• 제목/요약/키워드: Medical Service Orientation

검색결과 36건 처리시간 0.023초

간호·간병 통합병동에 입원한 노인환자의 낙상예방교육 효과 (Effect of Fall Prevention Education for Older Patients in Comprehensive Nursing Care Service Ward)

  • 심송미;김은하
    • 한국보건간호학회지
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    • 제33권2호
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    • pp.200-213
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    • 2019
  • Purpose: This study was conducted to examine the effect of a fall prevention education on the fall related knowledge and fall prevention behavior of the elderly patients in comprehensive nursing care service wards. Method: A quasi experimental study with control group and experimental group was used. A total 62 elderly patients in comprehensive nursing care service wards were randomly divided into the experimental group(n=30) and the control group(n=32). The data collection period was from August to December, 2017. Data were analyzed with $X^2-test$, paired t-test, independent t-test and Pearson's correlation coefficient by using SPSS 25.0. Results: Experimental group reported higher score in fall related knowledge than the control group(t=-10.28, p<.001). Participants who viewed DVD and received the leaflet education reported higher score than those with routine admission education(t=-6.51, p<.001). The experimental group showed significant improvement in fall related knowledge and fall prevention behavior(r=.21, p=.015). Conclusion: The fall prevention program was effective in improving fall-related knowledge and fall prevention behavior among elderly patients. Since the DVD plus leaflet education was effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly patient in comprehensive nursing care service wards.

의료서비스 제공자들의 코로나 및 환자 관련 사회적 스트레스의 영향력에 관한 연구 (A Study on the Impact of COVID-19 and Patient-Related Social Stress on Healthcare Providers)

  • 박사라;장영혜
    • 보건의료생명과학 논문지
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    • 제10권2호
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    • pp.285-293
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    • 2022
  • 본 연구는 코로나 상황에서 의료서비스 제공자들의 코로나 스트레스와 환자 관련 사회적 스트레스(부당요구, 공격성)가 감정적 소진 및 친환자 지향성에 미치는 영향을 확인하는 것이다. 또한 의료 서비스 제공자들의 일에 대한 의미감이 코로나로 인한 환자 관련 스트레스가 감정적 소진 간의 관계에서 조절변수의 역할을 확인하는 것이다. 자료는 의료서비스 제공자들을 대상으로 온라인 조사를 통해 수집하였으며, 최종 219부를 분석에 사용하였다. 분석 결과, 의료서비스 제공자들을 코로나 스트레스는 감정적 소진을 증가시키는 요인이라는 것이 확인되었으며, 환자 관련 스트레스의 경우에는 환자의 부당요구는 감정적 소진을 증가키는 것으로 확인되었으나 공격성은 통계적으로 유의미한 결과가 나타나지 않았다. 이러한 연구 결과는 의료서비스 품질향상을 위한 이론적 시사점뿐만 아니라 내부직원 관리를 위한 방안을 마련하기 위한 관리적 시사점을 제공할 수 있다.

수상인명구조 교육 참여 대학생들의 목표지향, 몰입경험 및 자아성취감에 관계된 요인 (Relationship of Goal Orientation, Flow Experience and Self-Accomplishment among College Students Receiving Lifeguard Education)

  • 김윤원;문태영
    • 한국산학기술학회논문지
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    • 제12권5호
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    • pp.2214-2221
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    • 2011
  • 본 연구는 수상인명구조원 교육 참여 대학생들의 목표지향, 몰입경험 및 자아성취감에 관계된 요인을 파악하기 위해 시도하였다. 첫째, 수상인명구조원 교육 참여 대학생들의 목표지향 중 과제관여는 인지몰입과 행동몰입에 자아관여는 인지몰입에 영향을 미쳤다. 둘째, 수상인명구조원 교육 참여 대학생들의 목표지향의 하위변인인 과제관여는 자아성취감의 자아실현, 능력발휘, 능력개발에 영향을 미쳤다. 또한 자아관여는 자아실현에 영향을 미친다. 셋째, 수상인명구조원 교육 참여 대학생들의 몰입경험의 하위변인인 인지몰입과 행위몰입은 자아성취감의 자아실현, 능력발휘, 능력개발에 영향을 미쳤다. 넷째, 수상인명구조원 교육 참여 대학생들의 목표지향은 몰입경험과 자아성취감에는 직접적인 관계, 몰입경험을 매개로 자아성취감에 간접적인 인과적 관계가 있다. 이러한 결과들로 보아 수상인명구조원 교육을 주관하는 단체에서는 프로그램 개발을 통하여 자발적으로 교육에 참여하는 교육생들에게 양질의 체계적인 실무 훈련 교육을 통해 인명구조에 대한 자신감 및 교육의 효과를 얻을 것으로 사료된다.

