• 제목/요약/키워드: Operating Experience Data

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Operating Room Nurses' Experiences of Securing for Patient Safety (수술실 간호사의 환자안전 확보 경험)

  • Park, Kwang-Ok;Kim, Jong Kyung;Kim, Myoung-Sook
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.761-772
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    • 2015
  • Purpose: This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Methods: Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. Conclusion: The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

Practice Experience of Nursing Student in Operating Room (간호대학생의 수술실 실습 경험)

  • Song, Mi-Sook;Park, Kyung-Min
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.357-367
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    • 2020
  • This study is a qualitative study conducted to understand and explain the operating room practice experience of nursing college students. Participants in this study were 67 nursing college students in 3rd and 4th grade at a university in C-gun, Gyeongsangbuk-do who participated in the practice of operating rooms. The data collection period was from January 14, 2019 to January 13, 2020, and the data collection was carried out through an open self-report-style reflection log, and the collected data was analyzed using the traditional content analysis method of Krippendorff [21]. Analysis of the operating room practice experience of nursing college students resulted in 27 sub-themes, 12 themes and 5 categories. The five categories are "Being seized with complicated feelings," "Being faced with dissection body," "Learning the characteristics of the operating room, " "Being confronted with the limits of clinical practice" and "Self-reflection." The results of this study provided an understanding of the operating room practice experience of nursing students and are expected to be used as basic data to improve the quality of practice of nursing students.

A Review of the Progress with Statistical Models of Passive Component Reliability

  • Lydell, Bengt O.Y.
    • Nuclear Engineering and Technology
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    • v.49 no.2
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    • pp.349-359
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    • 2017
  • During the past 25 years, in the context of probabilistic safety assessment, efforts have been directed towards establishment of comprehensive pipe failure event databases as a foundation for exploratory research to better understand how to effectively organize a piping reliability analysis task. The focused pipe failure database development efforts have progressed well with the development of piping reliability analysis frameworks that utilize the full body of service experience data, fracture mechanics analysis insights, expert elicitation results that are rolled into an integrated and risk-informed approach to the estimation of piping reliability parameters with full recognition of the embedded uncertainties. The discussion in this paper builds on a major collection of operating experience data (more than 11,000 pipe failure records) and the associated lessons learned from data analysis and data applications spanning three decades. The piping reliability analysis lessons learned have been obtained from the derivation of pipe leak and rupture frequencies for corrosion resistant piping in a raw water environment, loss-of-coolant-accident frequencies given degradation mitigation, high-energy pipe break analysis, moderate-energy pipe break analysis, and numerous plant-specific applications of a statistical piping reliability model framework. Conclusions are presented regarding the feasibility of determining and incorporating aging effects into probabilistic safety assessment models.

Initiating Event Selection and Analysis for Probabilistic Safety Assessment of Korea Research Reactor (국내 연구용원자로 PSA 수행을 위한 초기사건 선정 및 빈도 분석)

  • Lee, Yoon-Hwan
    • Journal of the Korean Society of Safety
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    • v.36 no.2
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    • pp.101-110
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    • 2021
  • This paper presents the results of an initiating event analysis as part of a Level 1 probabilistic safety assessment (PSA) for at-power internal events for the Korea Research Reactor (KRR). The PSA methodology is widely used to quantitatively assess the safety of research reactors (RRs) in the domestic nuclear industry. Initiating event frequencies are required to conduct a PSA, and they considerably affect the PSA results. Because there is no domestic database for domestic trip events, the safety of RRs is usually assessed using foreign databases. In this paper, operating experience data from the KRR for trip events were collected and analyzed in order to determine the frequency of specific initiating events. These frequencies were calculated using two approaches according to the event characteristics and data availability: (1) based on KRR operating experience or (2) using generic data.

The Effects of Verbal Violence Experience, Social Support, and Coping Patterns on Job Stress among Operating Room Nurses (수술실 간호사의 언어폭력경험, 사회적 지지, 대처양상이 업무 스트레스에 미치는 영향)

  • Kim, Jeong Wook;Ko, Suk Jeong;Shin, Sung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.38-45
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    • 2016
  • Purpose: The purpose of this study was to understand the effects of verbal violence experience, social support, and coping patterns on job stress among operating room(OR) nurses. Methods: The participants were 214 operating room nurses in general hospitals. Data were collected from April 1st to May 1st in 2013 and were analyzed using a multiple regression. Results: The most influencing factor on job stress for OR nurses was verbal violence experience from doctor(${\beta}=.35$), and verbal violence experience from nurse (${\beta}=.27$) followed. Social support from co-workers was a significant factor in decreasing job stress (${\beta}=-.22$). Those three factors explained 43.0% (F=54.76, p<.001) of OR nurses' job stress. Conclusion: The findings of this study revealed that doctors' and nurses' verbal violence increased job stress of OR nurses and social support from co-workers was found decreasing OR nurses' job stress. The results of the study provides an necessity for developing an effective program for minimizing job stress of OR nurses caused by work place verbal violence.

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.

