• Title/Summary/Keyword: Medical conflict

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Effects of Psychosocial Work Environment on Stress, Depression, Sleep Disorder, and Burnout of General Hospital Nurses (일개 종합병원 간호사의 스트레스, 우울, 수면장애, 소진에 대한 사회심리적 업무환경의 효과)

  • Lee, Yangsun;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.2
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    • pp.114-121
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    • 2015
  • Purpose: The purpose of this study was to assess the psychosocial work environment of hospital nurses to identify influences of psychosocial work environment on stress, depression, sleep disorder, and burnout. Methods: A total of 219 nurses working in one hospital were surveyed by using the Korean version of the Copenhagen Psychosocial Questionnaire (COPSOQ-K) mental health and psychosocial work environment. The impact of the psychosocial work environment on mental health was analyzed using multiple regression. Results: Mental health variables are correlated with each other. The psychosocial work environment variables and mental health variables are mostly correlated. To assess the psychosocial work environment that affects mental health the most, multiple regression was used. Work-family conflict was the most powerful explanation of all the mental health variables. Work pace, social community at work, mutual trust among employees, predictability, and influence were found to be affecting some mental health variables. Conclusion: To improve the mental health of nurses, it is necessary to consider work pace, social community at work, mutual trust among employees, predictability, influence focus on work-family conflict.

A New Instrument for Measuring the Optical Properties of Wide-field-of-view Virtual-reality Devices

  • Ahn, Hee Kyung;Lim, Hyun Kyoon;Kang, Pilseong
    • Current Optics and Photonics
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    • v.6 no.4
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    • pp.392-399
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    • 2022
  • Light-measuring devices (LMDs) are frequently used to measure luminance and color coordinates of displays. However, it is very difficult to use a conventional LMD for measuring the optical properties of virtual-reality (VR) devices with a wide field of view (FOV), because of their confined spaces where the entrance pupil of a LMD is located. In this paper, a new LMD that can measure the optical properties of wide-FOV VR devices, without physical conflict with the goggles of the VR device, is proposed. The LMD is designed to fully satisfy the requirements of IEC 63145-20-10, and a pivot-point correction method for the LMD is applied to improve its accuracy. To show the feasibility of the developed LMD and the correction method, seven VR devices with wide FOV are measured with it. From the results, all of them are successfully measured without any physical conflict, and a comparison to their nominal values shows that the FOVs have been properly measured.

Factors Affecting Turnover Intention among Married Nurses in Small and Medium-sized Hospitals (중소병원 기혼간호사의 이직의도에 영향을 미치는 요인)

  • Kim, Ju Won;Kim, Hye Jin
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.1
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    • pp.1-8
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    • 2023
  • Purpose: This descriptive study analyzed the factors affecting turnover intention among married nurses in small- and medium-sized hospitals with less than 300 beds. Methods: Data were collected from 177 married nurses located in K city from April 8, 2022 to April 21, 2022 using a questionnaire. Descriptive statistics, independent tests, one-way ANOVA, Pearson's correlation coefficient test, and multiple regression were analyzed using the SPSS/WIN 22 program. Results: Nurses rated items on a scale of five points. Their average rating for job satisfaction was 3.43±0.30, resilience was 3.51±0.38, and role conflict was 2.60±0.63. The nursing practice environment was rated 3.12±0.44, and turnover intention was 3.14±0.62 points. Age, job satisfaction, and nursing practice environment accounted for 25.1% of turnover intention (F=6.90, p<.001). Conclusion: To decrease married nurses' turnover intention in small- and medium-sized hospitals with less than 300 beds, these findings can help develop a program that addresses the causes of high turnover amongst married nurses in local hospitals.

A Study On The Life View of The Theory of Yin Yang Wu Xing in The Nei Ching (『횡제내경』 음양오행의론에 나타난 생명관 초탐)

  • Won Jong Sil;Kum Kyung Su
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.5
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    • pp.1270-1274
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    • 2004
  • In the Nei Ching. the interrelation of Yin and Yang within the human body. based upon a perfect balance and a perfect mutual control. The affinity of Yin and Yang to each other was held to have a decisive influence upon man's health. Perfect harmony between the two primogenial elements meant health. Disharmony or undue preponderance of one element brought disease and death. The interrelation of Yin and Yang in the Nei Ching, had the organic view of the life. The world view of the harmony and balance in Nei Ching shows a unified world view that is symmetrical and in equibrilium in unity and conflict of opposite elements instead of combining with the closely related elements, namely, it is a fact that the life principle of the theory of Yin and Yang in Nei Ching is not the object of the killing and destroying for unity and conflict of opposite elements but the life cycle and life rule for the purpose of achieving the world of harmony, coexistence, and engendering via check and balance as well as confrontation between the opposite elements. In Nei Ching, like this, in the case where all of the antagonistic elements including the antagonism between You and Me, Yin and Yang affirm and tolerate each other, the organic view of the life in which the life of You and Me and the macrocosm is able to be maintained is suggested to the human being at a whole crisis.

