• Title/Summary/Keyword: Medical agency

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Development of the Evaluation Indicators of Positive Nursing Organizational Culture in a Clinical Setting (임상현장에서의 긍정적인 간호조직문화 평가지표 개발)

  • Yom, Young Hee;Noh, Sang Mi;Kim, Kyung Hee;Ji, Soon Ju;Kim, Hyun Jung
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.233-244
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    • 2013
  • Purpose: The purpose of this study was to develop the evaluation indicators of positive nursing organizational culture in a clinical setting. Methods: The evaluation indicators of positive nursing organizational culture were developed from a literature review and a focus group interview. The content validity testing was done using a clinical expert panel. The content utility testing was done using a survey questionnaire. Results: The evaluation indicators of positive nursing organizational culture consists of 88 indicators representing the eight domains with the 24 categories. The average scores in evaluation indicators of positive nursing culture included the importance (3.29 points in average), the potential for further utilization (3.14 points in average) and the current state of extension agency (2.80 points in average). Conclusion: The developed evaluation indicators can be applied to measure the nursing organizational culture, which would be the basic data to manage human resources effectively in a clinical setting.

Beating Obesity: Factors Associated with Interest in Workplace Weight Management Assistance in the Mining Industry

  • Street, Tamara D.;Thomas, Drew L.
    • Safety and Health at Work
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    • v.8 no.1
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    • pp.89-93
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    • 2017
  • Background: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. Methods: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. Results: A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

A Study on the Spatial Analysis Model to Decide Medical Institutions/Mental Health Centers for Disaster Victims

  • Choi, Eun-Hye;Hwang, Hyun-Suk;Kim, Chang-Soo
    • Journal of information and communication convergence engineering
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    • v.9 no.4
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    • pp.358-362
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    • 2011
  • The National Emergency Management Agency of South Korea has established a Disaster Victims Psychology Support Center. The Disaster Victims Psychology Support Center can enable victims who got psychological damage from disasters to return to their daily lives through healing activity, field visits and advice of experts. The previous Psychology Support Center System managed the information of disaster victims through an independent database. However, this paper proposes a system that is developed to identify medical institutions and mental health centers within a distance of radius, based on the potential Hot-Spot areas of disaster victims using the GIS Systems. The proposed system can efficiently support selection of appropriate institutions for disaster victims using their location and age, classification of damage, and damaged parts of the body. Also, this spatial analysis can assist to decide on a policy based on the location of disaster victims and the extent of damage. Therefore, this paper can provide the required information to support decision making based on the concentrated areas for disaster victims.

A Study on the Automatic Sheet Exchanger for a Hospital Bed (의료용 침대를 위한 자동 시트 교환 장치 연구)

  • Lee, Youngdae;Choi, Moonsoo;Kim, Changyoung;Chang, Changjun;Choi, Young;Eom, Giyeong
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.361-366
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    • 2019
  • Exchanging sheets for patients is one of the worst and one of the factors that makes the nursing environment difficult. Many beds with various functions for the patient have already been developed, but there is no device for automatically changing the sheets. In this study, we developed and tested the first automatic sheet changer for a medical bed and verified its performance. The developed automatic seat changer uses a torque limiter to properly adjust tension and exchange a dirty sheet and a new seat at the same time. The designed automatic sheet changer was experimentally confirmed to be properly operated and installed in a integrated multi-functional bed with bed sores prevention and automatic patient transfer functions.

Leading for Safety: A Question of Leadership Focus

  • Molnar, Malin Mattson;Schwarz, Ulrica Von Thiele;Hellgren, Johnny;Hasson, Henna;Tafvelin, Susanne
    • Safety and Health at Work
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    • v.10 no.2
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    • pp.180-187
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    • 2019
  • Background: There is considerable evidence that leadership influences workplace safety, but less is known about the relative importance of different leadership styles for safety. In addition, a leadership style characterized by an emphasis and a focus on promoting safety has rarely been investigated alongside other more general leadership styles. Methods: Data were collected through a survey to which 269 employees in a paper mill company responded. A regression analysis was conducted to examine the relative roles of transformational, transactional (management-by-exception active; MBEA), and safety-specific leadership for different safety behavioral outcomes (compliance behavior and safety initiative behaviors) and for minor and major injuries. Results: A safety-specific leadership contributed the most to the enhanced safety of the three different kinds of leadership. Transformational leadership did not contribute to any safety outcome over and above that of a safety-specific leadership, whereas a transactional leadership (MBEA) was associated with negative safety outcomes (fewer safety initiatives and increased minor injuries). Conclusion: The most important thing for leaders aiming at improving workplace safety is to continuously emphasize safety, both in their communication and by acting as role models. This highlights the importance for leadership training programs aiming to improve safety to actually focus on safety-promoting communication and behaviors rather than general leadership. Furthermore, an overly monitoring and controlling leadership style can be detrimental to attempts at achieving improved workplace safety.

