• Title/Summary/Keyword: Mental Hospitals

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A Study on the Operation and Ward Environment of Psychiatry in Regional Public Hospitals (지방의료원 정신건강의학과 운영 및 병동 환경에 관한 연구)

  • Moon, Hani;Lyu, Cheng;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.26 no.1
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    • pp.39-49
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    • 2020
  • Purpose : The purpose of this study is to investigate the current status of operation and ward environment of psychiatry in regional public hospitals. Methods: The method of this study utilized legal system and statistical data analysis, and drawing analysis of psychiatric ward. Results: In addition to treatment, psychiatric wards require additional space for special purposes such as psychological stability, social rehabilitation, and psychotherapy and so on. The room should improve the quality of the environment, taking into account the patient's psychological state, privacy, safety, amenity and hygiene. In addition, various types of room are needed to ensure sufficient area per bed. Implications: Psychiatric wards should be provided with a preference for psychological consideration of patients. The result of this study would be useful as a reference to plan psychiatric wards.

Relationship between Changes of Patient Safety & Medical Service Quality and Changes of Management Activity after Medical Institution Accreditation: Mental Hospitals and Geriatric Hospitals (의료기관 인증 후 환자안전 및 질 관리 변화와 경영활동 변화 간의 관계: 정신병원과 요양병원 대상)

  • Lee, Young-Hwan;Lim, Jung-Do
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.286-299
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    • 2015
  • This study was to investigate the relationship between safety & quality management changes of patient and changes in management activities based on hospital workers in five mental hospitals and five geriatric hospitals which should be required medical certifying authorities. As a result of the research study, participation whether or not of certification service of mental hospital & geriatric hospital workers was positive correlation to improve change of 'Performance level of Safety Activities for the patient' 'Provide the High Quality Medical Service for the patient' 'Respect the Rights and Responsibility of the patient' 'Performance level of Infection Control Activities' out of contents of Patient Safety & Medical Service Quality. Also developmental changes of Safety Activities for the patient Hospital Quality for the patient Rights and Responsibility of the patient out of contents of Patient Safety & Medical Service Quality need to the Capacity Management Activities through Education and training, and Medical System & Evaluation of Management Provide the High Quality Medical Service for the patient out of contents of Patient Safety & Medical Service Quality need to the need to the Customer Orientation Process.

Influences of Satisfaction of Mental Disease Patient's Protector about Medical Service on Utilizing Hospital (정신과환자의 입원진료서비스에 대한 보호자의 만족도가 병원재이용에 미치는 영향)

  • Choi, Wae-Kyung;Yoo, Kyu-Soo;Kim, Moon-Ju
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.100-119
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    • 2000
  • This study was conducted to understand the influences or satisfaction of mental disease patient's carer about medical service on utilizing hospital, for 202 mental disease patients who are in 19 hospitals from March 2, to 31, 2000 with questionnaire. Factor for understanding satisfaction of patient's carer includes ability of medical professional, view of facility, kindness of steps, convenience of medical procedure, cleanness of environment and convenience of traffic. The data collected were analyzed by SPSS program and the results of this study are summarized as follows; 1. There are not significantly difference bet wren general character and whole satisfaction of patient's carer. 2. Each factor has the positive relation with whole satisfaction of patient's carer about medical service. 3. Whole satisfaction of patient's carer have the significant positive relation with utilizing hospital($\beta$=.527, p=.000), this means that the higher whole satisfaction of patient's carer, the higher their tendance of utilizing hospital. 4. Knowledge for mental disease of patient's carer appear the positive results in view of medical care. In conclusion, the policy has to be developed in order to prevent the stop of utilizing hospital of patient and their carer. But there is a limit to except mental disease patients in this study.

