• Title/Summary/Keyword: Life Support

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Status and Demand Continuing Education of the EMTs of the Korean Fire Department (119 구급대원 보수교육 실태 및 요구)

  • Kim, Ja-Young
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.2
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    • pp.13-24
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    • 2010
  • Objective : The purpose of this study is to understand the status of continuing education of the EMTs of the Korean fire department, to identify demand of them for content, method, and forms of the education, and to present basic data for developing more efficient, effective continuing education programs. Methods : The subjects of this study were 850 of the EMTs of the Korean fire department who work for fire stations located in Seoul and part of Gyeonggi-do and directly provide critical care in the field. The data was collected between February 8 and 28, 2010. Using SPSS 17.0 program, we obtained frequencies percentages, means, and standard deviations, and performed independent two sample t-test, one way ANOVA, and Cronbach's ${\alpha}$. Results : 1) As for status of the existing continuing education for of the EMTs of the Korean fire department, in general, the hour of each education was "less than four hours" (51.2%), the instructors of the education were "doctors" (65.2%), the method of the education was "lecture" (83.3%), the material for the education was "educational materials and slides" (97.2%), and the results from the education were "not helpful in job" (55.1%). 2) The effects of the EMTs of the Korean fire department were mean 2.44(${\pm}.51$), the ability was mean 2.40(${\pm}.50$), and the attitude was mean 2.49(${\pm}.57$) points. 3) As for the demands of the EMTs of the Korean fire department on the next continuing education, they preferred "the advanced cardiac life support(ACLS)" ($2.64{\pm}.62$) most in subject content, "investigating the demands of 119 emergency medical technicians annually" (44.1%) in methods to select subjects of the continuing education, "doctors and professors of Department of Emergency Medical Technology" in instructors of the education (190 persons, or 39.9%), "lectures with practices" in methods of the education (30.1%), and "One per year" (41.6%) and "less than four hours" (67.2%) in the period and hours of the text continuing education they hope. Conclusion : The continuing education for the EMTs of the Korean fire department conducts without accepting the demands of the technicians, In planning of the next continuing education, the results of this study suggest that it is needed to develop more various and professional educational program by active acquisition of the demands of the technicians.

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A Study on Nurses한 and Patients한 Perceptions of Psychotropic Medication (향정신성 약물치료에 대한 간호사와 환자의 지각 비교 연구)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.47-57
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    • 1994
  • The purpose of this study was to examine nurses’ perceptions of medication treatment for psychiatric patients and to compare these perceptions with the perceptions held by the patients. The methodology used in this study was a descriptive design with semi-structured and open-ended interviews. This study used a convenience sample of 112 nurses who worked in, and 209 patients who were under psychiatric treatment, in four hospitals attached to a university and one national mental hospital in the city of Seoul. The collected data were analyzed by SAS, using percentages for descriptive purposes, and t-test or x$^2$ for comparing the variables. The results were as follows : 1. There was no significant differences between nurses’ and patients’ perceptions on the extent to which patients complied with their medication treatment. Generally speaking, the mean compliance scores for both nurses and patients was high(nurse : (equation omitted)=3.70, Patient : (equation omitted)=3.76). 2. There was a significant difference in nurses’ and patients’ perceptions on the reasons why patients do not take medication. The nurse group indicated that the patients did not take medication because of the “worry about side effects or habituation(49.53%)”, “boredom from long-term use of medication(26.17%)” and “distrust toward medical staff(12.15% )”, but the patient group indicated that they “did not want to be dependent on medication (25%)”, “forgot to take medication(19.7%) and “worried about side effects or habituation(15.91%). 3. As for the necessity of medication, both groups showed some different responses. Even though both groups were aware of the necessity of taking medication, the patient group(21.53%) showed a more negative response. As (or the effects of medication, both groups (nurses and patients ) showed positive responses. However, the nurse group showed a higher positive response (91.07% ) than the patient group(74.16%), 5. Both the patient and nurse group indicated that the most helpful element for the patient’s life under psychiatric treatment was interviews and conversations with therapists and nurses. However, the nurse group showed a higher response(70.15%) than the patients group(47.15%). According to the patient group, family support for the patient was another important factor for psychiatric treatment and daily struggles. In conclusion, as there were differences between the perception of nurses and patients, the nurse must consider the patients’ subjective perceptions first. They should also revaluate their false belief and prejudice concerning the patients’ perceptions. Such information can provide a base to be applied by the nurses in devloping effective mutual relationships with patients which can in turn help in compliance with medication regimen. As it was confirmed that medication was the most important factor in the patients’ recovery, a thorough education program on the therapeutic effect of medication and the necessity of their continued use after discharge is also needed.

