• Title/Summary/Keyword: Health care institution

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A Study of the Status of Occupational Health Management in Small-Scale Enterprises- Kwang-ju City and Chonnam Province - (소규모사업장 보건관리실태 연구 - 광주·전남 -)

  • Kim, Eun-Me;Park, In-Hye
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.1
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    • pp.55-65
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    • 2001
  • The purpose of this study was to find out the status of occupational health management and the degree of recognition about the occupational health management of employees 248 small-scale enterprises which have been managed by the small-scale enterprises health care management support institution in 1999, were selected for study, in Kwang-Ju City. 98 employees were selected in 116 industries of them to grasp recognition of employees about the occupational health management. ► The Status of Occupational Health Management 1. Of the sample industries, 62.1 percent employed eleven to twenty-nine workers. Of the sample workers, 72.1 percent occupied workers who were engaged in the production line. 2. Environment evaluation was made on 82.7 percent of the sample industries and general exam made on 66.5 percent and specific health exam done on 73.4 percent. 3. The harmful factors in the sample industries were found to lie noise, dust, solvent, heavy metal, etc. 4. In general health exam 1,774 workers were participated and 148 workers got the result of above grade C and were diagnosed as having the problems with digestive system (63.6%), circulatory system(20.6%). etc. ► The Degree of Recognition about The Occupational Health Management of Employees. 1. Respondents were mainly in the twenties (42.9%), males(69.1%), duration of working period of five to ten years(24.0%), office workers(51.0%), monthly income under one million(55.7%). 2. Recognition of employees about the occupational health management consists of workplace environmental evaluation, health education, health exam and protector management. Their recognition on health education showed high score (mean 3.1), but generally the score was low(mean 2.9).

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Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

  • Chawla, P. Cheena;Chawla, Anil Kumar;Shrivastava, Richa;Shrivastava, Anju;Chaudhary, Seema
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5475-5482
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    • 2014
  • Cervical cancer, the second most common malignancy all over the world, is associated with HPV infection. In a developing country like India, lack of early detection and treatment facilities is the main cause for its high burden. Therefore, through our study we e tried to present the current scenario of existing facilities for the detection and treatment of cervical cancer in hospitals and primary health centers (PHCs) of Delhi-NCR region. Data were collected from 312 healthcare facilities including public and private hospitals and PHCs of all nine districts from Delhi-NCR region. Healthcare providers including gynecologists, medical officers, women health care providers and paramedical staff were interviewed, using a questionnaire; the facilities for screening, diagnosing, and treating cervical cancer in each institution were recorded, using a previously designed checklist. Our study has shown that the basic facilities for the detection and treatment of cervical cancer are abhorrently lacking in Public hospitals and PHCs as compared to the Private hospitals in Delhi-NCR region. This study demonstrates that there is an urgent need for more investment in the diagnosis and treatment of cervical cancer facilities in public and rural healthcare facilities of Delhi-NCR region.

Expanding the aging self: Investigating successful aging among Korean older adults using grounded theory

  • Park, Hyung-Ran
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.426-440
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    • 2015
  • Purpose: This qualitative study aimed to understand older adults' perspectives on successful aging and develop a model of a successful aging process, within the Korean socio-cultural context. Methods: This study used a Grounded Theory approach. Through theoretical sampling, 14 participants were selected from older adults at a public health center and a volunteer institution in Gyeonggi Province, South Korea. Results: The basic social process identified was "expanding the aging self", which was preceded by three phases, namely, adjusting to the changes, developing the valuable self, and embracing the environment. Participants used 2-3 strategies for successful aging in each phase. For adjusting to the changes, participants used strategies such as "adopting a positive attitude", "accepting the changes", and "being at the center of life". To develop the valuable self, "re-identifying capacities", "having something to do", and "advancing to a healthy lifestyle" were used. Participants embraced their environments with "sharing with others" and "embracing younger generations". The causal condition for expanding the aging self was the changes in participants' physical, mental, or psychosocial situations. Conclusion: These findings suggest a theoretical foundation for the development of potential nursing interventions to promote self-care management and the interpersonal relationship for successful aging among Korean elderly individuals.

Process Evaluation and Influencing Factors of Building up a Network System between a National University Hospital and a Public Community Hospital in a Korean Provincial Area (한 광역자치도에서 국립대병원과 지방의료원간 협력체계 구축 사례의 성립 요인 및 과정평가)

  • Lee, Weon-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.219-229
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    • 2012
  • This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.