한 종합병원 구성원의 경영목표 지향성의 구조적 모형과 선호 경영성과지표 (A Structural Model of Management Goal Orientations and Preferred Goal Achievement Index in one Hospital Employees)

  • 박재성
    • 보건행정학회지
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    • 제17권1호
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    • pp.50-74
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    • 2007
  • The purpose of this study was to identify a determent of mastery approach goal and performance approach goal using a basic concept of goal orientations and goal setting theory, and to evaluate a preference of goal achievement index as a balance score card (BSC). The study model proposed had a adoptable level of goodness of fit index(.94) and root mean square residual(.08). The meditating variable, goal contribution, totally mediated the impact of goal commitment, Y-theory human behavior, and self-efficacy but organizational resource contribution for pursuing goal orientation. Moreover, goal contribution significantly determined mastery approach goal(p<.01) and performance approach goal(.05). In standardized effects, the most powerful antecedent of mastery approach goal and performance approach goal were in order of organizational resource contribution(.27/.28), goal contribution(.21/.17), self-efficacy(.07/.06), and Y -theory human behavior and goal commitment(.05/.05), respectively. Moreover, goal contribution had a more powerful impact on mastery approach goal(.21) rather than performance approach goal(.17). In the preference of BSC, all job types preferred learning and growth index in first. In the second preference, medical doctors and pharmacists chose financial results, nurses customer service, and office managers internal processes. Each job type reflected its' own preferred BSC index to that of the other job types. In comparing a preference of four BSC index of each own job type, it was statistically different at p<.001. In conclusion, one who emphasize organizational goal contribution in pursuing goal orientation has a more strong orientation toward mastery approach goal rather than performance approach goal. A hospital should overcome and harmonize the different preferences of four BSC index since the differences might cause organizational conflicts among job types with having each unique professional norm.

일부 지역 치위생과 학생과 치과위생사를 대상으로 한 치과홈페이지 인식도 조사 (A survey on the understanding of dental homepages by students of dental hygiene departments and dental hygienists in some regions)

  • 김선영;오정숙;문상은
    • 한국치위생학회지
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    • 제11권4호
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    • pp.453-464
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    • 2011
  • Objectives : The purpose of the study is to gain some basic material for the improvement of dental clinics' homepages through a survey investigation, in which college students of Dental Hygiene Departments and Dental Hygienists in Kwangju and Cheollanamdo Province Methods : It conducted the self-reported questionnaire survey on the Recognition Degrees of the Dental Clinics' Homepages from May 26, 2010 to October 19 targeting 240 dental hygienists who are working for dental offices and 638 college students of Dental Hygiene Departments. Results : 1. It was asked whether they have visited dental homepages for the recent one year; 'yes' answers occupied 68.1%, double than 'no' answers. 2. It was asked how much they know services provided in dental homepages; The more respondents correctly answered that there exist all these services like general information service, visitor's book and bulletin board service, reservation service, dental information service, counseling service, and visual service. 3. All the respondents answered that the homepage of each dental clinic is closely related with the image of the clinic : freshmen showed 3.84, sophomore showed 4.03, juniors showed 4.03, and dental hygienists showed 3.88. 4. It was asked how much they know services provided in dental homepages; Are there the homepages for dental hygienists? Many of them answered that IT experts or businesses are managing the homepages in the technical respect(38.4%) and their use and general administration mainly belongs to dental hygienists(46.2%). Conclusions : It is necessary that through the studies of dental hygienists' interest and understanding on dental homepages we have to seek the development orientation of the technical management and the way of using them, and furthermore we have to know the thoughts of patients on dental homepages, who are users of the dental informations, and find the ways of improving medical services which the patients want.

성형외과 다인스케이프(DINESCAPE)가 환자만족과 장기적 관계유지의도에 미치는 영향 -중국인 환자를 중심으로- (The Effect of DINESCAPE on the Patient Satisfaction, and Long-Term Relationship in the Plastic Surgery -Focusing on Chinese Patients-)

  • 양정화;김세범
    • 한국병원경영학회지
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    • 제19권4호
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    • pp.34-44
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    • 2014
  • The objective of this study is to analyze the effects of DINESCAPE on patient satisfaction and the intention of maintaining long-term relationship for Chinese Patients who received medical services at plastic surgery clinics in South Korea. For an empirical analysis, a total of 250 respondents were surveyed from may 1 to october 20, 2014. Of these, 200 respondents were considered to be reliable for statistical analysis. According to the analysis results, among the components of DINESCAPE, atmosphere, cleanliness, convenience and accessibility, employees service, and the convenience of using the websites had positive effects on patient satisfaction, which exerted a positive effect on the intention of maintaining long-term relationship with patients.