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A Study on Stress in Poor Families with School Children (학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로-)

  • Kang Hee Kyeung
    • Child Health Nursing Research
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    • v.5 no.2
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    • pp.185-197
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    • 1999
  • In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

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The Effect of a Multidisciplinary Team Approach on the Rehabilitation of Stroke Survivors (뇌졸중 환자를 위한 팀접근 재활프로그램의 효과)

  • Cho, Bok-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.2
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    • pp.137-151
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    • 2003
  • The purpose of this study was to develop a multidisciplinary team approach program for stroke survivors, and to identify its effects on their rehabilitation. The team was composed of 7 members: a rehabilitation nurse, a physician, a physical therapist, an occupational therapist, a therapeutic recreational therapist, a nutritionist, and a researcher. A quasi-experimental study was performed with 36 subjects: 18 in the experimental group and 18 in the control group, using a noneqivalent control group pretest-posttest design. The experimental group participated 4 times in rehabilitation programsfocused on information and emotional support provided by the rehabilation team-and received telephone counseling from the researcher. The control group did not receive any treatment. The selection criteria for the subjects in this study were: (a) patients who were diagnosed as having had an ischemic stroke within the last year, (b) patients free of any communication disorder, (c) and those having a primary caregiver who could assist in filling out the form assessing the level of ADL. The data were collected from patients who had been discharged from a tertiary hospital, between October 1st, 1999 and September 30th, 2000. The data were analysed by $X^2$ test, Fisher's exact test, ANCOVA, Wilcoxon's rank sum test, and Wilcoxon's signed rank test using an SAS program. The results were as follows: 1. In terms of physical variables (blood pressure, grasp power, and ADL) 1) There was a significant difference in blood pressure between the two groups (systolic pressure P= .012, diastolic pressure P= .050). 2) There was also a significant difference in grasp power between the two groups (affected side : P= .012, unaffected side : P= .010). 3) There was no significant change in the level of ADL between the two groups. 2. In terms of psychosocial variables (depression, self-efficacy, self-esteem, and social activities) 1) There were no significant differences between the two groups. However, all four psychosocial variables showed a tendency to improve in the experimental group, while only two variables (depression and self-efficacy) showed a simalar tendency in the control group. 2) The level of social activities in the control group decreased significantly after a month (P= .050). 3. The level of life satisfaction improved in both groups, but no significant difference was found. Stroke has high recurrence rate and requires considerable follow-up care. The program used in this study was developed and designed for stimulting the rehabilitation process of stroke survivors. Through the program period of one month (meetings were held weekly), a positive effect was detected in physical variables, although the psychosocial variables did not improve significantly. In retrospect, a one month period may not be an adequate length of time to improve the psychosocial variables, as the stroke survivors were complicated cases, and most of them were elderly. Further research is therefore recommended by increasing the length of program, so that its effect can be more noticeable.

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A Study on Development of BIM-based Asset Management Model for Maintenance of the Bridge (교량의 유지관리를 위한 BIM기반 자산관리 모델 개발에 관한 연구)

  • Kang, Jong-Min;Lee, Dong-Youl;Park, Jong-Bum;Lee, Min-Jae
    • Korean Journal of Construction Engineering and Management
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    • v.13 no.5
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    • pp.3-11
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    • 2012
  • The most of domestic bridge has an used life under 30 years, Future maintenance budgets can be expected to increase. However, because of bridge maintenance budgets are limited, demand for asset management being performed to achieve required performance within available budget is increasing. To perform effective asset management of bridges should be made the best use of information to occur in all phase of construction project. Therefore, the development of system and DB is required to support asset management by effective information management. The objective of this study is the development of the BIM-based bridge asset management model. Through previous research survey, BIM capabilities and asset management components were established and mutual linkages were examined. Bridge asset management model was composed of alternate assessment model. In addition, BIM-based asset management model was performed case studies to verify feasibility and applicability. The proposed model can be applied to a current bridge maintenance procedures and supported to perform effective bridge maintenance tasks within a limited budget.