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The Job Stress, Job Satisfaction, and Health of Women Who Work in the Professional Job: Nurses and Teachers (전문직 여성의 직무 스트레스, 직업 만족도, 건강 : 간호사와 교사 그룹을 중심으로)

  • 홍경자;탁영란;강현숙;김금순;박호란;곽월희;김정은;최정례
    • Journal of Korean Academy of Nursing
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    • v.32 no.4
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    • pp.570-579
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    • 2002
  • This research study explores the job stress, job satisfaction, and health of women who works in the professional work place and identify the influence of the job stress and job satisfaction on the mental health status focused on the social and psychological structure of the workplace. Method: 535 participants of registered nurses and teachers from 10 General Hospitals and 15 Middle and High School located in Seoul, Korea were completed the modified version of the short form Work-family stress inventory of questionnaire as used for job stress and mental health problems and perceived overall health status and job satisfaction. Result: Job stress was significantly correlated with job satisfaction, overall health, and mental health. There were also significant group differences in job stress and job satisfaction between nurses and teachers. Multiple regression only moderately supported the effect of job stress and job satisfaction on the mental health of professional working women. Also marital status demonstrated a significant factor of group differences in job stress, work-family stress, job satisfaction, and mental health problem. Conclusion: These results suggest that job stress in the work place has profound impact on job satisfaction and health of women who work in the professional job. This study also identified major sources and types of work-related stress on women's health which should be considered in a management for health promotion.

A Review of Research on Evaluation Indexes and Determinants of Organizational Effectiveness of Hospital Nursing Organizations (병원 간호조직의 조직유효성 평가지표 및 결정요인에 관한 문헌 분석)

  • Kim, Jieun;Kim, Jinhyun
    • Perspectives in Nursing Science
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    • v.11 no.1
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    • pp.49-62
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    • 2014
  • Purpose: The purpose of this study was to review journal articles, master's theses, and doctoral dissertations on organizational effectiveness in hospital nursing organizations in order to identify evaluation indexes, determinants, and overall trends and to suggest strategies for improvements. Methods: A total of forty-one papers on organizational effectiveness in hospital nursing organizations were reviewed. Results: These papers were journal articles, master's theses and doctoral dissertations regarding nurses who worked in general hospitals and university hospitals, excluding special hospitals (ie. armed forces hospitals, mental hospitals). The review of literature identified 18 operational definitions (evaluation indexes) and 36 significant determinants of organizational effectiveness in hospital nursing organizations. The operational definitions were measured by using 46 instruments. Conclusion: The study findings provide data on recent trends in organizational effectiveness; it also serves as basic evidence for the need to improve organizational effectiveness in hospital nursing organizations as well as indicates directions for future research.

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Analysis on the Spatial Accessibility of Mental Health Institutions Using GIS in Gangwon-Do (GIS를 이용한 정신의료기관의 공간적 접근성 분석 - 강원도지역을 대상으로)

  • Park, Ju Hyun;Park, Young Yong;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.28-41
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    • 2018
  • Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

A Study of the Attitudes of Psychiatric Registred Nurses towards Mental illness and Mental Patients (정신과 근무 간호원의 정신질환 및 정신질환자에 대한 태도 연구)

  • 김향미
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.13-24
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    • 1982
  • The main purpose of this study was to investigate attitudes toward mental illness and the mentally ill of psychiatric nurses in Korea and to identify the relationships between the nurses' attitudes and demographic variables. Subjects in this study were 122 psychiatricnurses and 111non-psychiatric nurses in active service at 12 hospitals in Seoul. The insrtument used for measuring attitudes was a questionaire developed by Cohen and Struening (1962) referred to as the“Opinions about Mental illness(OMI) Scale”made up to 51 Likert-type items. The findings of this study indicated hatnurses showed negative attitudetoward mental illness and the mentally ill: Very high on social restrictiveness (factor D), low on Mental Health Ideology (factor C), and Interpersonal Etiology (factor E). Since the high score on Factor A, B and the low score on Factor B, C, E reflect a negative altitudes toward mental illness, this study population related extremely negative attitudes compared to any other surveys. And of the demographic variables that related to their attitudes the education degree and the kind of the hospital in active service showed very significant differences. On the basis of the investigation the findings indicated the followings; 1) Althohg attitudes toward mental illness and the mentally ill of psychiatric nurses were not significant differences from non-psychatric nurses, there was a trend that attitudes of psychaitric nurses did show more negative responses rather than those of non-psychiatric nurses. 2) Demographic variables that relate to their attitudes on the OMI scale were the education degree of the respondent and the kind of their hospital in active service. 3) About attitudes toward mental illness and the mentally ill baccalaureate nursesshowed more positive attitudes in Factor A (Authoritarianism), Factor C (Mental Health Ideology) and Factor D (Social Restrictiveness) than diploma program murses. 4) Nurses in active Service in the private hospital revealed more positive attitudes(A,B,C,D) except Factor (E) than those in the national or public hospital. 5) The ages, duration of work, wanted or unwantedG roup of psychiatric ward and satisfactory level of psychiatric nursing service were non-significant.

