• 한국산학기술학회논문지
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• 제14권11호
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• pp.5707-5713
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• 2013

본 연구의 목적은 병원조직문화 유형과 근무경력이 간호사의 조직시민행동에 영향을 미치는 구체적인 경로를 알아보기 위함이다. 2013년 5월 1일부터 6월 28일까지 B광역시 소재 3개의 300병상 이상의 종합병원에 근무하는 368명의 간호사를 대상으로 구조화된 설문지를 통해 일반적 특성, 병원조직문화 유형, 근무경력, 조직시민행동에 대한 자료를 수집하였다. 수집된 자료는 SPSS Win 20.0과 AMOS 18.0 프로그램을 이용하여 분석하였다. 본 연구의 결과 병원조직문화 유형인 친화적, 진취적, 보수 위계적, 과업적 문화유형과 근무경력이 조직시민행동에 영향을 주는 요인이었으며, 이 요인들은 32%의 설명력을 보였다. 그중에서도 간호사들의 조직시민행동에 가장 큰 영향을 미치는 문화유형은 진취적 문화유형으로 나타났다. 따라서 간호사들의 긍정적인 조직시민행동을 증가시키기 위해서는 병원관리자들은 경력 간호사들에 대한 지원을 높이고 진취적인 문화 유형으로 변화되는 노력이 필요할 것으로 생각된다.

• 디지털융복합연구
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• 제14권6호
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• pp.355-362
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• 2016

본 연구의 목적은 3차 의료기관 1개소에 재직 중인 간호사를 대상으로 간호사의 이직의도에 대한 간호단위별 간호근무환경의 영향을 파악하기 위함이다. 서울 소재 의료기관의 24개 간호단위, 간호사 267명을 대상으로 서술적 관계 조사연구를 시행하였다. 자료수집은 2013년 11월에 수행되었으며, 분석은 SPSS/WIN 23.0 프로그램을 이용하여 실시하였다. 연구결과, 간호사의 이직의도는 간호단위 차원의 간호근무환경과 관련이 있는 것으로 나타났다. 또한, 간호사의 이직의도 예측요인으로 연령, 간호근무환경이 유의한 변수로 도출되었으며, 23.0%의 설명력을 보였다. 본 연구결과를 토대로 의료기관은 간호사의 병원운영 참여, 간호 관리자의 리더십 향상, 간호사와 의사의 협력적 관계형성 등 간호단위별 간호근무환경의 개선을 통해 간호사의 확보수준 향상 및 이직의도 감소를 위한 전략을 수립할 수 있다.

• 대한디지털의료영상학회논문지
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• 제10권1호
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• pp.21-28
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• 2008

Diagnostic display monitor QA according to AAPM TG18 is usually performed by PACS administrator, product manager and reading doctor, and for acceptance testing and periodic quality control evaluation, a combination of visual and quantitative tests can be used, as outlined in sections 5 and 6 of 'assessment of display performance for medical imaging systems'. Although many display tests can be performed visually, a more objective and quantitative evaluation of display performance requires special test tools. The required instruments vary in their complexity and cost, depending on the context of the evaluation(research, acceptance testing, or quality control) and how thorough the evaluation needs to be. Objective and reliable assessment of many display characteristics can be performed with relatively inexpensive equipment, So, we made 'AAPM TG18 guiding instrument' to ues variable purpose of the evaluation of 'geometrical distortions(quantitative"', 'veiling glare(visual)' and 'sensor calibration'. The spatial measurements for the quantitative evaluation of geometric distortions, and the measurement of the veling-glare ring response function which provides information regarding the spatial extent of the luminance spread, can be performed using the TG18 guiding instrument can be used to sensor calibration to standardize the basic rate of 0% luminance when periodic calibration.

• 한방재활의학과학회지
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• 제33권2호
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• pp.49-55
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• 2023

Objectives The purpose of this study is to analyze randomized controlled trials about neuromuscular electrical stimulation for muscle wasting with cancer patient and evaluate it's motor functionality effect. Methods Studies will be searched from 7 online databases (PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure [CNKI], Korean studies Information Service System [KISS], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]). Participants will be cancer patients with muscle loss, regardless of cause, gender, race or age, interventions will be neuromuscular electrical stimulation. Other treatments than interventions will be the control group and the main outcome will be reviewed by motor functionality effect. Results Randomized controlled trials about neuromuscular electrical stimulation for muscle wasting should be included in the study. Primary outcomes include motor functionality effect. Secondary outcomes evaluate adverse event. The data uses Review Manager Software 5.4. Conclusions The conclusion of this study will provide a basis for determining whether neuromuscular electrical stimulation treatment for muscle wasting with cancer patient treatment is an effective and safe treatment method in clinical practice.

