• Journal of Korean Academy of Nursing
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• v.40 no.6
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• pp.892-902
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• 2010

Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

• Journal of Research and Publication Ethics
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• v.2 no.1
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• pp.13-18
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• 2021

Purpose: This paper aimed to examine the ethical considerations that are the basis for many functions in the healthcare field. The key ethical values in global health, as well as future considerations imperative to this area, were observed. Research design, data and methodology: The current study utilized the past literature studies that were examined in the field of global health. An overview of the role of ethics in the healthcare field, as well as important considerations that needed to be taken into account in order to provide advancements in this area, were investigated. Results: Ethics are an important set of principles that guides humankind into the right conduct or action to better society and each other. Ethical values are one of the pinnacle points for any healthcare provider, as healthcare is not only considered from the aspect of patient health and well-being, but also in its role of keeping ethical guidelines to achieve the best possible care for a patient. Conclusions: A comprehensive understanding of healthcare is needed in order to tackle next generational challenges in global health. These ethical considerations will inevitably play a significant role in harnessing the patient-healthcare professional relationships as well as care for the shortening of a global disparity on healthcare.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.8 no.3
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• pp.541-548
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• 2007

The workflow, one of core features for modern business operation, models common elements and their relationships in business processes. The research is focused on how to adapt the workflow model to the healthcare examination which becomes popular these days. Especially, we intend to have fully automated process for healthcare examination by providing customers with PDA with RFTD chip. In order to realize this goal, this paper proposes the design of software architectures the class structures, and the definition of messages used for the system interactions. In other word, the paper shows the analysis of healthcare application in terms of service scenario and the design of workflow engine ant ubiquitous healthcare application under the Object-Oriented programming environment. the The result of the study may also enable the unmanned healthcare examination as well as ubiquitous based healcare examination sooner or later.

• Journal of The Korea Institute of Healthcare Architecture
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• v.23 no.3
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• pp.57-69
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• 2017

Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.11
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• pp.7-16
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• 2000

This study shows the 'design guide-line' for the handicapped people who uses certain buildings or facilities, for Barrier Free. It has the object that they are able to utilize the facilities in the variable buildings basically and to approach to informations without difficulties. So, it can be used as 'design guide-line' for the handicapped people through several architectural criterions.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.3
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• pp.781-793
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• 2010

Recently, owing to the development of ubiquitous sensor network and mobile communication technologies, many studies on healthcare system are being carried out. In this paper, we have designed and implemented a mobile u-Healthcare system based on sensor network. The u-Healthcare system is composed of three components: wireless sensor network at home, healthcare center located at remote site, and gateway which relays sensing physiological signals to healthcare center. In order to measure patient's physiological signal three sensors are used: three channel ECG sensor, pulse oximeter, and blood pressure sensor. Each sensor is mounted on a mote which can send gathered signal to the base node using Zigbee communication protocol. Once the base node receives physiological signal from each sensor, the client in the base node transfers the signal to the healthcare center. The received physiological signal at the healthcare center is analyzed and processed using various algorithms. The processed results are compared to the standard healthcare database and appropriate treatment including dietetics and exercise cure would be sent to the patient as feedback using SMS message or healthcare center web site. Each patient can check and manage one's health state every day using the healthcare system and gain a recovery under the treatments from minor health problems.

• Journal of The Korea Institute of Healthcare Architecture
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• v.15 no.1
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• pp.53-62
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• 2009

Healthcare facilities undergo substantial renovation and remodeling to accommodate changing technologies and regulatory requirements, thereby generating significant quantities of construction-related wastes, and subjecting building occupants to noise, dust, and other health impacting disruptions associated with construction. By designing flexible, adaptive, generic spaces, buildings can better respond to changes imposed by architectural composition of interpersonal and community space of hospital ward with minimum needs renovation and remodeling. This study focuses on the design principles of enhancing flexibility in architectural composition of interpersonal and community space of hospital ward. The purpose of this study is to provide fundamental data for designing interpersonal and community space of hospital ward through ecological flexible design principles with case on interpersonal and community space of hospital ward.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.4
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• pp.21-30
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• 2022

Purpose: To prove the credibility of EBD, it is necessary to define concepts regarding the nature of credible knowledge and the hierarchy of evidence. In addition, the relationship between EBD and EBP needs to be addressed through a practical viewpoint. Methods: The systematic review is applied to define the nature of knowledge and the characteristics of research papers in architectural EBD while analyzing the field of study, knowledge focus and types of keywords of the first author. Results: As a whole, the types of research focus evaluated using the most frequent keywords include function(40.86%), specialized knowledge(30.52%), professional practice(21.37%), and health(5.78%). Empirical research(83.72%) is more likely to be found than theoretical research(13.95%). The EBD research papers ranked as top-tier are only 7(2.03%) among a total of 344, while the research papers ranked in the third to fourth tiers are 276(80.23%). Implications: There is a deficiency of reliable 1-2 tier research papers. From a practical viewpoint, it would be realistic to recommend that healthcare architects appropriately evaluate the quality of EBD research and apply it in practice, rather than to conduct EBD research themselves. This systematic review illustrates the nature of EBD research.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.4
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• pp.753-758
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• 2009

This paper is proposed the hardware structure and signal processing method of the RF-Tag based on heart sound to develop the mobile biomedical information device for the u-healthcare system. The RF-Tag in this study is consisted of a skin temperature sensor, a dynamic microphone for heart sound detection, Bluetooth communication to transmute healthcare data, and pulse period detection algorithm with adaptive gain controller. We experimented to evaluate performance of the RF-Tag in noisy environments. In addition, the RF-Tag has shown the good performance in the results of experiment. If the proposed methods in this study apply to design the u-healthcare device, we will be able to get the exact health data on real time in mobile environments.

• International journal of advanced smart convergence
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• v.5 no.3
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• pp.32-39
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• 2016

With the help of a small wearable device, patients reside in an isolated village need constant monitoring which may increase access to care and decrease healthcare delivery cost. As the number of patients' requests increases in simultaneously manner, the web service gateway located in the village hall encounters limitations for performing them successfully and concurrently. The gateway based RESTful technology responsible for handling patients' requests attests an internet latency in case a large number of them submit toward the gateway increases. In this paper, we propose the design tasks of the web service gateway for handling concurrency events. In the procedure of designing tasks, concurrency is best understood by employing multiple levels of abstraction. The way that is eminently to accomplish concurrency is to build an object-oriented environment with support for messages passing between concurrent objects. We also investigate the performance of event-driven architecture for building web service gateway using node.js. The experiments results show that server-side JavaScript with Node.js and MongoDB as database is 40% faster than Apache Sling. With Node.js developers can build a high-performance, asynchronous, event-driven healthcare hub server to handle an increasing number of concurrent connections for Remote Healthcare Monitoring System in an isolated village with no access to local medical care.