Clustering for Home Healthcare Service Satisfaction using Parameter Selection

  • Lee, Jae Hong;Kim, Hyo Sun;Jung, Yong Gyu;Cha, Byung Heon
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.238-243
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    • 2019
  • Recently, the importance of big data continues to be emphasized, and it is applied in various fields based on data mining techniques, which has a great influence on the health care industry. There are many healthcare industries, but only home health care is considered here. However, applying this to real problems does not always give perfect results, which is a problem. Therefore, data mining techniques are used to solve these problems, and the algorithms that affect performance are evaluated. This paper focuses on the effects of healthcare services on patient satisfaction and satisfaction. In order to use the CVParameterSelectin algorithm and the SMOreg algorithm of the classify method of data mining, it was evaluated based on the experiment and the verification of the results. In this paper, we analyzed the services of home health care institutions and the patient satisfaction analysis based on the name, address, service provided by the institution, mood of the patients, etc. In particular, we evaluated the results based on the results of cross validation using these two algorithms. However, the existence of variables that affect the outcome does not give a perfect result. We used the cluster analysis method of weka system to conduct the research of this paper.

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

  • Seo, Ho Seok;Choi, Miyoung;Son, Sang-Yong;Kim, Min Gyu;Han, Dong-Seok;Lee, Han Hong
    • Journal of Gastric Cancer
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    • v.18 no.4
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    • pp.313-327
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    • 2018
  • The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

Tree-based Approach to Predict Hospital Acquired Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.8-13
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    • 2019
  • Despite technical advances in healthcare, the rates of hospital-acquired pressure injury (HAPI) are still high although many are potentially preventable. The purpose of this study was to determine whether tree-based prediction modeling is suitable for assessing the risk of HAPI in ICU patients. Retrospective cohort study has been carried out. A decision tree model was constructed with Age, Weight, eTube, diabetes, Braden score, Isolation, and Number of comorbid conditions as decision nodes. We used RStudio for model training and testing. Correct prediction rate of the final prediction model was 92.4 and the Area Under the ROC curve (AUC) was 0.699, which means there is about 70% chance that the model is able to distinguish between HAPI and non-HAPI. The results of this study has limited generalizability as the data were from a single academic institution. Our research finding shows that the data-driven tree-based prediction modeling may potentially support ICU sensitive risk assessment for HAPI prevention.

A Study on Examination of Health Inequality among Dying Alone Cases (고독사와 건강불평등에 대한 탐색적 연구)

  • Kim, Hae Sung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.311-318
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    • 2019
  • Dying alone is an emerging social problem in South Korea. It is reported that most cases of dying alone showed various and chronic health problems. Despite of this situation, there existed neither medical support nor welfare services when dying. It indicated severe health inequality problems. With this background, the purpose of this study was to examine health inequality issue among dying alone cases by using news paper articles during the past three years(2016-2018). Content analysis was employed for 89 dying alone cases. Characteristics of dying alone cases, types of illness and health problems, and unmet medical services were analyzed. Based on the findings, future directions were addressed.

A study on the Differences in the Accommodation Applications Selection Attributes by Lifestyles

  • Kim, Kyu-dong;Jeon, Se-hoon;Kim, Jeong-lae
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.212-219
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    • 2020
  • We conducted this study to identify the accommodation applications users' lifestyle types and the composition factors for consumers' accommodation applications selection attributes and to identify the difference in the selection attributes perception of accommodation applications between groups classified by user's lifestyle types. According to the study, 6 factors were derived as the accommodation applications users' lifestyle types and were named social/leisure-oriented type, fashion-seeking type, culture-seeking type, self-examining type, self-centered type, family-oriented type. Also 6 factors were derived as the accommodation applications selection attributes and were named convenience, interactivity, economic efficiency, transaction reliability, product reliability and informativeness. Valid clusters were divided into four groups and were named culture/tourism group, self-examining group, passive and cautious group and Social and practicality-seeking group. Most of the selection attributes perception of accommodation applications between groups had statistically significant differences(p<.05), except for some items of transaction reliability. Based on the results of this study, we should strive to establish effective marketing strategies that reflect differences in the selection attributes perception of the accommodation application between groups classified by users' lifestyle types.