Participation motivation and satisfaction of continuing education in the dental hygienists (치과위생사의 보수교육 참여동기와 교육만족도에 관한 연구)

  • Park, Ji-Eun;Kang, Boo-Wol;Kim, Ye-sel;Lee, Sun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.4
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    • pp.499-506
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    • 2016
  • Objectives: The purpose of the study is to investigate the participation motivation and satisfaction of continuing education in the dental hygienists. Methods: A self-reported questionnaire was completed by 900 dental hygienists in Seoul and Gyeonggido in continuing education 2015. The questionnaire consisted of general characteristics of the subjects (7 items), continuing education requirements (6 items), and continuing education evaluation (9 items). Cronbach's alpha was 0.859 in participation motivation and 0.901 in satisfaction. Likert five point scale was used. Data were analyzed by SPSS 22.0 program. Results: The priorities of the contents were as follows; patient care and counseling(49.0%), the latest information and technology(43.9%), middle management roles(23.3%), health care management(17.6%), and lecture studies(4.4%) in order by multiple responses survey. The favorite instructors were specialized dental hygienist(52.3%). The ideal pay for education fee was 50 percent supported by the institution. The best official announcement of education was e-mail. The participation motivation of education was 4.45 points and was focused on the education completion issue. The lowest score was 2.77 of development of human relationships between participants. The choice for instructor was 3.43 and the lowest score was 2.49 of education fee. Overall satisfaction score was 3.04. Conclusions: Diversification of the continuing education is very important. It is necessary to develop and implement the education methods and to train the dental hygiene specialists for the education.

A research on the questionnaires about Busan citizen's understanding of the Tooth Bleaching (치아미백에 관한 부산시민의 인식 및 지식도 조사 연구)

  • Lee, Hye-Jin;Jeon, Eun-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.1
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    • pp.79-91
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    • 2006
  • Through the investigation and analysis for awareness about Tooth Bleaching treatment for general adults, to rethink the real ideas of Tooth Bleaching which adults has already had and to find the method for generalized Tooth Bleaching, this study made a survey about General Awareness and Common sense for Tooth Bleaching and Oral Health Knowledge and Generalization Methods for 570adult citizen in Busan from 1th August to 10th September. The obtained results were as follows 1. Tooth Shade self contentment was found low, self-discontent respondents were 73.5% and self-content respondents were 26.5%. 2. Tooth Bleaching recognition was found high, as for the recognition period, between 2 and 5 years is 65.5% and as for the recognition route, 33.9% were through broadcast medium. 3. General knowledge for Tooth Bleaching was found low as 2.34(1.12) of 5 score and it is similar to ages and occupations(pE0.001, pE0.05). 4. Tooth Bleaching treatment method appears Home Bleaching and In-Office bleaching was 73.5% and 26.5% respectively. The other side medical institution chosen for Tooth Bleaching treatment appears dental hospital or dental clinic and Home bleaching was 75.6% and 12.1% respectively. 5. To generalize the Tooth Bleaching Care, recommendations of oral health care team and oral health education and development of information data also need to be performed.

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A study of the impact of using a nursing care standards on the quality of nursing care in gastrectomy patients (위절제술환자의 간호실무표준 사용이 간호의 질에 미치는 영향)

  • Woo, Young-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.2
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    • pp.97-107
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    • 1996
  • Nursing standards determine the type and extent of services that are delivered to the patients and define quality care and communicate the institution's expectations of care. Thus, taking the standard of care and incorporating it into a welldefined indicator of excellent patient care becomes one of the first activities in setting up the nursing service's quality assurance process. The purpose of this study was to determine the impact of using a nursing care standards for the quality of nursing care in gastrectomy patients. The subjects were composed of fourty-two under going gastrectomy patients with stomach cancer in general surgery nursing care unit of K University Hospital in Pusan. The data was collected from January 3 to April 13,1996. The subjects were divided into a control group - those admitted from Jan.3 to Feb.12 and an experimental group those admitted from Feb.18 to April 13. The instruments used for this study were a nursing care standards in gastrectomy patients developed by the investigator and an evaluation tool for the quality of nursing care in abdominal surgery patients developed by Byoung-Sook Lee in 1995. The data was analized by means of chi-square test, t-test and Cronbach-alpha test with the SAS System. The result was as follows : The hypothesis, that scores of the quality of nursing care in the experimental group would be higher than that of the control group. was supported(t=-6.12, p=0.00). The detailed results of each standards of evaluation tool were as follows : The mean score of the experimental group was significantly higher than that of the control group in audit standard 1:'Collection of basic data of the patients', (t=-3.76, p=0.00). The mean score of the experimental group was significantly higher than that of the control group in audit standard 2 : 'Defining nursing diagnoses(or nursing problems)', (t= (-), p= (-) ). The mean score of the experimental group was significantly higher than that of the control group in audit standard 3:'Estabilishment of nursing care plan according to nursing diagnoses(or nursing problems)',(t= (-), p= (-) ). The mean score of the experimental group was significantly higher than that of the control group in audit stndard 4:'Implimentation of nursing care plan', (t=-2.38, p=0.01). The mean score of the experimental group was significantly higher than that of the control group in audit standard 8 : 'Increase of the knowledge of health related to surgery',(t=-2.40, p=0.01). No significant differences between the mean scores of the experimental group and that of the control group in audit standard 5 : 'Recover and maintain of the physical function', audit standard 6:'Prevention of the post-operative complication', audit standard 7 : 'Decrease of discomfort caused by operation', and audit standard 9 : 'Patient satisfaction in nursing care' were found. The standards of evaluation tool were devided into two dimension. One was process dimension which contains four standards(audit standard 1 to 4), the other was outcome dimension which contains five standards(audit standard 5 to 9). The mean score of the experimental group was significantly higher than that of the control group in process dimension (t=-12.30, p=0.00), but no significant difference between the mean scores of the experimental group and that of the control group in outcome dimension was found. From these results, it is concluded that using a nursing care standards in gastrectomy patients promotes quality of nursing care and nursing care standards of various fields are necessary for effective nursing care.

