• Title/Summary/Keyword: Nursing expertise

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The Lived Experiences of Supported Housing among People with Psychiatric Disabilities (정신장애인의 체험홈 이용경험에 관한 연구)

  • Koo, Chun Young;Kim, Mi Young;Koo, Jin Hee
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.1-11
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    • 2019
  • The purpose of this study is to investigate in depth the lived experiences of utilizing supported housing among people with psychiatric disabilities. Phenomenological approach was used for this study. A total of 9 people with psychiatric disabilities were recruited as research participants. Data was collected through in-depth interviews from September, 2016 to March, 2018. Transcribed data from audio recordings on interviews were analyzed using the Colaizzi method. 6 clustered themes consisting of 17 sub-themes emerged through the qualitative data analysis and they include the following: 1) Confusion at site daily residence; 2) Feeling relaxed in supported housing site; 3) Development in self-perception; 4) Undertaking a leading role; 5) Growing capacity for independent living; and 6) Integration into normal life. Study findings suggest that expanding supported housing and improving its quality for people with psychiatric disabilities are needed. Additionally, the field of mental health needs an increase in the number of case managers with expertise in dealing with people suffering from psychiatric disabilities and their recovery.

The role and implications of dental hygienists in oral rehabilitation in Japan (일본 구강 재활 분야에서의 치과위생사의 역할 및 시사점)

  • Joo-Hyun Kang;Sung-Mi Choi
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.6
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    • pp.477-483
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    • 2022
  • Objectives: The purpose of this study was to provide basic data that would inform the direction of oral rehabilitation and how to expand of the role of dental hygienists in Japan. Methods: A systematic literature review was conducted on the role of dental hygienists in the field of oral rehabilitation in Japan. Results: Japan has been making academic and practical developments in the field of oral rehabilitation for over 30 years, and has been gradually implementing a fee support policy since the 1990s. In addition, Japan has been operating a dental hygienist system specializing in oral rehabilitation since 2006. The related work was being carried out with the dental hygienist's expertise in the field of rehabilitation medical treatment secured. Dental hygienists work full-time at long-term care facilities for the elderly in addition to conducting oral care activities under the local comprehensive care system, in the areas of convalescence and acute rehabilitation, as well as in the field of visiting rehabilitation. It can be seen that, in the field of nursing care, they are specialized in oral care tasks for the elderly. Conclusions: In the future, a policy and related fee system should be gradually prepared to expand the role of dental hygienists in the field of oral rehabilitation that can contribute to improving oral health linked to systemic diseases.

Research Trends in integrated Community Care Systems: A Scoping review (지역사회 통합돌봄 제도 연구 동향 분석: 주제 범위 문헌 고찰)

  • Wooyoung Kwon;Gaeun Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.225-236
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    • 2024
  • This study was conducted to identify research trends on the integrated community care system in Korea and suggest future research directions. The scoping review method was conducted according to the JBI methodological guidelines. A literature search was conducted in 5 databases (RISS, DBpia, NDSL, KISS, NAL), and 34 papers were selected for the final analysis. The analysis was categorized into user and provider aspects related to community care, and the results from the user aspect showed that variables related to service satisfaction and physical health status were used the most and showed positive results. Provider aspect results mainly studied problems and improvements due to service provision, and many studies showed the need to revitalize inter-agency collaboration systems and the lack of manpower to perform services. Based on the results of this study, in the future expansion of the integrated community care system, it will be necessary to not only establish criteria for selecting subjects, but also secure the expertise of service providers, establish a collaboration system between regions and institutions, and prepare measures to resolve service differences.

Evaluation of Managerial Efficiency in Occupational Health Service Organizations Using the Data Envelopment Analysis Method (산업보건서비스기관의 운영 효율성 분석 - 자료포락분석(DEA)기법을 이용하여 -)

  • Kim, Hee-Jeong;Shin, Eui-Chul;Kim, Jin-Hyun
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.2
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    • pp.108-120
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    • 2002
  • This study analyzed the managerial efficiency of 11 organizations, the branch centers of a occupational health service organization in Korea, using the Data Envelopment Analysis (DEA) method. The DEA is a good method for evaluating health services since it can handle multiple inputs and outputs simultaneously, and also identify the sources and amount of inefficiency. The author approached this study using two efficient models: the monetary value model and the real value model. The DEA method based on the monetary value model included cost factors, while the real value model excluded cost factors. The input variables used were manpower of physicians, medical technicians, nurses, industrial hygienists and administrators; labor, maintenance, and material expenses. The output variables used were the number of medical examinations, workplace evaluations, group health management services and income from each service. The major results were as follows: First, in the monetary value model, 6 out of 11 organizations (54.6%) showed an efficiency score of 1.0, which means that they have been operating in very efficient ways. However, 5 organizations (46.4%) showed themselves to be relatively inefficient. Second, in the real value model, 7 out of 11 organizations (63.4%) showed an efficiency score of 1.0, which means they have been operating efficiently, while 4 organizations (46.4%) showed themselves to be relatively inefficient. Third, the reliability of DEA method were analyzed by comparing the results of the monetary value model and real value model. The results of 8 out of 11 organizations were same in terms of being efficient or not. Thus, the DEA could be a valid application method for occupational health service organizations. Fourth, the organizations that displayed common inefficiency in both the monetary value model and in the real value model 3, 9, and 10, were also considered to be managed inefficiency from expertise opinion. In summary, this study evaluated the efficiency of occupational health service organizations applying the DEA method with different variables, and found that the results of analysis could be valid in terms of both modeling and expert sense. In the future, the DEA method will be used as a useful tool to identify and evaluate the efficiency of occupational health service organizations through more applications and refinements.