Association of nursing activity participation and clinical practice stress with career maturity during clinical practice of nursing college students (간호대학생의 임상실습 중 간호활동 참여도, 임상실습 스트레스와 진로성숙도의 관계)

  • Han, Seo Young;Kwak, Su Jin;Choi, Bo Gyeong;Jeon, Hyeong Ju;Lee, Myung Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.4
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    • pp.337-347
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    • 2020
  • Purpose: The purpose of this study was to figure out the association of nursing activity participation and clinical practice stress with career maturity during clinical practice among nursing college students. Methods: Participants of the study were 201 nursing college students located in nationwide regions. Data collection was performed between July 18 and August 8, 2019. Data analyses were performed through an independent t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using SPSS WIN 25.0. Results: The results of this study were as follows. We ran multiple regression analyses to see which critical factors influenced career maturity. The general characteristics significantly associated with career maturity were preference for clinical nursing, admission to nursing college due to belief, time off, and being satisfied with clinical practice. Regarding clinical practice stress, clinic environment, interpersonal relationship conflict, inappropriate role model and conflict with patients were significantly associated with career maturity. Conclusion: This study suggested that, to improve nursing students' career maturity, nursing colleges and training fields should collaboratively make an efforts to reduce students' stress by building educational clinic environments including managing conflicts in interpersonal relationships among patients, caregivers, and medical and non-medical personnel, and improving inappropriate role models in nursing.

German Heilpraktiker system, its history and current status (독일 자연치료사(Heilpraktiker) 제도 현황과 형성과정)

  • Park, Inhyo;Kim, Dongsu
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.3
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    • pp.45-60
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    • 2018
  • Background : There have been a variety of healthcare systems related to CAM practitioners developed in each country. However, the European cases have not been widely introduced in Korea so far. In the case of Germany, CAM practices have been developed in the frame of "Heilpraktiker" system. Objectives : The objectives of this study were to review the historical development and current situation of German Heilpraktiker system and its conflicting relationship with Western medical doctors, in order to utilize it as basic data for the conflict resolution between Western- and KM doctors in Korea. Methods : The historical development, current regulations and education system of Heilpraktiker were assessed. Research articles, reports, government publications and websites dealing with this issue were searched for and analyzed. Results : Heilpraktiker system was developed within German historical and cultural situation where naturopathic traditions were reilluminated in connection with modernization process of the state under the influence of romanticism formulating German nationalism. Between the concept of "Kurierverbot"(prohibition on medical treatment by non-physicians) and "Kurierfreiheit"(freedom of medical treatment), Heilpraktiker achieved a limited but legitimated right to conduct non-biomedical treatments from the state in the process of the formulation of modern German medical system. In this process, the conflicts between medical doctors and heilpraktikers have been also growing up to now. Conclusions : Heilpraktiker system, officially recognized with the legislation of Heilpraktiker law in 1939, stands at a crossroads between the continual development through strengthening its professionality, and abolition of the system due to its lack of quality control and medical evidence mostly argued by Western medical doctors, which has considerable implications for Korean situations in terms of the conflicting relationship between KM- and Western medical doctors. In this regard, it is necessary to discuss the debates on the concept "Kurierfreiheit"(freedom of medical treatment) developed within German tradition of medical pluralism.

Job Stress and Work-Related Musculoskeletal Symptoms of 119 Emergency Medical Technicians (119 구급대원의 직무스트레스와 근골격계 증상과의 관계)

  • Hong, Sun-Woo;Uhm, Dong-Choon;Jun, Myung-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.223-235
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    • 2010
  • Purpose: This study was done to investigate the prevalence of job stress and musculoskeletal symptoms, and to identify the factors that affect work-related musculoskeletal symptoms of the 119 Emergency medical technicians (EMT). Method: From August 26 to September 10, 2010, the data were obtained from 456 EMT working in Daejeon city or Choongnam province. For data analysis, descriptive statistics and multiple logistic regression were performed using SAS version 9.1. Results: Physical environment, job demand, interpersonal conflict, and occupational climate were stressful to 119 EMT. The prevalence of musculoskeletal symptoms of female EMT was higher than those of the male EMT's. After gender and age were adjusted, there ware significant relationships between musculoskeletal symptoms and some risk factors including occupational class, hours of intensive musculoskeletal use, previous injury or work-related injury, physical burden, and job stress. Overall, a higher degree of job stress increased musculoskeletal symptoms. Conclusion: Job stress is a major cause of musculoskeletal symptoms. To prevent and manage musculoskeletal disease of 119 EMT, there is a need to develop a management program for musculoskeletal symptoms to reduce occupational stress, considering gender differences.

