• Title/Summary/Keyword: Hospital ward

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User Evaluation for User-Oriented Children's Hospital Design - Focused on the Mothers of Child Inpatients and the Nurses - (사용자 중심의 어린이전문병원 계획을 위한 사용자 평가 - 어린이 환자의 보호자와 간호사를 중심으로 -)

  • Ha, Ji-Min;Park, Soo-Been
    • Korean Institute of Interior Design Journal
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    • v.25 no.1
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    • pp.192-200
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    • 2016
  • This study aims to design user-oriented children's hospital by examining the user needs, especially the mothers of child inpatients and the nurses. The subjects participated in a questionnaire survey including the user's characteristics, awareness of patient's room, the preference on ward size, demands, satisfaction and hospital environment assessment. The survey was conducted of the mothers of child inpatients and the nurses in A children's hospital, and the data were analyzed by the SPSS WIN 18.0 Version software. A total of 115 copies of the questionnaire were finally analyzed. The results and conclusions are as follows. 1) The mothers' demand on family-centered space and private spaces were higher than the nurses. 2) The mothers preferred 1-bed-room to 4-bed-room due to safety and privacy. 3) The items of hospital environment assessment was categorized into four factors; 'Aesthetics', 'Accessibility', 'Comfort', and 'Lighting'. The most positive factor was 'Aesthetics', whereas 'Comfort' was the negative factor. 4) The mother's satisfaction was lower than the nurse's. The most influential factors on the satisfaction was 'Accessibility'. To improve the satisfaction of the mothers of child inpatients and the nurses, safety, privacy, accessibility should be considered.

Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department (일 권역응급의료센터를 방문하는 요양병원 환자들의 특성 및 사망 위험요인)

  • Kim, Kyoung Wan;Jang, Soongnang
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.327-336
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    • 2016
  • Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

Saliva Supernatant miR-21: a Novel Potential Biomarker for Esophageal Cancer Detection

  • Xie, Zi-Jun;Chen, Gang;Zhang, Xu-Chao;Li, Dong-Feng;Huang, Jian;Li, Zi-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6145-6149
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    • 2012
  • Objective: To identify whether saliva supernatant miR-21 can serve as a novel potential biomarker in patients with esophageal cancer (EC). Methods: 32 patients with EC and 16 healthy controls were recruited in this study. Total RNA was extracted from saliva supernatant samples for measurement of miR-21 levels using RT-qPCR and relationships between miR-21 levels and clinical characteristics of EC patients were analyzed. Results: miR-21 was significantly higher in the EC than control groups. The sensitivity and specificity were 84.4% and 62.5% respectively. Supernatant miR-21 levels showed no significant correlation with cancer stage, differentiation and nodal metastasis. Conclusions: Saliva supernatant miR-21 may be a novel biomarker for EC.

The Study of Diagnostic Results Discordance Analysis on BMD Using DEXA (이중에너지 X선 흡수 계측법을 이용한 골밀도 검사 시 진단불일치에 대한 분석)

  • Park, Won-Kyu;Kang, Yeong-Han;Jo, Gwang-Ho
    • Journal of radiological science and technology
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    • v.31 no.1
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    • pp.25-31
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    • 2008
  • Purpose : This study was conducted to understand for the diagnostic discordance of bone mineral density(BMD) in DEXA(Dual Energy X-ray Absorptiometry). And the diagnostic difference between lumbar spine and femur neck, forearm was evaluated using T-score. Materials and Methods : We studied 220 females measured BMD on lumbar spine, and femur neck, forearm including ward's triangle and ultra digital(UD). We were distinguished T-score into normal, osteopenia, osteoporosis(WHO classification) and evaluated discordance rate according to age and degree of bone loss. Correlation analysis and chi-square test between L-spine, L-4, femur neck, Ward, Forearm, UD were carried out. Results : In the lumbar spine, the number of normal were in 57(25.9%), osteopenia in 86(39.1%), osteoporosis in 77(35.0%). In the L-4 and ward's triangle, the number of osteoporosis were in 78(35.5%), in 126(57.3%). There was significant correlation between lumbar, femur neck and forearm BMD in all cases. The discordance of BMD between lumbar and femur were 57%, lumbar and forearm 43%, forearm and femur 51%. The discordance rates of normal, osteopenic, osteoporotic groups were 39%, 64%, 43%, respectively, showing the highest discordance rate in osteopenia patients. In normal group of lumbar spine, the discordance rate was 25%, 23%, 11%, 65%, 86% in 30', 40', 50', 60', 70', respectively. In osteopenia, osteoporosis group of lumbar spine, the discordance rate was 62%, 55%, 36%, 20%, 9% in 30', 40', 50', 60', 70', respectively. Conclusion : It was different of the results of BMD with lumbar, femur and forearm site. The discordance rate was decreased with age in osteopenia, osteoporosis lumbar spine. In osteopenia group, the discordance rate was the highest. So, it is necessary that the BMD of lumbar, femur neck and forearm should be checked.

