• Title/Summary/Keyword: Nursing Care Environment

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The Clothing Wearing Conditions of Dementia Inpatients (치매 환자복의 착의실태에 관한 연구)

  • Ryou, Eun-Jeong;Park, Hye-Won;Bae, Hyun-Suk
    • Journal of the Korean Home Economics Association
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    • v.44 no.4 s.218
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    • pp.123-131
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    • 2006
  • The goal of this research was to investigate the actual wearing conditions of dementia inpatients in order to improve their clothes. The development of comfortable, functional and well-designed clothing for dementia inpatients can improve their clinical care environment and also provide dementia inpatients and their caregivers with a promoted quality of life. The data were collected through field research and interview survey on the inpatient's clothing being used at 10 dementia hospitals and 11 dementia nursing care facilities. The results were as follows, First, the uniforms of light dementia inpatients were the pajamas styles those of the general inpatient's uniforms. The uniforms of severe dementia inpatients were jump suits or pajamas styles. Second, the top styles of pajamas were shirts of front opening style with buttons, round neckline, full length sleeves and over armholes. Their bottoms were the pants of no opening style with elastic band and full length. The design of the jump suits had back and under opening styles with zippers. Third, dementia inpatient clothes have to be improved in the areas of sizing systems, structure for putting on and taking off, fasteners and open styles and clothing material, as well as the aesthetic approach.

Factors Related to Obesity of Mid-year Korean American Women and Their Prevalence of Chronic Diseases (미국이민 중년 여성의 비만 관련요인과 만성질환에 미치는 영향)

  • Seo, Sukyong
    • Journal of Korean Biological Nursing Science
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    • v.15 no.1
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    • pp.8-14
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    • 2013
  • Purpose: The purpose of this study was to investigate factors related to obesity of mid-age women and to examine the relationship between obesity and chronic diseases including diabetes, hypertension, and heart disease. Methods: Using data from Korean American adults living in California, we analyzed the health behavior (diet, exercise, smoking, and binge drinking) and psychological stress of obese women with body mass index ${\geq}25$ by using chi-square test. Logistic regression was used to investigate independent effects of obesity on chronic diseases, after controlling for risk factors. Results: The prevalence of obesity appeared about 16.9%. The Obese group was less likely than the non-obese group to eat vegetables and more likely feel psychological stress. There were no significant differences in smoking, alcohol intake, and physical exercise between the two groups. Obesity was strongly related to chronic diseases (OR=4.642, 95% CI=1.328-16.222). Conclusion: This study suggests that obesity of mid-age women could be reduced by encouraging health behavior such as eating vegetables daily, performing physical exercise regularly, and taking care of emotional stress. Diet and physical activity interventions and emotional supports should be developed for weight loss and prevention of weight gain in mid-age women.

A Developmental Study on Preventing Occupational Disease Programme in Small- Medium Sized Industries (보건관리대행사업장 직업병예방관리 사업 프로그램 개발에 관한 연구)

  • Lee Myung-Sook
    • Journal of Korean Public Health Nursing
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    • v.9 no.2
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    • pp.104-114
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    • 1995
  • This study was designed to develop preventing occupational disease programme in small-medium scale industries. The intervention was done in 354 enterprises from July to December in 1993 by health personnels in mobile occupational health centers. The summarized results of the above achievements were as follows. 1. Total number of enterprises were 354. Among them $66.9\%$ was under 100 workers, $26.6\%$ was u!1der 200 workers, and $6.5\%$ was belong to over 200 workers. The majority manufactures were non-metallic mineral product industries $(11.3\)$ fabricated metal product industries $(11.0\%)$. and textile industries $(10.7\%)$. 2. In 1993, for 350 enterprises were carried out evaluation of workplace environment. A total of $76.3\%$ industries were found to improper showing higher level of hazardous agent than the TLV. Noise and dust are the typical agent of which levels in workplace were high in most of industries. 3. A total 60 cases $(0.8\%)$ of occupational diseases were detected through physical check-up from 7,394 industrial workers in 1993. Detection rate by hazardous agent was highest among workers in relation to dust, and secondly highest to noise. 4. Through the systematic approach by hazardous agent was increased to the monitoring of work condition and follow up care of occupational disease. In future, there should be development in the scaled check list of preventing occupational disease management.

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Influencing Factors on Aquatic Exercise Adherence and Dropout in Patients with Arthritis (관절염 환자의 수중운동 지속/중단 요인에 관한 연구)

  • Kang, Hyun-Sook;Kim, Jong-Im;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.185-196
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    • 1999
  • The purpose of this study was to identify influencing factors adherence and dropout of aquatic exercise in patients who had been diagnosed chronic arthritis. Subjects were 54 patients with rheumatoid arthritis and osteoarthritis who had participated in the 6-week aquatic exercise program in Taejon metropolitan city. Data was collected from march 25 to April 25, 1999 through face to face and telephone interview. Result are as follows. Fourteen subjects(26.0%) were adherer who was keeping aquatic exercise. The reasons of aquatic exercise adherence were improvements of physical and affectional factors. And the major reasons of dropout was an environment factors(65.8%) and second reasons was physical factors(34.2%). Participants of friends(r=.34, p=.014) was significantly associated with the total duration of an aquatic exercise adherence. For these results, the nurse who care to patients with arthritis have to encourage to maintain aquatic exercise within six month after they begin aquatic exercise.