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The Primary Care Performance of Three Types of Medical Institutions: A Public Survey using the Korean Primary Care Assessment Tool

  • Jung, Hye-Min;Jo, Min-Woo;Kim, Hyun-Joo;Jang, Won-Mo;Lee, Jin-Yong;Eun, Sang-Jun
    • 한국의료질향상학회지
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    • 제25권2호
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    • pp.16-25
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    • 2019
  • Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

DACUM 법에 의한 병원행정사 직무분석 (Job Analysis of Hospital Administrator Based on the DACUM Method)

  • 유형식;김영훈;김기훈
    • 한국병원경영학회지
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    • 제16권1호
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    • pp.124-141
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    • 2011
  • The purpose of this study was to analyze of hospital administrator based on the DACUM(Developing A Curriculum) method. The contents of this study were to extract the duties, tasks consisting of job of hospital administrator and to investigate levels of importance, difficulty, frequency and entry level on each task, and to make out a job model of hospital administrator. A DACUM committee was composed to analyze job of hospital administrator and the committee members were total 9, a facilitator, 7 hospital administrator and a recorder. The major findings of this study were as the followings; first, duties in job of hospital administrator were total 13, which were organization of hospital administration affairs, health insurance review & assessment, general affairs, personnel management, hospital planning & management, medical quality improvement, hospital financial affairs, logistics management, facilities management, computerized system management, education & study supports, medical staffs' perceptions of service quality both directly and indirectly through their perceptions of patient orientation. These findings implied that HPWS would be a way of survival in drastically changing hospital environments.

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압출적층조형 공정 기반 3D 프린팅 제품 기계적 특성의 지배적 공정인자 도출 및 최적화에 관한 연구 (Identification and Optimization of Dominant Process Parameters Affecting Mechanical Properties of FDM 3D Printed Parts)

  • 김정섭;조난현;남정수;이상원
    • 대한기계학회논문집A
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    • 제41권7호
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    • pp.607-612
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    • 2017
  • 최근 다양한 분야에 적용되고 있는 적층 가공 기술(AM)은 복잡한 형상 제조 및 재료 비용 절감으로 인해 혁신적인 제품 생산 방법으로 각광을 받고 있다. 그 중에서도 압출적층조형(Fused Deposition Modeling, FDM) 공정을 통한 친환경 부품 제조는 의료 분야산업에서 많은 주목을 받고 있다. 따라서, 본 논문에서는 친환경 생분해성 재료인 Poly Lactic Acid(PLA)를 사용한 FDM 공정 실험을 수행하고 제작된 적층 시편에 대한 인장 시험을 적용하여 주요 FDM 공정 변수인 적층 두께, 적층 방향, 적층 충진량이 인장 시편의 기계적 성질에 미치는 영향을 정량적 및 정성적으로 분석하고 이를 극대화하는 각 공정 변수의 최적값을 도출하였다.

조손가족의 문제점과 지원에 대한 정향성 연구 (A Study on the Orientation for Problems and Support in Grandparent and Grandchildren Family)

  • 조수정;김종진
    • 웰빙융합연구
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    • 제1권1호
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    • pp.21-26
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    • 2018
  • Modern society has become an aging society, and the National Statistics Office(NSO) expects that Korea will be also an aging society by 2019, that is, people over the age of 65 will account for 14 percent from the total population. In addition, the increase of labor flexibility is also one of the dramatic features in modern society. However, this social shift have unpredictable results, that is, the advent and increase of grandparent and grandchildren family. Modern medical technology has given Koreans longer expectancies, and structural and economic changes in society have brought early retirement. One of the main reasons that grandparent and grandchildren family increase is below an average of two children per family. There are various services available such as Health support center, Dream start center, Youth support center, Community child center, and Community welfare center. Besides, schools operates various programs for grandparent and grandchildren family with social workers and school counselors. But, most of all, what is necessary is a change of perspective on them. Basically, we need to develop a clear perspective on grandparent and grandchildren family as a not dismantling family type but alternative family type with creating a separate program or service