• Title/Summary/Keyword: Nursing Care Environment

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Perceptions and Attitudes towards Interprofessional Education in Medical Schools (의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식)

  • Kim, Soyun
    • Korean Medical Education Review
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    • v.19 no.1
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.

Overview and Prospects of Patient Centered-Smart Hospitals (환자중심 스마트병원의 개요와 전망)

  • Park, Hyunyoung;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.419-426
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    • 2021
  • With the development of the information and communication technology, the smart hospital has become a new trend in a healthcare industry. This study reviewed the concept, key technologies, applications, and future challenges of a smart hospital, and the user-centered strategies for designing a smart hospital. In smart hospitals, digitally enabled clinical staff will be able to produce better patient outcomes by delivering a more integrated patient-centered care with an efficient manner in connected facilities systems. However, to promote a successful patient-centered smart hospital environment in the future, various obstacles regarding cost, technology, security, and standards should be overcome. It is also necessary for patients and medical personnel to be involved as service users.

The Patterns of Accidental Injury in Young Children and Effect of Safety Education on Their Mothers Performance of Preventive Measures (영유아의 사고유형 실태조사와 안전교육 효과 분석)

  • Song In-Ja;Han Jung-Suk
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.55-74
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    • 1998
  • In the past most major accidents resulted in death, but today there is a dramatic increase in the number of people who survive such accidents but who are left with permanent injury. Particularly, children who are inquisitive about their surroundings but immature in their ability to assess danger, are more vulnerable to accidents and their causes as well as to determine attitudes towards prevention. The main objective of the study was to assess the effectiveness of using an accident prevention manual for accident for accident prevention education. The study was a quasi-experimental study using a questionnaire format. The subjects of the study were 393 mothers of children attending six day care centers in Seoul. Data collection was done between May 1 and June 15, 1997. The tools used for the study were a questionnaire developed the researchers and a manual for accident prevention. The collected data were analyzed using SPSS. The results of the study are as follows: 1. Types of accidents included stabbing, bums, falls from heights, choking, falls on slippery surfaces, traffic accidents, drowning, poisoning, and electrical shock in that order of frequency. 2. The main causes of accidents in children were from cosmetics and household medications. 3. The most frequent locations of accidents in the home were the bathroom, kitchen, and stairways in that order. 4. For $90.4\%$ of children safety seats were not used when the ridding in a car. 5. In examining the parents' accident prevention practices, it was found that many parents used only . one electrical outlet for many appliances, tending to overload the electricity lines and that they were not practically concerned bout the flammability of children's pajamas, indicating a less than positive attitude towards fire prevention. 6. The parents had not provided their children with any instruction on accident prevention or on what to do after an accident had occurred. 7. After the use of pamphlet in an accident prevention education program, it was found that there was a statistically significant difference in the degree to which children carried out safety measures (t=14.96, p=.000) and in their safety habits (t=-1.67, p<.1) indicating an effectiveness in this method of education. The results of this study showed that there are many things in a child's environment that can cause accidents and that the possibility of an accident occurring is high. So nurses looking after children should be aware of the need for safety education to prevent accidents in the home and plan to provide appropriate educational material to help parents with this education.

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Comparision Between Noise Levels of Hospital Wards and the Nurses Efforts for Noise Management in Selected General Hospital (종합병원 병동별 간호사실의 소음정도와 간호사실들의 소음인지도 및 소음관리노력 비교)