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A Study on the Design Guidance for Remodeling Small and Medium Hospitals into Nursing Homes in Korea (국내 중.소규모 병원을 노인 요양시설로의 리모델링시 요구되는 디자인 지침에 관한 연구)

  • Park, Hyunjun;Choi, Sanghun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.17-28
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    • 2010
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

Mental Health and Medical Error among Nursing Staffs at Korean Medicine Clinics: a first survey in South Korea

  • Soo-Hyun Nam;Chan-Young Kwon
    • Journal of Pharmacopuncture
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    • v.27 no.3
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    • pp.253-263
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    • 2024
  • Objectives: Nurses face mental health issues like emotional labor, stress, and depression, increasing the risk of medical errors. This study assesses the mental health and medical errors among nurses in Korean medicine clinics in South Korea. Methods: The cross-sectional analysis involved 83 nurses, examining relationships between emotional labor, stress, depression, cognitive failure, Hwa-byung (HB) (a syndrome of suppressed anger in Korean culture), and medical errors. It identified factors associated with HB and medical errors using multiple regression analysis, presenting their odds ratios (ORs) with 95% confidence intervals (CIs). Results: The findings revealed a current HB prevalence of 19.28% and a 6-month medical error prevalence of 16.87% among participants. The regression analysis showed that higher levels of depression (OR = 1.368, 95% CI = 1.098 to 1.703, p = 0.005), cognitive failure (OR = 1.072, 95% CI = 1.011 to 1.136, p = 0.020), and HB trait (OR = 1.136, 95% CI = 1.005 to 1.284, p = 0.041) significantly correlated with HB presence. Conclusion: This groundbreaking study on this previously under-researched nurse workforce highlights the critical need for comprehensive mental health care, with the objective of significantly enhancing their mental well-being and improving their overall work environment.

Analysis of the Issues received by Quality Improvement Department and their Management in a Medical Center (일 의료원의 통합 고충처리센터 접수 내용과 이에 대한 해결방안 분석)

  • Tark, Kwan-Chul;Park, Hyun-Ju;Chun, Ja-Hae;Kang, Eun-Sook;Moon, Ju-Young;Choi, Mi-Young;Kim, Hyun-Ju;Kang, Jin-Kyung
    • Quality Improvement in Health Care
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    • v.7 no.1
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    • pp.118-131
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    • 2000
  • Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

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Comparision of Family Environment, Health Behavior and Health State of Elementary Students in Urban and Rural Areas (도시.농촌 지역 초등학생의 가족환경, 건강행위 및 건강상태에 관한 비교)