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A Study on the Architectural Planning of the Ward in Mental Hospital (II) -focused on the Composition of the Nurse Unit- (우리 나라 정신병원 병동부에 관한 건축계획적 연구 (II) -간호유닛의 구성을 중심으로-)

  • Choi, Sung-Bong;Choi, Young-Jib;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.7
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    • pp.9-18
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    • 1998
  • Even though the interest to the mental hospital is recently increased, the mental hospitals are not well developed due to the pending arrangement of the concept of returning to the society and the system of local communities. Also, the hospitalism due to the isolation of patients and the long term stay in hospitals has become an issue. Despite the present circumstances, the prototype of mental health care in many field are investigated and progressively fixed. This study attempts to examine the current status of domestic and foreign mental institution and to establish the design guideline of the wards of the mental hospitals.

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A Study on The Architectural Planning of The Ward's Character of The Women's Hospital (여성전문병원 병동부의 특성에 관한 건축계획적 연구)

  • Moon, Byung-Geon;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.8 no.2
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    • pp.7-16
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    • 2002
  • Modern society gradually change into diversification and specialization, the field of medical service also is specialized in these days. According to changes, A medical institution stress the need of women's min space of the concept "Well Women Clinic" Therefore, this study aims to propose improve way and architectural data after analysis the developing circumstances and problem on the architectural planning on the ward of women's hospital by case studies on the ward of women's hospital builded recently in korea.

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Does Clinical Experience Help Oncology Nursing Staff to Deal with Patient Pain Better than Nurses from other Displines? Knowledge and Attitudes Survey Amongst Nurses in a Tertiary Care in Malaysia

  • Yaakup, Hayati;Eng, Tan Chai;Shah, Shamsul Azhar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4885-4891
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    • 2014
  • Background: Successful implementation of pain management procedures and guidelines in an institution depends very much on the acceptance of many levels of healthcare providers. Aim: The main purpose of this study was to determine the level of knowledge and attitudes regarding pain among nurses working in tertiary care in a local setting and the factors that may be associated with this. Materials and Methods: This cross-sectional research study used a modified version of the Nurses' Knowledge and Attitudes Survey (NKAS) regarding pain. Basic demographic data were obtained for further correlation with the level of pain knowledge. Results: A total of 566 nurses, 34 male and 532 female, volunteered to participate in this study. The response rate (RR) was 76%, with an overall mean percentage score of $42.7{\pm}10.9$ (range: 5-92.5). The majority of participants were younger nurses below 40 years of age and more than 70% had worked for less than 10 years ($6.6{\pm}4.45$). Up to 92% had never had any formal education in pain management in general. The total mean score of correct answers was $58.6{\pm}9.58$, with oncology nursing staff scoring a higher percentage when compared with nurses from other general and critical care wards ($63.52{\pm}9.27$, p<0.045). Only 2.5% out of all participants obtained a score of 80% or greater. The majority of the oncology nurses achieved the expected competency level (p<0.03). Conclusions: The present findings give further support for the universal concern about poor knowledge and attitudes among nurses' related to the optimal management of pain. The results reflected that neither number of years working nor age influenced the level of knowledge or attitudes of the practising nurses. Oncology nursing staff consistently scored better than the rest of the cohort. This reflects that clinical experience helped to improve attitudes and knowledge concerning better pain management.