• 한방재활의학과학회지
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• 제33권4호
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• pp.79-93
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• 2023

Objectives The purpose of this study is to investigate therapeutic exercise and to provide the evidence of daoyin exercise for shoulder pain. Methods Electronic databases including PubMed, EMBASE, China National Knowledge Infrastructure, Science ON, Oriental Medicine Advanced Searching Integrated System were searched up to October 2022. We selected randomized controlled trials. The quality of studies was assessed by Cochrane risk of bias tool. Meta-analysis were perfomed by Review Manager software. Results Eighteen randomized controlled trials were collected in accordance with the selection and exclusion criteria. Among the 18 trials, 7 trials used strengthening exercise, 4 trials used stablilization exercise, 5 trials used both types of intervention, and 2 trials used daoyin exercise. The study characteristics, results and method of intervention were analyzed. Meta-analysis showed that therapeutic exercise appeared to more effective than no treatment group for shoulder pain (standardized mean difference=-1.18, 95% confidence interval=-1.44 to 0.91, Z=8.82, p<0.00001; chi²=2.71, p=0.61; I²=0%). Conclusions All of 18 selected studies reported the effectiveness of therapeutic exercise for shoulder pain. Combining strengthening and stablilization exercise is considered the most efficient way for shoulder pain. Based on this study, well-designed studies should be performed to be evidence of the use of daoyin exercise for shoulder pain.

• 간호행정학회지
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• 제11권1호
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• pp.23-31
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• 2005

Purpose: This study aimed to find out the fact that the empowerment would effect on the job satisfaction with priority given to followership style. Method: The subject of this study were 465 nurses who were employed at 3 general hospital in one university. The data were collected through questionnaires survey of empowerment and job satisfaction, followership style from 26 April to 4 May 2004. Result: The empowerment explained 52% of the job satisfaction. The critical factor were 'Opportunity' and 'Resource'. The followership style were Exemplary followers, Pragmatist followers and Passive followers that the empowerment significantly influenced on the job satisfaction. 1) Exemplary followers, The empowerment explained 69% of the job satisfaction. The critical factor were 'Resource' and 'Support'. 2) Pragmatist followers, The empowerment explained 43% of the job satisfaction. The critical factor were 'Resource' and 'Opportunity'. 3) Passive followers, The empowerment explained 36% of the job satisfaction. The critical factor was the only 'Support'. Conculsions: The empowerment was ascertained to influence on job satisfaction. And It differed the critical factor of empowerment according to followership style. Therefore, Organizational manager must take into account followership style when develope the strategy for organizational effectiveness.

• 한국병원경영학회지
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• 제22권1호
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• pp.21-39
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• 2017

Purpose : This study was intended to investigate the structural relationship among empowerment, self-efficacy, job motivation, autonomy, critical thinking, job-satisfaction, burnout, and self-achievement. In addition, we tested the moderating effect of the career period on the influence of empowerment. Methodology : The structural equation model was used to test the causal relationship between factors, and t-test, ANOVA, descriptive statistics are applied to analyze the research data. Findings : The result of this study shows that the structural model that is the empowerment encourages the self-efficacy, job motivation, autonomy, and critical thinking, also these factors affect the self-achievement through both the job-satisfaction and burnout is acceptable according to the goodness of fitness indices. In addition, we show that the career period moderates the influence of empowerment on the self-efficacy, job-motivation, and autonomy, but not critical thinking. Usually, the shorter the career period is the higher the influence of empowerment is. This moderating effect means that to give proper empowerment to lower position nurses encourage them, and prevent from burnout. Therefore, they feel job-satisfaction and finally self-achievement. Practical Implications : The empowerment helps the nurse to activate self-efficacy, job motivation, autonomy, critical thinking. Hence, these factors decrease burn-out but increase job satisfaction. Finally a sense of self-perfection increase.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.1-7
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• 2014

최근 병원은 ICT기술을 접목한 고품질의 의료서비스를 제공하는 허브병원으로서의 기능을 수행하기 위해 병원의 정보화를 통하여 직무능력을 향상하고 경영자의 의사결정지원시스템을 통하여 고도화된 통합의료정보시스템을 구축하고 있다. 본 연구에서는 환자정보와 진료정보의 신속한 조회로 진료편의성을 극대화 할 수 있도록 통합의료정보시스템에 OCS(Order Communication System)시스템과 HIS(Hospital Information System)시스템을 연동하여 최적화된 맞춤형 모바일 헬스케어 진료환경을 설계하여 환자의 치료 및 진료를 신속하고 정확하게 수행할 수 있는 체계적인 의료시스템을 연구하였다.

• 중환자간호학회지
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• 제6권1호
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• pp.44-56
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• 2013

Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

• 기본간호학회지
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• 제14권2호
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• pp.204-212
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• 2007

Purpose: The purpose of this study was to investigate the patient's perception of the nurse's behavior in protecting patient privacy and to make suggestions for medical facilities to increase protection of patient privacy. Method: The research was a survey study The data on protection of privacy in primary nursing, for physical privacy, of patient information and in private conversations were collected in October 2005 from 187 patients in a university hospital. Frequencies, means, t-test, ANOVA, and $x^2$-test were used to analyze the data. The SPSS 13.0 for Windows program was used. Results: The mean score for patients' perception of nurse protection of their privacy was 3.33. There were significant differences in perception of protecting patients' privacy according to gender for private conversation, according to level of education for all but physical nursing and for number of admissions for total score and for primary nursing. Conclusion: The results of this study suggest the following: a) Institutional polices and nursing guideline should be clearly stated as to the nurses' duty to protect patient privacy. b) Medical facilities should be arranged in a way that allows for the protection of patients' medical information, and should focus on patient privacy. c) It is necessary of nurses to receive periodic in-service education on protecting patient privacy.