  • Jung, Hyun-Wook
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.2
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    • pp.174-182
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    • 2001
  • This study was performed to find out the differences between noise levels of hospital wards and the nurses efforts for noise management in some general hospitals. The hospital wards selected were the intensive care unit(ICU), the emergency room(ER), the nursery room(NR), the internal medicine(IM), the general surgery(GS) among the 5 general hospitals located in Seoul. The data were collected from August 3 to September 13, 1999 through questionnaire survey and noise measurement in each nursing station of hospital wards. Data analysis was done by SPSS 8.0 package among the 305 questionnaires and 24 hours monitored noise levels. Frequency, Chi-square and ANOVA test were used. The study results were as belows: 1. The noise level measured by 24 hours monitoring survey were exceeded on the standard limit in all the hospital wards. Data also showed that noise levels were significantly different in each ward among the three shifts working duties. 2. The subjects were all female nurses. They were mostly working in the ICU ward(28.9%). They were 26~30 years old (43.9%), junior college graduates(57.0%), working for 1~5 years(55.1%) as staff-nurse(85.6%). There were no significant differences between hospital wards and general characteristics of nurses. 3. The noise levels perceived by nurses were regarded as 'Highly noisy'(56.4%), especially during the 11:30 and 15:30 (30.2%) o'clock. Data also showed that noise education was not ever given to nurses(89.9%). Nurses also responded that they hardly put an effort to reduce noise level(54.8%). However, there were significant differences between wards and noisy working time, experience of noise education and level of effort for noise reduction. 4. Nurses also perceived the ventilator alarm and EKG-alarm as the most disturbing sounds in the ICU, human voice and telephone ringing in the ER, human voice and EKG-alarming in the NR, human voices and telephone ringing in IM and GS both wards respectively in order. There were significant differences between hospital wards and noise making factors. 5. Nurses were shown that they regarded highly 'Sound reduction of the human voice', 'Careful handling on medical instruments', and 'Immediate appliances on alarming materials' as the practical method for noise management. There were significant differences between hospital wards and behavioral practical efforts for noise management. According to that results, the statistical differences were shown in the 24 hour monitored noise levels in each ward. Also, nurses perceived the noise severity differently and they approached variously on the practical efforts for noise reduction in each ward. Thus, author thinks that concrete and systematic endeavor will be necessary for noise reduction and management in hospitals for better working and healing environment for both of patients and staffs.

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Curriculum Development for Inservice Training of School Health Nurses (양호교사 자격연수교과과정 개발에 관한 연구)

  • Kim, Hwa-Jung;Yoon, Soon-Nyoung;Kim, Young-Im
    • Journal of the Korean Society of School Health
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    • v.9 no.1
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    • pp.31-41
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    • 1996
  • School health promotion is related to reinforce on various roles of school health teachers including health instruction, health services, healthful school living. In this aspects, there would be necessory for qualified continous education proceed to activate roles of school health teachers. So the objectives of this study are first, to develop curriculum framework for inservice training of health school nurses, second, to descrive of curriculum objectives, third, to state of curriculum objectives and learning methods. There were used study methods as literature review, expert conferencing and workshop. Major results are as follows; 1. Curriculum framework for inservice training of health school nurses was constitute of major variables of health care model and direct services role of school health teacher such as health service, health instruction and healthful environment area. 2. The curriculum for health instruction were different from elementary school and middle school. 3. Time distribution for curriculum was composed of that health service is 12hours, health instruction is 96 hours and healthful environment is 12 hours. 4. The learning methods for inservice training were suggested to intensify positive attitude through the discussion and practical exercise. 5. The curriculum objectives were classified by total, area and a course of study and time summary table was suggested. In conclusion, the developed curriculum would be contribute to improve of practical ability for school health teachers. And to increase of inservice training effect, there should be operate in order to participate trainees activately and to be educate concurrently. Also, there are necessary for execute in series of the program such as standized text developing by course, evaluation index developing and instructor education etc.

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Patient satisfaction and recommendation intention at spine and joint hospital (척추·관절 전문병원의 환자 만족도와 추천 의향)

  • Park, Young A;Lee, Jung A
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.307-314
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    • 2021
  • This study was to analyze the satisfaction and intention to recommend a hospital for spinal and joint patients. Using a structured questionnaire at a spinal and joint hospital in Seoul in 2019, and the relationship between demographic and social characteristics and patient satisfaction, factors influencing hospital satisfaction, and recommendation intention were analyzed. In outpatients, hospital satisfaction was higher in neatness and cleanliness of staff, kindness and facility environment comfort, and hospital satisfaction was low in questions related to waiting time. In inpatients, women's satisfaction was higher in the nursing and hospital environment areas. The correlation analysis between the satisfaction and the willing to recommend, there was a positive correlation. In the sub-analysis, hospital satisfaction was higher in the group that responded with respect and courtesy, listening, satisfaction of the nurse, hospital cleanliness and safety. This study is can be used to improve the quality of hospital care services in related hospitals.