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Concept Analysis of Reality Shock in New Graduate Nurses (신규간호사의 현실충격 개념분석)

  • Choe, Myeong-Hui;Lee, Ha-na
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.376-385
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    • 2016
  • This paper aims to understand the conceptual definition and the characteristics of reality shock in new graduate nurses. We analyzed the data using the hybrid model, initially introduced by Schwartz-Barcott and Kim. The data used in this study were collected from six recently graduated nurses who work in S-si and G-si. Another part of the data was obtained from literature review regarding Reality Shock. We categorized Reality Shocks in recently graduated nurses into nine attributes within a three-dimension model. The dimensions include "cognitive", "emotional", and "situational" domains. The cognitive domain is to be aware of the factor that causes Reality Shock. The emotional domain is the negative emotional responses that appear when facing a situation causing Reality Shock. The situational domain is the sort of circumstantial situations that cause Reality Shock. Reality Shock is defined as recently graduated nurses having several negative emotions, such as powerlessness, difficulty in peer relationships, confusion, and pressure due to (i) the differences between reality of nursing and what they have learned in school, (ii) the differences between an ideal situation and the real situation, (iii) the lack of expertise of senior nurses, (iv) a situation without the respect from colleagues, and (v) the overloaded role compare with the expectations. In conclusion, we provide a guideline for establishing a strategy to reduce Reality Shock in recently graduated nurses by identifying the concept of Reality Shock.

Relationships among Violence Experience, Resilience and Job Stress of Nurses Working in Emergency Department (응급실 간호사의 폭력경험, 자아탄력성, 직무스트레스와의 관계연구)

  • Song, Young-Jin;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.5
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    • pp.1390-1401
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    • 2020
  • This study is a descriptive research to identify the relationship among violence experience, resilience and job stress of nurses working in emergency department. The subjects of this study were 143 nurses with over one year working in emergency departments of 6 hospitals located in D city and C city and collected data through structured questionnaire. It was from November 6th to November 15th. The degree of violent experience of the subjects was 1.26 ± 1.31 out of 4. The average score of resillience was 2.50 ± 0.55 out of 4. The average score of job stress was 3.62 ± 0.49 out of 5. The result of correlation between violence experience, resilience and job stress, among the sub factors, in the correlation among violence experience and job stress sub factors, verbal violence experience was significantly positively correlated with nursing work(r=.194, p=.010), role conflict stress(r=.158, p=.030), and physical threat experience was positively correlated with nursing work(r=.200, p=.008), role conflict(r=.162, p=.027), and conflict with doctor(r=.145, p=.042). In the correlation between resilience and job stress sub factors, nursing work stress is hardness(r=-.189, p=.012), persistence(r=-.165, p=.025), and optimism (r=-.186, p=.013) and there was a negative correlation with the region. Expertise stress is hardness(r=-.230, p=.003), persistence(r=-.195, p=.010), optimistic(r=-.194, p=.010) and there was a negative correlation. Nurse-treated stress was positively correlated with spirituality(r=.154, p=.033). In the subcategory correlations of resilience and violent experience, the hardness had a negative correlation with the physical threat(r=-.150, p=.037) experience. The persistence was negatively correlated with the experience of physical threats(r=-.138, p=.050). The optimism was negatively correlated with the experience of physical violence(r=-.151, p=.036). As a result, it is necessary to create a safe working environment free from violence and to reinforce training on how to deal with violence in order to reduce the job stress of emergency department nurses. In addition, measures to cope with stress according to age and work experience and programs to increase resilience should be developed and mediated to reduce the job stress of emergency department nurses.

