• Journal of Home Health Care Nursing
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• v.23 no.1
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• pp.80-89
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• 2016

Purpose: The purpose of this study was to identify the duties and tasks of home visiting geriatric nurses using Development A Curriculum (DACUM) method. Method: The sample consisted of 107 geriatric visiting nurses who worked at community service centers in the Seoul metropolitan area. Job analysis was conducted at a DACUM workshop after that a web-based survey was given to participants to verify the accuracy of the duties and tasks of geriatric visiting nurse. Descriptive statistical analysis was conducted using SPSS 23. Results: A total of 8 duties and 56 tasks were identified as part of the job description of geriatric visiting nurses'. A task verification process was conducted. Overall mean ratings of the task importance were high. 'Recording' was identified as the most frequent duty, and 'Community program planning and operating' was identified as the most difficult duty. Conclusion: Duties and tasks that make up the job of geriatric visiting nurses were identified using the DACUM method. The resulting data will serve as the basis for the design of a curriculum development model for nurses involved in geriatric home visiting education programs, and will also be used to identify training needs and establish a standardized job description for geriatric visiting nurses.

• Journal of Home Health Care Nursing
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• v.25 no.2
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• pp.165-174
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• 2018

Purpose: The study investigated the knowledge and compliance on hand hygiene moments among nursing care workers in geriatric hospitals. Methods: A total of 143 nursing care workers at geriatric hospitals were selected. Data collection was conducted from February 20 to March 20, 2017. Results: For all hand hygiene scenarios, the total correct answer rate was 71.5%. On the necessary hand hygiene moments, the compliance rate was 68.3%. With respect to the general characteristics of the participants, knowledge on hand hygiene moments showed a statistically significant difference according to clinical career(p=.001), and existence of infection controller or infection control office in the nursing home(p=.038). Compliance showed differences according to clinical career(p=.023), existence of infection controller or infection control office in the nursing home(p=.033), and training experience in hand hygiene(number of times/year)(p=.035). Knowledge and compliance showed a statistically significant positive correlation(r=.90, p<.001). Conclusions: It is necessary to develop and operate an infection control education program that can improve the knowledge and awareness of hand hygiene moments and considers the individual characteristics geriatric hospitals's nursing care workers.

• Journal of Home Health Care Nursing
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• v.28 no.2
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• pp.111-123
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• 2021

Purpose: This study aimed to present the management strategies necessary to improve the operational efficiency of visiting nurse centers and evaluate their effectiveness. Methods: The subjects of this study were visiting nurse centers registered as long-term care centers. Based on value chain analysis, cost information analysis, and data envelope analysis, the study was carried out according to the Magerison's management consulting procedure, for six months. This procedure comprised eight sub-steps of approach and application. Results: The following management strategies were agreed upon: establishment of a cooperative network with other visiting care centers, creation of high satisfaction of external customers by providing practical training to care workers, and making rehabilitation and exercise services as the core nursing activities to be focused on. Conclusion: The management consulting process and analysis method applied in this study can referred to as a useful methodological framework for revitalizing visiting nursing centers in the future.

• Korean Journal of Occupational Health Nursing
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• v.32 no.4
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• pp.174-184
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• 2023

Purpose: The purpose of this study was to examine the impact of the working environment on person-centered care for home visiting dementia caregivers. Methods: Participants in this study were 146 caregivers, with the least 6 months of experience working at visiting care centers in Busan, and used a total of 133 questionnaires suitable for analysis. Data were collected from June 9 to July 20, 2023, and were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficients, and multiple linear regression using IBM/SPSS 27.0. Results: As a result of multiple linear regression analysis, organizational factors (β=-.37, p<.001), job-related factors (β=-.27, p=.001), and religion (β=.18, p<.013) were factors affecting person-centered care of home visiting dementia caregivers, and working environment explained 37% (F=10.63, p<.001) of person-centered care. Conclusion: Based on the results of this study, the exploration of strategies to improve the working environment will be necessary in order to increase person-centered care for home visiting dementia caregivers.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.38 no.1
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• pp.30-43
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• 2015

The purpose of this study is to figure out current situation of safety education to improve safety awareness and practice in Korean school students. In order to do this, it is necessary to identify the current level of safety awareness and practice with the actual status of accident occurrence. Furthermore it is try to figure out the most influencing factors on the safety education for Korean middle and high school students. The 412 students were taken from a random sample. The samples were one class of 2nd grade students in five different middle schools and four different high schools in Seoul, Korea. The survey was conducted from 29 September 2010 through 15 October 2010. An additional samples for the questionnaires posted in web were collected. The 305 respondents from school students and 80 respondents from web survey were used to analyze for this study out of 800 respondents. SPSS was used to analyze the questionnaires. The overall safety-awareness score was relatively high at 4.56/5 for fire safety and 4.32/5 for traffic safety. Safety awareness was higher for girls than boys and also for high school students than middle school students. Safety education by parents at home gives a good impact on high safety practices. Safety awareness was improved by feeling of necessity for safety training. The safety prevention training provided during the class by teacher and home training by parents improved safety practice. The correct direction of safety education for younger students can be easier in future.

• Physical Therapy Korea
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• v.23 no.2
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• pp.44-56
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• 2016

Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

• Korean Institute of Interior Design Journal
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• v.14 no.5 s.52
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• pp.185-192
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• 2005

The purpose of this study was to clarify spatial composition of the staffs at nursing homes for the elderly with dementia. For this, the data was taken from the staffs in 2 nursing homes in Tokyo by the questionnaire from December4 to 28 in 2004. Replicated MDS (Multi-dimensional Scaling) was employed for data analysis. The results of the study were following. Staffs perceived nursing home by four spatial compositions; facility spaces as like sanitation room, laundry, bathroom, washroom, washbowl, social interaction spaces as like training room, inner court/balcony, living room, staff related spaces as like room for staff, treatment room, fundamental living spaces as like bedroom, dining room. According to two-dimensional perceptual map, sanitation room was wanted near by laundry, treatment room was wanted near by room for staff, bedroom was wanted near by dining room, and training room, living room were wanted near by inner court/balcony. On the other hand, washbowl and washroom were desired somewhere near by every spaces. Therefore, simple shaped washbowls are desired to install in dining room, living room, hallways. And sanitation room and laundry were desired somewhere remote by dining room, bedroom, and living room. Responding upper results, it is recommended planning for visual and sense of smell isolation in case of having difficulty in floor structure and circulation.

• Journal of muscle and joint health
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• v.29 no.3
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• pp.141-150
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• 2022

Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or home exercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingement syndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitation programs for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strength and range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data were analyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improving pain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement in shoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain, muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structured education to patients who are difficult to visit hospitals.

• Journal of Korean society of Dental Hygiene
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• v.23 no.1
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• pp.13-23
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• 2023

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.

• Tunnel and Underground Space
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• v.30 no.5
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• pp.433-445
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• 2020

Professional TBM Operator is in short supply worldwide, and insufficient construction experience of new personnel using TBM can lead to a decline in response capabilities when various construction risks occur. The fact that the TBM construction quality greatly depends on the skill and experience of the TBM operator, and the decrease in productivity due to insufficient skilled manpower, and the decrease in safety due to the decrease in skill level are frequently discussed problems in the TBM industry. To this end, several overseas companies and organizations have developed simulators, and a simulator is being developed in Korea. The International Tunneling Association is planning a comprehensive training, including classroom training, e-learning, simulator training and field training. Given the progress at home and abroad, TBM driver training and formal recognition of training through certification or licensing is expected to become the norm in the near future.