• Title/Summary/Keyword: Hospital Services

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Understanding Policies related to Home Modification for the Elderly: An Occupational Therapist's Perspective (고령자 가정환경수정 관련 정책에 대한 이해: 작업치료사의 관점에서)

  • Hwang, Na-Kyoung;Shim, Sun-Hwa
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.389-399
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    • 2021
  • The purpose of this study was to explore the domestic and overseas home modification policies, and review the direction of domestic home modification policies to enable 'Aging In Place; AIP' and the competencies required of occupational therapist as and expert in home modification. In order to expand occupational therapy for domestic home modification and strengthen occupational therapist competency, it is required to establish a clear and practical home modification process that reflects the design and intervention of occupational therapy. Appropriate selection and standardization of the evaluation tools that identifies the needs of the elderly and reflects the characteristics of domestic housing types are also required. In addition, it is necessary to understand policies and systems, and endeavour to establish a relevant knowledge base for communication and cooperation with experts in other fields. In terms of the policy, there is a need for the home modification support system that allows the elderly to adapt to their aging regardless of their income level, beyond the existing support system, which was implemented mainly for low-income people and disabled. In addition, as in overseas cases, the efforts need to be made to provide various and efficient measures, such as support for barrier-free housing, expansion of the scope of support through cooperation between the national government and local governments, low-interest loans and tax reductions, and establishment of governance with organizations and institutions related to home modification services.

Study on Assessment and Treatment Patterns of Speech-Language Pathologists in Pediatric Vocal Problem Through Multicenter Survey (다기관 설문조사를 통한 국내 소아 음성질환 환자의 검사 및 치료 유형 연구)

  • Lee, Jong-Geun;Bang, Seung-Hwan;Jeon, Jae-Min;Lee, Jung-Kyu;Kim, Angela Yun;Woo, Jeong-Soo;Cho, Jae-Gu
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.39-47
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    • 2019
  • Background and Objectives : Pediatric vocal health problems are relatively common. However, it is not yet well studied whether uniform diagnosis and treatment is done properly in South Korea. The purpose of this study was to investigate the methods that the Korean speech therapists use to diagnose and treat pediatric voice problem. Materials and Method : An anonymous online questionnaire was administered to 32 speech language therapists registered at the Korean laryngeal speech linguistics society detailing demographics, employment institution, general management of pediatric patients with vocal problem including assessment and treatment procedures. Results : Current practice patterns were analyzed on 32 speech language therapists providing services in South Korea mostly working at tertiary university hospital. One third of pediatric patients were assessed without proceeding to treatment. One fifth of patients were treated without assessment. Perceptual assessment was the main pretreatment assessment methods used. Treatment was done in the following order : Voice rest, SOVT, yawn-sigh and resonant voice. Post-treatment evaluation was used in the following order : Instrumental assessment, clinical judgment, and recording comparison. Conclusion : Speech language therapists practice in South Korea mostly follows the ASHA practice guidelines. However, there are still great amount of cases in which only the evaluation was done without appropriate treatment. Further research is needed to make SPLs more systematic and efficient for evaluating and treating pediatric vocal patients.

A Study on the Design Plan of UX for the Smart Healthcare for the Aged Society - Focused on IOT Technology (고령사회 스마트 헬스케어를 위한 UX 디자인방안 - 사물인터넷 기술을 중심으로)

  • Kim, Seung-Min
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.462-474
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    • 2018
  • The development of bio-sensing technology made it easy to collect various biometric information that was only available in large medical devices. The miniaturization of sensors makes it simple to carry out various health checkups that It did in person to the hospital by improving the portability of diagnostic devices. It is able to combine sensors into portable devices such as Smartphones, apply advanced Internet of Things (IOT) technology, and create new form factors for medical devices such as ultra-small modules that can be inserted or attached to their bodies. The results can be checked immediately through portable information devices such as smart phones. Although commercialization is still slow in Korea, new technologies are being applied in various ways in countries such as the United States that have granted remote medical services. Medical demand, supply and cost in South Korea are growing ahead of a super-aged society. Under these circumstances, attention is focusing on whether smart healthcare, a new concept, can complement the existing medical system. This study identifies the technology trends associated with smart health care and categorizes various healthcare products in the UX design aspects. In addition, the UX design approach and guidelines for applying smart healthcare technologies to the elderly, the intended users, are presented. This research will provide a reference to a new social issue, the UX-design approach to solving the problems of the aged society.