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The Methicillin - Resistant Rate of Staphylococcus Aureus Isolated from the Nares and Throat of Patients Admitted to Medical Intensive Care Unit (내과계 중환자실 입원환자의 비,인후 배양에서 메치실린내성 황색포도구균의 빈도)

  • Kim, Hi Gu;Cho, Jae Hwa;Ahn, In Sun;Yoon, Byoung Gap;Lee, Keum Ho;Ryu, Jeong Sun;Kwak, Seung Min;Lee, Hong Lyeol;Kim, Jin Joo
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.2
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    • pp.151-156
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    • 2005
  • Background : Methicillin-resistant Staphylococcus aureus (MRSA) is an important pathogen in hospital-acquired infection, and is prevalent in intensive care units (ICU). The MRSA colonization rates of the nares and throat were examined in both the ICU and general ward. This study was performed to investigate the MRSA rate and necessity for MRSA screening cultures in patients admitted to ICU. Methods : Between June and September 2004, those patients admitted to both the medical ICU and general ward participated in this study. Bacterial cultures were performed on swabs of the nares and throat taken within 24 hours of admission. Clinical data were also collected. Results : One hundred and twenty one patients and 84 patients, admitted to the medical ICU and medical general ward, respectively, were investigated. The numbers of nasal MRSA colonization in the ICU and general ward were 3 (2.5%) and 3 (3.6%), respectively. There were 2 (1.7%) cases of throat MRSA colonization in the ICU, but none in the general ward. The MRSA colonization rates of the nares and throat were no different between the ICU and general ward. There were no significant differences in the previous admission, operation history and admission route between the ICU and general ward groups. Conclusion : The MRSA colonization rates of the nares and throat were 3.3 and 3.6% in the ICU and the general ward, respectively. The MRSA screening test does not appear to be required in all patients admitted to the ICU, but further studies, including high-risk patients, are recommended.

A Study on Work Stress Perceived by Clinical Nurses (간호사의 업무 스트레스에 대한 연구 -정신과 간호사 중심-)

  • 배정이;서문자
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.259-272
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    • 1989
  • This study was designed to measure the degree of work stress perceived by clinical nurses working in psyciatric ward, and to identify the factors influencing the difference of work stress. The survey method was used and the subjects of this study consisted of 135 psyciatric nurses from 7 university hospitals and 4 provincial general hospitals. The data were collected from August 1 to 20, 1988. The instrument used for this study was PNOSS(Psychiatric Nurse Occupational Stress Scale) which was developed by Bai(1989). The confidence verification of this instrument was computed and the Cronbach $\alpha$ was 0.94050. Data were analysed by t-test and ANOVA on 5% significant level with SPSS program. The results of study were summerized as follow : 1) The degree of perceived stress among psychiatric nurses was considerably high(4.32 out of 6.00). 2) Among the stressors, inadequate staffing(5.04), hospital administrational problems (4.7) and the conflict of nurse-patient relationship were identified as the stress factors with high rank of degree of stress. 3) There was significant relationship between the degree of stress and the demographic variables of nurses such as the marital status, educational level, and the motivation of working in psychiatric ward. 4) There was significant relationship between the job-related variables such as the working duration, the motivation of working and nurse's attitude toward the psychiatric patients. 5) The relationship between several stress factors and some of the demographic and the job-related variables were significantly identified.

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A Study on the Planning of Indoor Environment of Corrective Facility Ward Building as Healing Environment (치유 환경으로서 교정시설 수용동의 실내 환경 계획 연구)

  • Ki, Ha-Ri;Nam, Kyung-Sook
    • Korean Institute of Interior Design Journal
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    • v.19 no.5
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    • pp.29-37
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    • 2010
  • The objective of correction is to let criminals receive education, be reformed and get vocational training during prison term by being separated from society and live as sound citizens after being released from prison. The facilities that execute such mission are referred to as corrective institution, and in Korea, some 47,000 persons are accommodated at 50 locations. Corrective facilities are facilities existing to separate and accommodate criminals safely, and return them to society after eliminating criminal nature from the convicts during the accommodation period. But corrective facilities in Korea representing the characteristics of corrective facilities vividly focusing on security. Therefore, while present pursuit of corrective facilities is to seek for reformation of criminals rather than separation of them from society, existing prison buildings are not appropriate facilitated at the moment. This study has the purpose to planning of indoor environment of corrective facility ward building as healing environment. Specifically, this study is contributing to propose a model of criminals healing environment equivalent to hospital facility to raise the effect of healing the criminal nature of criminals and cut the period of restoring them by applying healing environment elements and return the criminals to the society as successfully reformed social member.