Fuzzy Analysis of Consciousness Structure of Administrator for Determinative of Care Service Quality (요양서비스 질 결정요인에 대한 관리자의 의식구조 퍼지분석)

  • Jang, Yun-Jeong
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.3
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    • pp.232-237
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    • 2013
  • The aim of this study is to structuralize a model of the factors determining the quality of nursing care perceived by the director or manager of a long-term care facilities (hospitalization of patients) using FSM(Fuzzy Structural Modeling), employed in structuralizing social systems. The results were as follows: first, quality in the top tier was shown to be connected with job commitment, commitment to the organization, work experience, care skills, knowledge about the elderly, training and education, which are factors in the middle tier; and second, the structure of the middle tier (job commitment, commitment to the organization, work experience, care skills, knowledge about the elderly, training and education) either showed a connection with the lower tier, which includes employment type, job satisfaction, leadership, relationship with users and workplace relationships, or showed a connection among the factors within. These results confirmed the following: first, care skills and knowledge about the elderly, which demonstrate the job expertise of caregivers, showed a connection with service quality based on work experience; second, job commitment in the middle tier was observed to affect various factors in the same tier such as care skills, knowledge about the elderly, training and education amongst others, and it was determined that it is an important determining factor in service quality. Lastly, a meaningful result was shown in relation to leadership. The leadership skills of the director of the facilities had a connection with the care caregivers' commitment to the organization, which had a connection with service quality. This structure showed the kind of role the director must play in order to improve service quality.

A Convergence Study on the Core Competencies of students: G university (G 대학 대학생 핵심역량 설정에 관한 융합연구)

  • Kim, Chang-Gyu;Jang, Kee-Duck;Chun, Yeol-Eo
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.77-86
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    • 2018
  • This research is based on core competency in order to provide diverse educational opportunities and to train compatible human resources according to industrial change. The research set up the core competency of university students according to document research and the importance of core competency of students, professors, faculty and parents. As a result, a total of 14 competencies were deducted by importance and validation from enrolled students, graduated students and professors. A total of 5 core competencies and 14 detailed competencies were deducted. Creativity, problem solving ability, self-directed overall problem solving abilities, expertise ability, data processing ability, technology application according to industry, consideration and serving character, community service, communicational ability, self-management, inter personal relationship, foreign language ability, global, leadership and competence were the 14 elements of this research. Based on the result of this study, it is necessary to improve the competence of university students by applying them to the curriculum development and operation and to find out the extent of the students competence enhancement through the development of future capacity measuring tools.

A Research on the Subjectivity of the Female University Students Regarding the Management of the Health of the Skin: An Application of Q-methodology (여대생의 피부건강관리에 대한 주관성 연구 : Q 방법론적 접근)

  • Yoon, Jeong-Ah
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.277-283
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    • 2018
  • This research was attempted to understand the types of the subjectivities possessed by the individuals regarding the management of the health of the skin on the part of the female university students by applying the Q-methodology and to comparatively analyze the special features. Regarding the subjects of the research, 41 female university students at one university were made into the P-samples. And, by selecting 34 Q-samples from the total of 141 Q-populations, the forced distribution took place in terms of the 9-points scale. The subjects were interviewed, and the contents regarding interviews were recorded. The data were analyzed with the QUANL program. As a result of the research, the 4 types were discovered. They appeared as 'the professional knowledge pursuing type', who consider the expertise regarding the skin management important, 'the nature-oriented type', who express the importance of the skin rather than the functional, cosmetic products, 'the active self- management type', who pursue the highly-functional cosmetic products and the active skin management, and 'the self-ostentation type', who consider the external parts, rather than the health, important. As a result, based on the results of this research, the special characteristics by each type regarding the skin health management of the female university students must be understood, and a differentiated educational method or approach method for the skin health management resulting this must be considered.

Perception of Artificial Hydration for Terminally Ill Cancer Patients: Patients, Families and General Public (말기 암 환자에서의 정맥 내 수액요법에 대한 인식도: 환자, 보호자 및 일반인)

  • Yang, Seong-Kyeong;Yong, Jin-Sun
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.220-227
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    • 2009
  • Purpose: The purpose of the study was to investigate how much understand about artificial hydration in patients with terminal cancer, according to the subject groups, including patients, families, and general public. Methods: Data were collected from June 2007 to December 2007 and the participants included 22 hospitalized patients in the hospice unit of S Hospital, 100 families, and 101 participants who participated in a hospice education program for the general public. The questionnaire was developed through literature review, interview with patients' families, and expertise consultation. Data were analyzed using descriptive statistics with an SAS program. Results: Understanding of artificial hydration among patients, families and general public was examined from three perspectives. From an ethical perspective, 'if you receive artificial hydration, you can live longer', 45.5%, 63%, and 52.4% of the above three groups, respectively, answered "yes". From an emotional perspective, 'artificial hydration must be provided', 81.8%, 70% and 58.4%, respectively, agreed. From a cultural perspective, 'if artificial hydration is not provided for the patient, the families will feel painful', 95.5%, 83%, and 88.2%, respectively, answered "yes". Conclusion: This study found the differences in understanding of artificial hydration among patients, families and general public, and also found that less than 50 percent of the participants understood artificial hydration appropriately. We suggest, therefore, that patients' understanding about artificial hydration should be determined in the clinical setting and then followed by individualized education according to given medical situations.

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