Utilization of Work-Family Balance Support Policy and Factors Associated with Retention Intention among Married Female Officers with Preschool Children (미취학 자녀를 둔 기혼 여군 장교의 일·가정 양립 지원제도 활용 정도와 재직의도 영향요인)

  • Kwon, Jo Eun;Kim, Gwang Suk;Park, Jeongok;Kim, Sue
    • Women's Health Nursing
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    • v.25 no.3
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    • pp.329-344
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    • 2019
  • Purpose: This study aimed to identify utilization of the work-family support policy (WFSP) and factors affecting retention intention among Korean female military officers. Methods: This cross-sectional survey recruited 103 married female officers from the Korean Army, Navy, and Air force with preschool-aged children through convenience and snowball sampling. Via online surveys from June to November, 2018, the participants self-reported retention intention, work-family conflict, job satisfaction, and utilization of the WFSP. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson's correlation coefficient, and multiple linear regression. Results: Retention intention ($22.29{\pm}5.98$) was reported at the mid-level, lower than scores reported in the literature for female workers. Work-family conflict ($32.51{\pm}5.29$) and job satisfaction ($63.10{\pm}7.45$) were above the midpoint levels. Use of maternity leave (100.0%) and parental leave (92.2%) was high, especially compared to the rates of child-care day off (20.4%) and parenting time (20.4%). 'Noticeable increases in childcare services within the army' (22.8%) was reported as the supportive measure needed the most by female military officers. Job satisfaction (${\beta}=.43$, $p{\leq}.001$), the use of parenting time (${\beta}=-0.29$, p=.002), living type (${\beta}=-.18$, p=.043), and service type (${\beta}=-.16$, p=.035) significantly influenced retention intention. Conclusions: The findings highlight the priority areas of importance within the WFSP and suggest that a family-friendly culture can improve female officers' retention intention. Accordingly, policy changes at the Ministry of National Defense improving the system to enhance a family-friendly culture in the military is expected to strengthen the retention intention of female officers and contribute to excellence in the military workforce.

Therapeutic Intervention to Reduce Spasticity (경련성 감소를 위한 치료적 중재 연구)

  • Lee, Jung-Ho
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.427-436
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    • 2019
  • This study investigated the effect of extracorporeal shock wave therapy on the knee angle, MAS, and TUG of the affected side in patients with hemiplegic strokes. This study selected 20 patients who received rehabilitation treatment at a hospital after having been diagnosed with stroke. The control group (n=10) received the general physiotherapy (proprioceptive neuromuscular facilitation), and the experimental group (n=10) applied the extracorporeal shock wave therapy (ESWT) to the injured limb after PNF treatment. This study used an integrated kinematics analyzer (4D-MT, Relive, Korea) to analyze walking, timed up and go test to evaluate the dynamic balance ability of patients, and MAS to evaluate the spasticity. In the study results, knee angle were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). In the study results, TUG were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). Based on the results of this study, I hope that more detailed research will proceed.