Effect of new born piglet survival rate by growth in uterus during end of pregnancy and cesarean section time of fetus in specific pathogen free transgenic cloned mini pig (임신말기 자궁내 발육상태와 자궁적출 시기가 특정질병 제어 형질전환 복제동물 생후 생존에 미치는 영향)

  • Woo, Jae-Seok;Hwang, Seong-Soo;Oh, Keon-Bong;Lee, Hwi-Cheul;Yang, Byoung-Chul;Im, Gi-Sun;Lee, Myeung-Sik;Kim, Min-Kyu;Nho, Whan-Gook;Park, Soo-Bong;Hong, Sung-Goo
    • Korean Journal of Agricultural Science
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    • v.38 no.4
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    • pp.681-687
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    • 2011
  • Bioorgan transgenic cloned mini pig has a problem of growth retardation in uterus during end of pregnancy so that survival rate is very low in newborn piglet. In order to support their life after birth, cesarean section of fetus with sufficient growth in uterus was tested in this study. First of all, fetus growth measured using a ultrasound scanner during pregnancy in transgenic mini pig, comparing normal pig. After 113 days for delivering, fetus was removed out of uterus. Fetus growth for normal pig was 1.8 cm at 4weeks and 14.4 cm at end of pregnancy (15 weeks). At 113 days, fetus growth was $15.9{\pm}4$ cm in ultrasound scanner and real growth measurement from fetus removal out of uterus was $16.0{\pm}2$ cm. It is very a similar result between measurement of ultrasound scanner and real measurement. Therefore, using ultrasound scanner for measuring fetus growth will be useful to predict fetus growth in uterus.

A Study on Effect of Workplace Spirituality of Community Enterprise on Organizational Citizenship Behavior -Mediating Effects of Job Satisfaction- (마을기업에서의 일터영성이 조직시민행동에 미치는 영향에 관한 연구 - 직무만족을 매개효과로 -)

  • Cho, Young-bohk;Ha, Tae-Young
    • Management & Information Systems Review
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    • v.35 no.2
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    • pp.137-165
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    • 2016
  • Community enterprise is a type of business that simultaneously pursues public interest and profitability to vitalize the local society and economy and also an alternative endeavor to restore community by local residents using local resources. In rapid changes of business environment and social dynamics of these days, one of the alternatives to provide solutions for problems in persons and organizations is workplace spirituality. Workplace spirituality is not only beneficial to satisfaction, commitment, devotion, and organizational citizenship behavior, but also positively influential to outcome of an organization. Expanding the scope and subjects found in most previous studies on workplace spirituality of general companies, this study tries to contribute to development of community enterprises through empirical analysis of the effect of community enterprise. In result, workplace spirituality showed positively significant influence on job satisfaction, organizational citizenship behavior equally in both of community enterprises and general companies. Job satisfaction presented positively significant effect on organizational citizenship behavior. And job satisfaction mediated the relationship between workplace spirituality and organizational citizenship behavior. In addition, workplace spirituality of community enterprises showed difference from general companies showed greater coefficient and influence. Although workplace spirituality is important for general companies that pursue profit, it is shown that greater significance was found in community enterprises. Workplace spirituality, which is equivalent to A sense of calling, sense of inner life, sense of empathy, sense of community, and sense of transcendence through community enterprise, needs to be promoted and settled in community enterprises.

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The Effect of CSR Perception Within Organizations on Organizational Commitment - Focusing on The Mediation Effect of Compassion - (기업의 사회적 책임활동 인식이 조직몰입에 미치는 영향에 관한 연구 - 컴페션을 매개효과로 -)

  • Ko, Sung-Hoon;Moon, Tae-Won
    • Management & Information Systems Review
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    • v.32 no.3
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    • pp.189-220
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    • 2013
  • This article sheds light on how corporate social responsibility (CSR) perception influences organizational commitment through compassion, a mediator based on empirical data. In other words, we expect that CSR is related to team members' sense-making and then triggers changes affecting team members' attitude and behavior. Compassion plays a pivotal role in organizational life by attenuating others' pains at work. Scholars widely agree that compassion involves sympathetic consciousness of others' distress and sufferings, and caring for those others often in communicative or behavioral ways. Kornfield (1993) defines compassion as "the heart's response to the sorrow". We also define compassion as a response to other's suffering that an individual sees with the eyes of others, hears with the ears of others, feels with the heart of others, and takes actions that demonstrate his or her own compassionate acts. We also assume that CSR increases organizational commitment. According to our empirical data based on employees of 400 Korean companies, CSR perception is likely to positively influence compassion, which itself is likely to influence another dependent variable, organizational commitment. Our findings reveal a partially mediated effect, which causes CSR perception to influence organizational commitment through compassion. Finally, interpersonal justice serves as moderating elements in the relation of CSR perception and compassion whereas perceived organizational behavior has a moderating effect on both compassion and organizational commitment.

