusions: These findings suggest that programs and strategies that enhance resilience by promoting social competence and support-seeking skills and by fostering self-esteem and coping should be developed for children with chronic illness.

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A Research of the Residents' Availability and Health Effectiveness Based upon the Types of Green Roof (옥상녹화 유형별 거주자 이용행태와 건강효과)

  • Kim, Soo-Bong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.60-68
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    • 2012
  • The purpose of this research is to identify green roofs based on how to utilize the diverse space. This research also aims to discover the correlation between the use of the green roof and the overall level of the public's health condition, through which it is intended to grasp the health effects by means of the space of the green roof. The current use patterns of the green roof have been identified generally to have more than 60% accessibility, less than 30 minutes of short-tenn use, relaxation or removing stress, enjoy the view of the surrounding, smoking, walking and exercise. It will be highly effective to furnish facilities and plants for tree planting, and to get financial maintenance & management subsidy for the purpose of revitalizing the green roof. It is expected that if the green roof is created in educational institutes, hospitals and shopping centers, where the current level of health conditions is generally low, it will contribute in promoting the city dwellers' health benefits. In addition, the physical environmental renovation through establishing the green roof will bring about producing a healthy city because the emotional health benefits also will make a positive impact upon physical health.

The Setting Approaches in Health Promotion Projects (국내 생활터 중심의 건강증진사업: 건강도시를 중심으로)

  • Kim, Keon-Yeop;Kim, Hyun-Jee;Youn, Chang-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.2
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    • pp.813-820
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    • 2011
  • This study was conducted to investigate setting approach of health promotion in Healthy city projects. We used the secondary data of 2008-2010 Healthy city projects, reports, papers, workshops and symposia and had professional meetings to obtain the implications. Setting approach of health promotion in Healthy city projects conducted 27 (14.7%) in 2008 and 42 (21.8%) in 2009. Looking at the type of setting approach, villages and schools, respectively, was the highest (six, 22.2%) in 2008. In 2009, the school was 12 (28.6%), apartment 8 (19.0%), village 6 (14.3%), day nursery 5 (11.9%), workplace and senior center 4, respectively (9.5%), market 3 (7.1%). School and apartment are the most common setting approach in the metropolitan area, but senior center and village are most common in the rural areas. The good examples of health promoting schools, healthy workplaces, healthy villages, healthy apartments, health promoting hospitals, healthy markets, healthy senior centers were examined. To sustain and success the setting approach in health promotion, persons in settings must know the exact meaning of 'setting' and 'health promotion' and the efforts that setting can play an important role in healthy cities (communities) will be required.

Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms (위장암 환자의 삶의 질에 영향을 미치는 요인)

  • Lee, Eun-Ok;Eom, Ae-Yong;Song, Rha-Yun;Chae, Young-Ran;Lam, Paul
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.649-655
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    • 2008
  • Purpose: The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms. Methods: The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression. Results: The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000). Conclusion: Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.

The Expected Role and Competency of Graduates Majored in Health Services Management (의료경영 전공자의 의료산업내 역할과 역량)

  • Chang, Hye-Jung;Kwon, Young-Dae;Han, Bo-Ra;Kim, Han-Hae
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.128-148
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    • 2004
  • Both undergraduate and graduate programs in health services management(HSM) are recently established in colleges and universities in Korea, and the programs train their students for diverse sectors within the field of healthcare management, including hospitals, nursing facilities, consulting firms, health industries such as pharmaceutical, insurance companies, etc. This study investigates many of the managerial roles expected to graduates from academic curricula in HSM, and required competencies to be successful in their positions. The information of roles and competencies for HSM graduates were collected, and their importances were evaluated by healthcare management experts through a Delphi method. As the result, 11 items for present roles and 13 items for future roles were derived, and 15 and 16 items were derived for present and future competencies respectively. Utilizing the classification of work roles by Timmreck and that of managerial competencies by Robbins, the importance of roles and competencies of healthcare managers was analyzed and interpreted. The major domains of roles at present turned out to be 'organizer', 'planner', 'problem solver', and 'coordinator' in order according to importance. On the other hand, as graduates develop their careers, the domains of future roles would be changed to 'director' and 'planner'. For competencies, the most important domain at present was 'technical skill', but the future important domain was 'interpersonal and emotional intelligence'. The result of this study can be seen as an initial step toward improving the academic curricula of HSM in college and universities and promoting collaborative efforts between academic programs and on-site practices in healthcare industries.