Guidelines for dental clinic infection prevention during COVID-19 pandemic (코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인)

  • Kim, Jin
    • Journal of Korean Academy of Dental Administration
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    • v.8 no.1
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

The relationship between the professional self-concept of dental hygiene and organizational socialization (치과위생사의 전문직 자아개념과 조직사회화의 관련성)

  • Kim, Young-Sun;Cho, Myung-Sook;Lee, Jung-Hwa
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.2
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    • pp.9-18
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    • 2021
  • Background: Based on the individualistic approach of experienced dental hygienists, this study attempted to provide basic data to find effective measures of human resource management by analyzing the correlation between organizational socialization and professional self-concept. Methods: Dental hygienists currently working in the Daegu area were evaluated. Nine questions related to duties, twenty-seven questions related to professional self-concept, and thirty-eight questions related to organizational socialization were included in the study. The reliability was professional self-concept (Cronbach's α = 0.859) and organizational socialization (Cronbach's α = 0.840). Results: Of the total 135 points for professional self-concept, the mean score of the participants was 62.67±8.45 points. In the sub-area, flexibility was the highest at 19.28±2.46 points, and communication was the lowest at 9.69±1.44 points. Of 190 points, organizational socialization averaged at 123.40±12.82 points. In the subarea, personal characteristics were the highest at 30.37±3.71 points, and occupational identity was the lowest at 10.34±1.94. Higher age (F=30.89, p<0.000), marital status (F=10.22, p<0.002), graduate or higher educational qualification (F=9.16, p<0.000), were associated with a higher position (F=20.62, p<0.000) and work experience (F=22.66, p<0.0000), when there was no intention to turnover (F=8.05, p<0.000). Organizational socialization was higher in participants with higher age (F=7.89, p<0.000), educational qualification (F=8.02, p<0.000), and position (F=5.12, p<0.007); higher work experience in general hospital (F=4.50, p<0.012); no intention to turnover (F=7.450, p<0.000); and no intention to turnover (F=24.46, p<0.000). Organizational socialization showed a significant positive correlation with professional self-concept (r=0.721, p<0.000); job performance and skills (r=0.615, p<0.000) and organizational commitment and satisfaction (r=0.610, p<0.000) showed a high positive correlation. Turnover intention (β=0.213, p<0.000) was found to have a significant effect on organizational socialization. Leadership (β=0.168, p<0.05) and satisfaction (β=0.483, p<0.000) were found to have a significant effect. The total explanatory power of this variable was 62.7%. Conclusion: To ensure successful organizational socialization, human resource management should be performed through regular verification, which can result in improved quality of dental care services.

Influencing Factors the Psychological Well-being of Psychiatric Nurse (정신과 간호사의 심리적 안녕감 영향 요인)

  • Choi, Jae Eun;Bae, Jeong Yee
    • Journal of Naturopathy
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    • v.11 no.2
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    • pp.85-92
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    • 2022
  • Background: Research is necessary to enhance the mental health of psychiatric unit nurses and the quality of nurse services. Purpose: This study was to obtain primary data for enhancing the psychological well-being of psychiatric nurses by investigating the factors that affect them. Methods: This study was conducted as a descriptive research study. The study period was from February 18 to March 31, 2019, with the subjects being 150 psychiatric nurses working in the ward of a psychiatric hospital in Gyeongnam. We used questionnaires on job stress measurement, the Korean version of the interpersonal response index, resilience scale, and psychological well-being. The collected data were analyzed using the SPSS program. Results: The subjects' levels of the job stress, empathy, resilience, and psychological well-being ranged from 2.34 to 3.33 points. The level of recovery resilience and well-being according to the subject's characteristics is 40 years or older, married, religious, ten years of nurse experience, above average economic level, psychiatric qualifications, senior nurse or higher, resilience education. All participants were significantly (p < .001). Conclusions: In this study, psychological well-being increased as the job stress was low and empathy and resilience were high. Therefore, it should make a proper education program to improve the strength and well-being of psychiatric nurses.