Analysis of the Knowledge Structure of Research related to Reality Shock Experienced by New Graduate Nurses using Text Network Analysis (텍스트네트워크분석을 활용한 신규간호사가 경험하는 현실충격 관련 연구의 지식구조 분석)

  • Heejang Yun
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.463-469
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    • 2023
  • The aim of this study is to provide basic data that can contribute to improving successful clinical adaptation and reducing turnover of new graduate nurses by analyzing research related to reality shock experienced by new graduate nurses using text network analysis. The topics of reality shock experienced by new graduate nurses were extracted from 115 papers published in domestic and foreign journals from January 2002 to December 2021. Articles were retrieved from 6 databases (Korean DB: DBpia, KISS, RISS /International DB: Web of science, Springer, Scopus). Keywords were extracted from the abstract and organized using semantic morphemes. Network analysis and topic modeling for subject knowledge structure analysis were performed using NetMiner 4.5.0 program. The core keywords included 'new graduate nurses', 'reality shock', 'transition', 'student nurse', 'experience', 'practice', 'work environment', 'role', 'care' and 'education'. In recent articles on reality shock experienced by new graduate nurses, three major topics were extracted by LDA (Latent Dirichlet Allocation) techniques: 'turnover', 'work environment', 'experience of transition'. Based on this research, the necessity of interventional research that can effectively reduce the reality shock experienced by new graduate nurses and successfully help clinical adaptation is suggested.

Knowledge and Compliance Level of the Multi-drug resistant Organisms of ICU nurses (중환자실 간호사의 다제내성균 감염관리 지식과 이행도)

  • Shon, Joung-A;Park, Jin Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.280-292
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    • 2016
  • This descriptive survey assessed knowledge of intensive care unit (ICU) nurses regarding compliance with infection control for six kinds of multi-drug resistant organisms to assist in development of effective intervention strategies. Participants included 210 nurses working in the ICUs of general hospitals who completed a structured questionnaire. The results showed that the nurses' knowledge level and infection control compliance was 10.54 and 3.39 for MRSA; 11.25 and 3.69 for VRE; and 9.60 and 3.49 for CRGNB, respectively[ED highlight - consider providing additional information to describe what these values indicate.]. Knowledge regarding MRSA infection control differed significantly based on age, clinical experience, and experience as a trainee, while compliance with MRSA infection control differed based on age. Knowledge regarding VRE infection control was significantly different based on academic qualification level, experience as a trainee, and whether guidelines existed, while compliance with VRE infection control differed based on academic qualification level and the presence of an isolation environment. Knowledge regarding CRGNB infection control differed significantly based on academic qualification level and experience as a trainee, while compliance with CRGNB infection control differed based on the presence of an isolation environment. Thus, intervention strategies should include education programs for enhancing ICU nurse' knowledge regarding strategies for creating isolation environments.

Nurses' Perception of Flexible Working and Its Operational Guideline (간호사의 시간선택제 근무에 대한 인식과 근무방안)

  • Kim, Miyoung;Kim, Eunjung;Choi, Sujin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.664-675
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    • 2016
  • The purpose of the study was to explore the nurses' perception of flexible working and present an operational guideline for implementation. The data were collected from a survey of 532 nurses conducted from 10 February to 24 February, 2015, using simple random sampling. SPSS 21.0 was used to analyze the data. This study found that the demanding for shorter hour shifts was highest ($M=3.89{\pm}0.87$) and 242 participants (46.2%) intended to apply the shift, followed by a fixed night shift, fixed weekend shift, and 12 hour shift. The common reasons identified were the poor environment of shift work and the challenges of child care. The increased time for personal development, relaxation activity to improve the quality of life and child care was highlighted and work-life balance was noted as a positive impact of flexible working. The negative impacts of flexible working were being likely to become temporary workers. These results can help establish uniform working conditions of nurses in the future by providing a standardized operational guideline as a precondition for reasonable compensation and working environment according to a flexible working pattern.

한국 시설호스피스의 원리와 실제

  • Gang Seung-Gye;Kim Su-Ho;Kim Sin-Su;Park Hui-Myeong;Song Geun-Ok;Won Ju-Hui;Lee Myeong-Suk;Lee Seong-Ok;Lee Ok-Je;Lee Eun-Ui;Lee Chae-Yeong;Lee Hyeon-Mi;Heo Pil-Seok
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.87-111
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    • 2002
  • The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.

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