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The Influence of Clinical Nurses' Sleep Disorder, Organizational Support, Health promotion behaviors on Burn-out (간호사의 수면장애, 조직 내 지지, 건강증진행위가 소진에 미치는 영향)

  • Jang, Jin Suk;Kim, Mi Young
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.27-33
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    • 2021
  • The purpose of this study was to investigate the influence of clinical nurses' sleep disorder, organizational support, and health promotion behaviors on professional quality of life. The subjects were 256 nurses working in hospitals in more than 200 and less than 300 beds hospital in B and G cities. The data were collected from September 4, 2017 to September 11, 2017. The collected data were analyzed by frequency analysis t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression analysis using SPSS WIN 20.0. Burnout rate was 28.90± 4.00, burnout was associated with sleep disorder(r=-.321, p<.001), organizational support(r=-.321, p<.001), health promoting behavior(r=-,519 p<.001) showing a negative correlation. The factors affecting burnout were organizational support(β=-.113, p=.045), sleep disorder(β=-.129, p<.040), gender(β=-.131, p=.024), health promotion behaviors(β=-.423, p<.001) and the explanatory power was 32.2%. Based on these results, we aim to provide basic data for the development of various programs that can control burnout of nurses.

Drug Use Evaluation of Letrozole in Breast Cancer Patients at Regional Cancer Hospitals in Thailand

  • Ketkaew, Chaninun;Kiatying-Angsulee, Niyada
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.6055-6059
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    • 2015
  • Background: Medication policy development in Thailand is continually promoting rational drug use. Letrozole, an endocrine therapy drug, is usually prescribed for post-menopausal status early and advanced stage breast cancer. After Ministry of Public Health announced Letrozole as compulsory licensed drug in 2009, more breast cancer patients can access to this drug at low cost especially those within universal coverage schemes. To ensure that Letrozole is rationally prescribed, the drug utilization study was conducted. Objectives: The aim of this study was to describe the appropriate use of Letrozole in breast cancer and the relationship between appropriate use and health benefit schemes. Materials and Methods: A retrospective study to evaluate use of Letrozole in breast cancer patients was performed for six months between January - June 2010 in seven regional cancer hospitals, Thailand. All prescriptions of Letrozole were identified from pharmacy dispensing databases and prescription papers. A medical record review was also performed to evaluate appropriate use referring to the drug use evaluation criteria. The approved criterion of this study was referred from the guideline of Thai National Formulary version 2010. Results: There were 681 prescriptions of Letrozole for 254 breast cancer patients with an average age of $58.6{\pm}10.0years$. The patients in universal coverage scheme (UCS), civil servant medication benefit scheme (CSMBS) and social security scheme (SSS) were 77.7%, 18.5% and 8.7% respectively. 10.6% were prescribed Letrozole for the first time. Letrozole were prescribed by oncologists (82.8%). The average number of tablets per prescription was $58{\pm}10$. Calcium supplements were prescribed concomitant with Letrozole for 19.4%. To assess drug use evaluation criteria, 45 prescriptions were excluded because of uncompleted clinical data, 636 prescriptions were evaluated. The study showed 86 prescriptions (13.5%) with inappropriate use including 6 (0.9%) not prescribed for estrogen receptor (ER) and/or progesterone receptor (PR) positive, 31 (4.9%) not prescribed for post-menopausal and 49 (7.7%) not prescribed for an appropriate duration. Appropriate use percentages in different health benefit schemes were similar, 85.7% of CSMBS, 86.4% of SSS and 86.7% of UCS. The relationship between health benefit scheme and appropriate use of Letrozole was not significantly different, ${\chi}^2$ (2, N = 636) = 0.081, p > 0.05. Conclusions: The study showed inappropriate use in breast cancer patients because of non-compliance with duration, menopausal status and hormone receptor requirements. To prescribe appropriate indication did not referred to the appropriate practice along the treatment. Drug use evaluation proved very useful for detecting the sign of inappropriate use and allows immediate feedback to the stakeholder for developing medication policy in the future. Importantly, there was no significantly difference in appropriate use of Letrozole across health benefit schemes.