Knowledge and Attitudes of Indonesian General Practitioners Towards the Isoniazid Preventive Therapy Program in Indonesia

  • Winardi, Wira;Nalapraya, Widhy Yudistira;Sarifuddin, Sarifuddin;Anwar, Samsul;Yufika, Amanda;Wibowo, Adityo;Fadhil, Iziddin;Wahyuni MS, Hendra;Arliny, Yunita;Yanifitri, Dewi Behtri;Zulfikar, Teuku;Harapan, Harapan
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.5
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    • pp.428-435
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    • 2022
  • Objectives: The Indonesian Ministry of Health launched isoniazid preventive therapy (IPT) in 2016, with general practitioners (GPs) at the frontline of this program. However, the extent to which GPs have internalized this program remains uncertain. The aim of this study was to identify the knowledge and attitudes of GPs towards the IPT program in Indonesia. Methods: This study used an online, self-administered questionnaire distributed via e-mail and social messaging services. A logistic regression model was employed to identify the explanatory variables influencing the level of knowledge and attitudes toward IPT among GPs in Indonesia. An empirical analysis was conducted separately for each response variable (knowledge and attitudes). Results: Of the 418 respondents, 128 (30.6%) had a good knowledge of IPT. Working at a public hospital was the only variable associated with good knowledge, with an adjusted odds ratio (aOR) of 1.69 (95% confidence interval [CI], 1.02 to 2.81). Furthermore, 279 respondents (66.7%) had favorable attitudes toward IPT. In the adjusted logistic regression analysis, good knowledge (aOR, 0.55; 95% CI, 0.34 to 0.89), 1-5 years of work experience (aOR, 2.09; 95% CI, 1.21 to 3.60), and having experienced IPT training (aOR, 0.48; 95% CI, 0.25 to 0.93), were significantly associated with favorable attitudes. Conclusions: In general, GPs in Indonesia had favorable attitudes toward IPT. However, their knowledge of IPT was limited. GPs are an essential element of the IPT program in the country, and therefore, adequate information dissemination to improve their understanding is critical for the long-term viability and quality of the IPT program in Indonesia.

Survey on the Perceptions of Tele-Physical Therapy of Health and Non-Health Majors in Their 20s (20대 보건계열과 비 보건계열 전공자의 원격물리치료에 대한 인식도 조사)

  • Kim, Jin-Ee;Jung, In-Seon;Kim, Ji-Yeon;Nam, Bong-Hyeon;Park, Seo-Young;Shin, Su-Ji;Lee, Geun-Hyung;Lee, Soo-Ah;Lee, Chan-Yeon;Ham, Chae-Yeon;Kim, Min Hee
    • PNF and Movement
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    • v.20 no.3
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    • pp.307-319
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    • 2022
  • Purpose: This study aimed to investigate the perceptions of tele-physical therapy of health and non-health majors. It can provide basic research data for the provision of medical services in the future by identifying the level of awareness of the need for tele-physical therapy and the factors that affect it. Methods: The subjects were adults aged 20 to 29 in Korea, with 199 participants consisting of 83 health majors and 116 non-health majors. The survey was conducted over a period of 14 days. The survey comprised 19 questions, including 10 questions about general characteristics and 9 questions about tele-physical therapy recognition. The results were statistically analyzed using a statistical package program. Results: There was a significant difference between the two groups regarding the recognition of tele-physical therapy, with an average of 2.64 points in health majors and an average of 1.71 points in non-health majors, showing a low overall score. There was no significant difference in perception of the necessity of tele-physical therapy, with an average of 3.71 points in health majors and an average of 3.49 points in non-health majors, showing a high score, which was defined as a score of 3 or higher. Conclusion: Health and non-health majors showed low awareness of tele-physical therapy. A high level of perceived necessity for tele-physical therapy was shown. In the perception of tele-physical therapy in health majors, 'awareness', 'health improvement', and 'convenience' affect the perception of the necessity of tele-physical therapy. In non-health majors, 'knowledge and skills', 'health improvement', 'expected treatment satisfaction', and 'resolving restrictions on hospital visits' affect the perception of the necessity of tele-physical therapy.