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Study on Attribute of the Time and Change of the Qi of Meridians(經氣) according to the Cycle (시간속성과 주기(週期)에 따른 경기(經氣).오유혈(五兪穴) 변화에 대한 연구)

  • Choi, Yong-Dae;Kim, Byoung-Soo;Kang, Jung-Soo
    • Journal of Haehwa Medicine
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    • v.19 no.1
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    • pp.35-48
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    • 2010
  • In Neijing("內經"), it explains heaven, earth, four seasons(天地四時) take part in human's birth, it gives influence on life support, and have organic relationship between body and movement of sun and earth(日月運行) of heaven and earth. Human body and the natural world corresponds, so the time changes in the natural world give immediate influence to human body, and correspond changes happen inside human body. This has no exception in qi of human(人氣), meridians, the viscera and organs(臟腑) and so on. In time, there are many kinds of cycles such as year, month, 10 days and a day. Yin and yang and the five elements in each cycle shows changes of prosperity and decay and transformation. In a year, there are spring, summer, late summer, fall and winter which are each included to wood, fire, earth, metal and water. Spring and summer belong to yang(陽), and fall and winter belong to yin(陰). A day can be divided into the crowing of the cook, dawn, noon, and twilight. After midnight yin falls and yang rises(陰盡陽生), and after noon yang falls and yin rises(陽盡陰生). Ups and downs of the qi and blood and human body change with time and the region of whereabout is different. In one month, when the moon is full qi of blood rises and when the moon comes down qi of blood falls. The qi of meridian(經氣) has a periodical changes with regular movement in meridian. This is a result of continuing movement of meridian and the nutrient(營) and the defense(衛) in human body, stars correspond with ups, and correspond with flow of water of meridian(經水) with downs. In a day the twelve meridians(十二經脈) in hour of yin(hours 3~5), it starts with qi and blood of lung meridian(手太陰肺經) prosperous, each qi and blood of meridian prosperous in order. In eight extra meridians(奇經八脈), Bideungpalbup(飛騰八法) per 5 days, Younggoopalbup(靈龜八法) per 60 days qi of pulse(脈氣) changes correspond. The qi and blood of five meridian points(五兪穴) is 5 days, so.

State of Parent Education and of Child Education at Home Related to Infant/Preschooler Abuse Prevention (영유아 학대예방 관련 부모교육 및 가정에서의 자녀교육 실태)

  • Sung, Young Hwa;Lee, Suk Ja
    • Korean Journal of Child Education & Care
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    • v.18 no.1
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    • pp.125-146
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    • 2018
  • The purpose of this study was to examine the state of parent education experienced by parents and the state of child education at home relation to infant/preschooler abuse prevention. The subjects in this study were 302 selected parents who resided in I city and whose children were in infancy or early childhood. A survey was conducted, and frequency analysis or chi-square test was carried out after their answer sheets were gathered. The findings of the study were as follows: As for the state of parent education, the parents who received education related to infant/ preschooler abuse prevention accounted for 12.6 percent, and the parents who were taught about all the four types of abuse outnumbered the others who weren't. The parents received that education at institutions for early childhood education by experts in child abuse and early childhood education, and they replied they were satisfied with that education. As for the state of child education, the parents who replied they provided abuse prevention education for their children at home accounted for 25.2 percent, and they answered they taught about physical abuse and how to cope with abuse. They responded they started to conduct this education in their homes when their children were in infancy, and they did it frequently in daily life mainly through conversations. They told it's difficult for them to offer this education at home due to a shortage of abuse-related materials. And whether they offered that education for their children or not at home was significantly different according to whether they received parent education or not. Given the findings of the study, the necessity of the development of manuals for abuse prevention education that can easily be used at home without any modifications was suggested, and education on neglect and the revitalization of publicity are required as well.