FLOODING PSA BY CONSIDERING THE OPERATING EXPERIENCE DATA OF KOREAN PWRs

  • Choi, Sun-Yeong;Yang, Joon-Eon
    • Nuclear Engineering and Technology
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    • v.39 no.3
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    • pp.215-220
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    • 2007
  • The existing flooding Probabilistic Safety Analysis(PSA) was updated to reflect the Korean plant specific operating experience data into the flooding frequency to improve the PSA quality. Both the Nuclear Power Experience(NPE) database and the Korea Nuclear Pipe Failure Database(NuPIPE) databases were used in this study, and from these databases, only the Pressurized Water Reactor(PWR) data were used for the flooding frequencies of the flooding areas in the primary auxiliary building. With these databases and a Bayesian method, the flooding frequencies for the flooding areas were estimated. Subsequently, the Core Damage Frequency(CDF) for the flooding PSA of the Ulchin(UCN) unit 3 and 4 plants based on the Korean Standard Nuclear Power Plant(KSNP) internal full-power PSA model was recalculated. The evaluation results showed that sixteen flooding events are potentially significant according to the screening criterion, while there were two flooding events exceeding the screening criterion of the existing UCN 3 and 4 flooding PSA. The result was compared with two kinds of cases: (1) the flooding frequency and CDF from the method of the existing flooding PSA with the PWR and Boiled Water Reactor(BWR) data of the NPE database and the Maximum Likelihood Estimate(MLE) method and (2) the flooding frequency and CDF with the NPE database(PWR and BWR data), NuPIPE database, and a Bayesian method. From the comparison, a difference in CDF results was revealed more clearly between the CDF from this study and case (2) than between case (1) and case (2). That is, the number of flooding events exceeding the screen criterion further increased when only the PWR data were used for the primary auxiliary building than when the Korean specific data were used.

The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Operating Room Nurses (수술실 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향)

  • Lee, Kyung Hee;Lee, Young Shin;Park, Hae Kyung;Rhu, Jung Ok;Byun, In Seung
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.204-214
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    • 2011
  • Purpose: This study was aimed to provide information on the awareness of patient safety culture and safety care activities among operating room (OR) nurses and to analyze the factors influencing the safety care activities. Methods: For this descriptive research, self-reported questionnaires were administered to 168 OR nurses who were working at the university-affiliated and general hospitals. The collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson's correlation coefficient and Stepwise multiple regression with SPSS/WIN 17.0. Results: The mean score of the awareness on patient safety culture was 3.27 out of 5 points and that of safety care activity was 4.31 out of 5. The statistically significant difference was found between experience of safety education and the awareness on patient safety culture. Also, the scores of safety care activities were significantly different according to OR nurses' position, education levels, and experience of safety education. There was a positive correlation between the awareness of patient safety culture and safety care activity. Their explanatory power on safety care activity was 8.8%, which includes working environment in operating room 3.3% and nursing position 5.5%. Conclusion: Compared to the level of patient safety activities, the OR nurses' awareness on patient safety culture was low. Given the specific characteristics and conditions in each hospital, it needs to increase the OR nurses' awareness on patient safety culture and activities related to patient safety.

The Effects of Self-leadership, Professional Self-concept, and Positive Psychological Capital of Operating Room Nurses on Nursing Performance (수술실 간호사의 셀프리더십, 전문직 자아개념, 긍정심리자본이 간호업무성과에 미치는 영향)

  • Moon, Hyun Sook;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.139-148
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    • 2020
  • Purpose: This study was conducted to determine the effects of self-leadership, professional self-concept, and positive psychological capital on the performance of operating room nurses. Methods: The participants were 148 operating room nurses with more than a year of experience in one of the general hospitals in Seoul, Korea. Data were collected from 18 to 29 November 2019 and were analyzed by descriptive statistic methods, t-test, ANOVA, Pearson's correlation coefficient analysis, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: The self-leadership, professional self-concept, and positive psychological capital of operating room nurses showed a positive correlation with nursing performance. The performance of operating room nurses was the most affected by professional self-concept (β=.32, p=.002), followed by operating room career (β=.22, p=.037) and positive psychological capital (β=.20, p=.039), which together accounted for a nursing performance of up to 42.9% (F=12.06, p<.001). Conclusion: Based on these findings, it is necessary to develop education and intervention programs to enhance the operating room nurses' professional self-concept and positive psychological capital.

Convergence study on Relationship among Verbal violence experience, Verbal violence impact and Burnout in Operating Room Nurses (수술실 간호사의 언어폭력경험, 언어폭력충격, 및 소진간의 상관성에 대한 융합연구)

  • Lee, Su-Jin;Kim, Ju-Sung
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.85-96
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    • 2017
  • The purpose of this study was to evaluate the relationship among verbal violence experience, verbal violence impact and burnout of operating room nurses. The data were collected by structured self-reporting questionnaires from 202 operating room nurses and were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and multiple regression. The level of verbal violence experience and verbal violence impact was 1.96 and 1.67. The level of burnout was 3.08. Verbal violence impact and burnout have a significant positive association with verbal violence experience(r=.39, p<.001; r=.41, p<.001). Verbal violence impact was positively associated with burnout(r=.29, p<.001). Factors influencing burnout were verbal violence experience, verbal violence impact and position(staff nurse) which explained 30% of the variance(F=9.15, p<.001). These findings indicate that verbal violence experiences of operating room nurses have influence on stability and productivity in personal, social aspect and suggest developing the verbal violence prevention program in hospital.