A Study on the Yin-Yang Theory in 『Tongsokanuihagwollon(通俗韓醫學原論)』 (통속한의학원론(通俗韓醫學原論) 음양편(陰陽篇)에 관한 고찰(考察))

  • Kim, Hoon;Lee, Hai-Woong
    • The Journal of Korean Medical History
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    • v.24 no.2
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    • pp.17-24
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    • 2011
  • Cho Heon Yeong's 'Tongsokanuihagwollon' is an introductory and essential book on Traditional Korean Medicine(TKM), and now we can nearly take it as classic. It contains almost whole contents of TKM : physiology, pathology, herbology, meridian & acupoint, internal medicine, diagnostics, formula science, etc. He wanted to help people get TKM services easily on their own through this book. In the first chapter following the introduction, he inserted Yin-Yang theory, and his lecture on Yin-Yang theory continues for 88 pages, taking 17% of the whole book. Yin-Yang theory chapter is composed of 14 parts which tells about concept, definition and meaning of Yin-Yang, change of Yin-Yang according to time, season, constitution, body region, meridian, herb, etc. Last part refers to disharmony & dysfunction of Yin-Yang in body, so he showed both theoretical and clinical view of Yin-Yang theory. He wrote some quotations from the book 'Complete Works of Jingyue(景岳全書)', 'Huangdi's Internal Classic(黃帝內徑)', 'Introduction to Medicine(醫學入門)', etc. He tried to explain easily about Yin-Yang theory with modern but rough language of science. He seemed to already know clearly that without modern science TKM cannot progress and will soon be overwhelmed by western medicine, and acted his own way to spread spirit of TKM in the period of rapid change & conflict between two civilizations.

An Initial Practice Experience of EMT Students in Fire Station (응급구조과학생의 첫 소방 실습 경험)

  • Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.19-32
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    • 2004
  • This study was conducted to identify an initial fire station experience of EMT students, so to better understand their' practice experience in fire station. The subjects were 28 EMT students of C department of Emergency Medical technology in C city, who were demonstrating at the fire station in C city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method, the results were as a follows. From the protocol, 201 significant statements were organized into 93 formulated meanings. From the formulated meanings, 30 themes were identified, organized into 16 theme clusters, and then 7 categories. EMT students got experienced 'tension' in resulting from new training situation and at the field practice, 'comport and gratitude', in feeling of identity and a bond sympathy with senior EMT, in training environment and heartfelt care, 'stress' from lack of knowledge and skill, difficulties in field practice for 24 hours, in dealing with making interpersonal relationship with patient and staffs and from the insufficiency of instruction, 'confidence feeling' from the participation of field treatment, in improving of learning, in self-esteem of EMT job, 'confusing feeling' of conflict of the path in work, 'disappointment and doubt' by the discrepancy between learning and actuality, and disappointment of actuality, 'feeling of lack' based on the passive attitude. The results of this study are to use as basic data for students attending fire station experience for the first time.

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A Study on the I-Ching Perspective in Shanghansuyuanji (『상한소원집(傷寒溯源集)』에 나타난 역학적(易學的) 관점 고찰)

  • Ahn, Jin-hee
    • Journal of Korean Medical classics
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    • v.31 no.3
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    • pp.123-142
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    • 2018
  • Objectives : This paper aims to study the I-Ching perspective in Shanghansuyuanji. Methods : Key words associated with I-Ching was searched in Shanghansuyuanji and analyzed its meaning and categorized thematically. Results & Conclusions : 1. Qianhuang symbolized Shaoyang, The Power of the Great hexagrams, Jueyin Peace hexagrams, Taiyin Gen Earth, Yangming Kun Earth, Shaoyin Return hexagrams, but didn't symbolize Taiyang, making it not uniform. 2. Qianhuang explained physiology focusing the change of YangQi with I-Ching perspective. This is possible because Shanghanlun thought that much of YangQi and I-Ching set a high value on Yang. 3. Qianhuang explained pathology such as insomnia, epigastric fullness, splenic constipation syndrome, Taiyinbing syndrome, somnolence, thirst, YinYang exchange with I-Ching perspective, it is meaningful because it enriches medical YinYanglun. 4. Qianhuang explained prescriptions such as Daqinglongtang, Zhenwutang, Shizaotang, Fuzixiexintang, Dachaihutang, Baihutang, a comparison between Daqinglongtang and Xiaoqinglongtang with I-Ching perspective. This is helpful to grasp the image of prescriptions. 5. Qianhuang explained nature of drugs such as Guizhi, Fuling, Fuzi, Qiandan, Rougui with I-Ching perspective, and it combines well with the features of I-Ching with drugs efficacy. 6. Qianhuang explained diseases of the six Meridians curing time with I-Ching perspective. This shows diseases of the six Meridians recover when Corresponding Qi is vigorous or Conflict Qi appears, and it is persuasive. For reasons mentioned above; Shanghansuyuanji is meaningful as Shanghanlun commentary.