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The Response of the Seoul Municipal Hospitals against COVID-19 and Its Implications for Public Hospitals (서울시립병원의 코로나19 대응을 통해 본 공공병원의 시사점 고찰)

  • Shon, Changwoo
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.38-52
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    • 2020
  • Purpose: The purpose of the study is to suggest the main functions and implications of public hospitals to effectively respond to the future epidemic crisis based on analyzing the accessibility to designated Coronavirus Disease 2019 (COVID-19) medical institutions of Seoul and examining the main features of the quarantine of Seoul municipal hospitals. Method: To analyze the response and function of Seoul municipal hospitals, we reviewed the Infectious Disease Control and Prevention ACT, 258 articles of Seoul Metropolitan Government press releases from January to the end of April, 48 articles of Seoul Metropolitan Government's daily newsletters, 2019 Health Bureau Budget report. We also referred to internal data of Seoul Children's Hospital, Seoul Seobuk Hospital, and Seoul Eunpyeong Hospital during the same period. Besides, the accessibility to medical institutions was analyzed by using the COVID-19 data which was announced daily basis. Results: The accessibility of COVID-19 patients living in the Southeastern part of Seoul to a medical institutions was 16.2km on a distance basis, and it was the lowest accessibility among four regions of Seoul since it took about 40 minutes by car. On the other hand, patients living in the Northeast part had the highest accessibility, as the access to medical institutions was 10.7km and 27 minutes by car. Also, the main functions of the municipal hospital of Seoul against COVID-19 were to shift the public hospital function to COVID-19 patients only hospitals, to perform the epidemiological investigation by medical doctors, and to support the operation of self-isolation facilities, community treatment centers and triage rooms of community health centers. Conclusion: Through the experience of COVID-19, we suggested that the functions of public hospitals will be reorganized as the reinforcement of infectious disease treatment and mental health for quarantined patients, cooperation with private hospitals, supporting for strengthening community health capacity and preparation for another epidemic.

Relationship Between Verbal Abuse and Mental Health in Some Operating Nurses (수술실 간호사의 언어폭력 경험과 정신건강과의 관련성)

  • Park, Bu-Yeon;Lee, Kyung-Hee;Shin, Ji-Hun
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.5
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    • pp.1205-1211
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    • 2012
  • This study was performed to identify the experience of verbal abuse during in some operating nurse. The study subjects were 176 operating nurse in general hospitals and the data were collected using by self-administered questionnaire from October 17 to October 31, 2011. Multiple regression analysis the experience of verbal abuse and scores of nurses domain in verbal abuse scale were statistically significant related with mental health. In conclusion, the verbal abuse of operating nurses influenced mental health. Therefore, it is required to maintain and promote mental health of operating nurses by developing the various prevention program for preventing verbal abuse.

Effects of the Cognitive Training Program on Cognitive Function, Stress and Depression of Elderly Patients in Geriatric Hospitals (노인전문병원 입원 노인의 인지훈련 프로그램이 인지기능, 스트레스 및 우울에 미치는 효과)

  • Kim, Yun-Kyung;Kim, Tae-Hoon;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.12 no.3
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    • pp.140-147
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of the cognitive training program on cognitive function, stress and depression in geriatric hospitals. Methods: The subjects of the experimental group were 17 elderly patients who attended the cognitive training program in Geriatric Hospitals and the subjects of the control group were 15 elderly patients who attended in geriatric hospitals. The persons in training group must take cognitive training program for 4 weeks by 3 times a week. The Mini-mental State Examination Korea version (MMSE-K), Geriatric depression Scaleshort form-Korea version (GDS-K) and Korean Computerized Neurobehavioral Test (KCNT) were utilized to determine cognitive function, stress and depression. The collected data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC 12.0 program. Results: Cognitive function (t=-7.625, p=.000) in the elderly after receiving the cognitive training program was significantly more improved than before intervention. Also, Stress and depression (t=2.73, p=.004) was significantly more reduced than before the intervention. Conclusion: This cognitive training program was partially effective in improving cognitive function, neurobehavioral performance and reduce stress and depression. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention in geriatric hospitals.