  • Bae, Yeon-Suk;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.502-517
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    • 1998
  • This research intends to survey family environment, health behavior and health status of the students in urban-rural elementary schools and analyze those factors comparatively, and use the result as basic material for school health teacher to teach health education in connection with family and regional areas. It also intends to improve a pupil's self-abilitiy in health care. The subjects involve 2,774 students of urban elementary schools and 583 student in rural ones, who were selected by means of a multi -stage probability sampling. Using the questionnaire and school documents, we collected data on family environment, health behavior and health status for 19 days. Feb. 2nd 1998 through Feb. 20th 1998. The R -form of Family Environment Scale (Moos, 1974) was used in the analysis of family environment(Cronbach's Alpha =0.80). Questionnaires of Health Behavior in School-aged children used by the WHO in Europe(Aaro et al., 1986) and the ones developed by the Health Promotion Committee of the Western Pacific(WHO, 1995)(adapted by long Young-suk and Moon Young-hee(1996)) were used in the analysis of health behavior, as well documents on absences due to sickness, school health room-visits, levels of physical strength, height, weight and degree of obesity were used to determine health status. In next step, We used them with an $X^2$-test, t-test, Odds Ratio, and a 95% Confidence Interval. 1. In two dimensions of three, family-relationship (t=3.41, p=0.001) and system -maintenances(t= 2.41, p=0.0l6) the mean score of urban children were significantly higher than those of rural ones. In the personal development dimension however, there was little significant difference. Assorting family environment into 10 sub-fields and analyzing them, we recognized that urban children were superior to rural children in the sub-fields of expressiveness (t =3.47, p=0.001), conflict (t=0.48, p=0.001), active-recreational orientation (t = 1.97, p=0.049) and organization (t=4.33, p=0.000). 2. Referring to the Odds Ratios of urban-rural children's health behaviors, urban children set up more desirable behavior than rural children wear ing safety belts (Odds Ratio =0.32, p=0.000), washing hands after meals(Odds Ratio = 0.43, p= 0.000), washing hands after excreting (Odds Ratio = 0.39, p=O.OOO), washing hands after coming - home ( Odds Ratio = 0.75, p = 0.003), brushing teeth before sleeping(Odds Ratio =0.45, p=0.000), brushing teeth more than once a day (Odds Ratio =0.73, p=0.0l2), drinking boiled water (Odds Ratio = 0.49, p=0.000), collecting garbage at home(Odds Ratio=0.31, p=0.000) and in the school(Odds Ratio =0. 67, p=0.000). All these led to significant differences. As to taking milk(Odds Ratio = 1.50, p=0.000), taking care of eyesight(Odds Ratio=1.41, p=0.001) and getting physical exercise in(Odds Ratio = 1.33, p=0.0l9) and outside the school(Odds Ratio = 1.32, p=0.005), rural children had more desirable behavior which also revealed a significant difference. There was little significant difference in smoking, but the smoking rate of rural children(5.5%) was larger than that of urban children(3.9%). 3. Health status was analyzed in terms of absences, school health room-visits, levels of physical strength, and the degree of obesity, height and weight. Considering Odds Ratios of the health status of urban-rural children, the health status of rural children was significantly better than that of the urban ones in the level of physical strength(t=1.51, p=0.000) and the degree of obesity(t=1.84, p=0.000). The mean height of urban children ($150.4{\pm}7.5cm$) is taller than that of their counterparts($149.5{\pm}7.9$), which revealed a significant difference (t =2.47, p=0.0l4). The mean weight of urban children($42.9{\pm}8.6kg$) is larger than that of their counterparts($41.8{\pm}9.0kg$), which was also a significant difference(t=2.81, p=0.005). Considering the results above, we can recognize that there are significant differences in family environment, health behavior, and health status in urban-rural children. These results also suggestion ideas for health education. What we would suggest for the health program of elementary schools is that school health teachers should play an active role in promoting the need and importance of health education, develop the appropriate programs which correspond to the regional characteristics, and incorporate them into schools to improve children's ability to manage their own health management.

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Relationships between Nursing Practice Stress and Stress Coping of Nursing Students in Korea (한국간호대학생의 임상실습 스트레스와 스트레스 대처)

  • Kim, Jihyun
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.409-415
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    • 2014
  • This study was done to identify the relationships between nursing practice stress and stress coping for the nursing students in Korea. Data were collected at 2 universities located in C city in Korea. Participants were 160 nursing students. Data were analyzed by SPSS 18.0 using descriptive statistics and Pearson's correlation coefficient. Nursing practice stress was $2.72{\pm}6.2$. Stress coping was $2.60{\pm}0.37$. Stress was correlated with wishful thinking coping strategy when doing orientation (r=0.32, p<0.01), conference(r=0.52, p<0.01), homework(r=0.29, p<0.01). Stress for practice exam was correlated with problem focused coping strategy(r=0.31, p<0.05). Stress was correlated with positive view coping strategy when face nurse(r=0.31, p<0.01) or interpersonal relations(r=0.35, p<0.01). Stress related to practice environment and class was correlated with indifference (r=0.26, p<0.01) and tension relieve strategy (r=0.28, p<0.01). There's no stress when they meet or serve direct care to patients. Students managed the stress by showing active coping pattern. It is considered that the experience gave students an excellent capacity to cope with stress. Since the degree of stress and coping pattern can differ from adaptability of situation, a research of change in clinical training stress by seasonal clinical training and coping patter is proposed.

The Convergent Relationship of Fatigue, CPR-related Stress and Job Satisfaction Long-term Care Hospital Nurses (요양병원 간호사의 심폐소생술 관련 스트레스, 피로 및 직무만족도와의 융합적 관련성)

  • Cha, Ju-Ae;Kang, Seung-Ju
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.167-175
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    • 2016
  • This study was conducted to understand Fatigue and CPR-related stress level anddob Job satisfaction of long-term Care Hospital nurses. The participants were 220 Care Hospital nurses in Gwang Ju and Chonnam region. Data were collected from November 17 to 30, 2014. and analyzed with SPSS 20.0 version program. The mean value for CPR-related stress was $3.29{\pm}0.64$point, $3.37{\pm}0.56$point for Fatigue and $3.06{\pm}0.44$point for Job satisfaction. Depending on subjects' characteristic, CPR-related stress and fatigue showed significant difference due to gender and manpower, however, Job satisfaction showed no difference. CPR-related stress was positively correlated with fatigue. CPR-related stress accounted for 27.8% of the cause of fatigue. Results of the study suggested seeking countermeasure to diminish the stress level for flexible nursing resources management and putting efforts to provide comfortable hospital environment. in consideration of the convergent relationship between CPR-related stress, Fatigue and Job satisfaction.