Clinical Practice Performance According to Type of Practices and Satisfaction of Clinical Practice in Students at Child Health Nursing (아동간호실습 운영형태에 따른 간호학생의 임상실습수행도 및 실습만족도)

  • Kim, Jisoo;Lee, Ae-Ran;Eo, Yongsook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.542-548
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    • 2013
  • Purpose: This study was conducted to explore clinical practice performance according to type of practice in students in pediatric nursing and the relationship with satisfaction of clinical practice. Methods: The subjects consisted of 531 nursing students (307 at a pediatric ward and 224 at a nursery) from 5 colleges of nursing. Data collected from March to June 2012 were analyzed using descriptive statistics, t-test, AVONA and Pearson correlation coefficients. Results: Clinical practice performance on direct nursing activity was significantly different according to the course on pediatric nursing, grade point average, and satisfaction of nursing major. Observation practice was different according to type of college, the course on pediatric nursing, grade point average, duration of practice and clinical educator in the pediatric ward. In the nursery, direct nursing activity was significantly different according to the type of college, the course on pediatric nursing, hospital type, and duration of practice. Observation practice was different according to type of college, satisfaction of a nursing major, and the clinical educator. In addition, significant correlations were found between clinical practice performance and satisfaction of clinical practice. Conclusion: Our research can assist effective pediatric nursing practice planning for nursing students.

The Effects of Education Using a Relocation Information Guidebook on Relocation Stress, Anxiety, and Education Satisfaction in Family Caregivers of Patients in Neurosurgical Intensive Care Units (전실정보 가이드북을 이용한 교육이 신경외과 중환자실 환자가족의 전실스트레스, 불안 및 교육만족도에 미치는 효과)

  • Lee, Hyeon Ju;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.43-54
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    • 2015
  • Purpose: This study aimed to identify the effects of education, using a relocation information guidebook, on the family caregivers of patients who were scheduled to be transferred from a neurosurgical intensive care unit to a general ward. Methods: They were divided into two groups: an experimental group (n = 21) and a control group (n = 20). A relocation information guidebook was created based on a literature review and an interview with five family caregivers about how to satisfy their needs. The collected data were analyzed with a ${\chi}^2$ test, Fisher's exact test, paired t-test, and t-test. Results: The effect of education, using the relocation information guidebook, on the family caregivers of patients who were relocated to a general ward from the neurosurgical intensive care unit was not significant for relocation stress (t = 0.94p, = .352) or anxiety (t = 1.25, p = .217), but was significant for education satisfaction (t = -2.50, p = .017). Conclusion: There were no differences in relocation stress and anxiety scores between the control and experimental groups. However, several methodological issues were highlighted that must be considered in future research, including the timing and measurement of transfer anxiety, and the intervention itself.

The Relationship between Emotional Intelligence and Stress Coping of Nurses (간호사의 감성지능과 스트레스 대처와의 관계)

  • Park, Hyoung-Sook;Ha, Jae-Hyun;Lee, Mee-Hun;Lee, Hyun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.466-474
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    • 2014
  • Purpose: The purpose of this study was to identify the relationship between emotional intelligence and stress coping of nurses in hospitals. Method: The study was a descriptive-correlational study with a convenience sample of 298 nurses. Descriptive statistics t-test, Mann-Whitney U, One-way ANOVA and Pearson correlation coefficients were used for data analysis. Results: The results of this study were as follows; Emotional intelligence was higher in married nurses than unmarried nurses (t=-2.90, p=.004). Nurses with a clinical career of 4~7 years had better stress coping than nurses with shorter careers (F=5.60, p=.004). Ward nurses better stress coping than nurses in emergency rooms and Intensive care units (F=4.43, p=.013). Fixed shift nurses had better stress coping than nurses on rotation shifts (t=-2.37, p=.019). There was a significant positive correlation between emotional intelligence and stress coping(r=.29, p<.001). Conclusion: The results indicate that stress coping is better in nurses with higher emotional intelligence, 4~7 year clinical experience, working on ward a as well as having a fixed shift. However further development and application of programs which can improve nurses' emotional intelligence are needed.