• Title/Summary/Keyword: Patient's data

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The effect of information literacy the communication ability of dental hygienist: mediating effect of job crafting (치과위생사의 정보활용역량이 의사소통능력에 미치는 영향 : 잡크래프팅의 매개효과)

  • Park, Jin-Ah;Kim, Seon-Yeong;Moon, Sang-Eun;Kim, Yun-Jeong;Cho, Hye-Eun;Kang, Hyun-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.3
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    • pp.217-224
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    • 2022
  • Objectives: This study aimed to establish the basic data for the performance of patient-centered care, perception of core competencies, and self-development of dental hygienists by verifying the effects of information literacy on the communication ability of dental hygienists, and the mediating effects of job crafting. Methods: Collected and analyzed data by conducting a survey targeting total 222 dental hygienists working for dental hospitals/clinics located in Seoul and Gyeonggi region. Verify the mediating effects of job crafting on the effects of information literacy on the communication ability, this study conducted the correlation analysis and simple regression analysis and multiple regression analysis. Results: In the effects of information literacy on the communication ability of dental hygienists, the cognitive crafting of job crafting (β=0.209, p<0.001) and relational crafting of job crafting (β=0.318, p<0.001) showed the partially mediating effects. Conclusions: In order to increase the educational accessibility for dental hygienists to perceive the importance of information literacy and communication ability, to improve the expertise as healthcare personnel who perform the patient-centered care by developing it, and also to develop the information literacy and job crafting, it would be necessary to develop various educational programs and contents.

Data-driven Adaptive Safety Monitoring Using Virtual Subjects in Medical Cyber-Physical Systems: A Glucose Control Case Study

  • Chen, Sanjian;Sokolsky, Oleg;Weimer, James;Lee, Insup
    • Journal of Computing Science and Engineering
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    • v.10 no.3
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    • pp.75-84
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    • 2016
  • Medical cyber-physical systems (MCPS) integrate sensors, actuators, and software to improve patient safety and quality of healthcare. These systems introduce major challenges to safety analysis because the patient's physiology is complex, nonlinear, unobservable, and uncertain. To cope with the challenge that unidentified physiological parameters may exhibit short-term variances in certain clinical scenarios, we propose a novel run-time predictive safety monitoring technique that leverages a maximal model coupled with online training of a computational virtual subject (CVS) set. The proposed monitor predicts safety-critical events at run-time using only clinically available measurements. We apply the technique to a surgical glucose control case study. Evaluation on retrospective real clinical data shows that the algorithm achieves 96% sensitivity with a low average false alarm rate of 0.5 false alarm per surgery.

Pain management and Pain knowledge of Nurses (간호사의 암환자 통증관리 및 통증지식에 관한 연구)

  • Choi, So-Young
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.82-90
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    • 2004
  • Purpose: This study is part of questionnaire survey concerned with the views of nursing staff for cancer patients. This study was done to describe cancer pain management problem, pain management knowledge. Methods: The participants were 188 nurses at cancer ward. Data were collected from July 2003 to August 2003. Data were collected with multiple-choice items and one open-ended question, which were constructed structured questionnaire. The data were analyzed by means of SPSS statistical software and content analysis. Results: Experiences of pain education are 53.7%, pain assessment sheet not use 86%, pain management status are partial. Education need of pain management was 87.8% patients in pain were very often(23.9%) or rather often (35.1%) cancer patients. The nurses are respond to open question. Pain management problems as assessed by nurses are categorized 11 item. The health professional problems are Knowledge deficit pain management, Incontrollable pain, Doctor's busy. The patient problems afraid of narcotics for addiction, side effect, distinguishing between physical and suffering, economical problem. The scores of knowledge about pain was average 16.7 score. The pain knowledge showed significant correlation education need(r=.180, p=.013). The effective variable was need of $education({\beta}=.163)$. Conclusion: It was found that pain knowledge was middle score and pain management problem was multiple. The study highlights the need to increase pain education for health professional. Therefore, This study suggest that health professionals education should be done to improve pain management problem.

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Recent advances in the reconstruction of cranio-maxillofacial defects using computer-aided design/computer-aided manufacturing

  • Oh, Ji-hyeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.2.1-2.7
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    • 2018
  • With the development of computer-aided design/computer-aided manufacturing (CAD/CAM) technology, it has been possible to reconstruct the cranio-maxillofacial defect with more accurate preoperative planning, precise patient-specific implants (PSIs), and shorter operation times. The manufacturing processes include subtractive manufacturing and additive manufacturing and should be selected in consideration of the material type, available technology, post-processing, accuracy, lead time, properties, and surface quality. Materials such as titanium, polyethylene, polyetheretherketone (PEEK), hydroxyapatite (HA), poly-DL-lactic acid (PDLLA), polylactide-co-glycolide acid (PLGA), and calcium phosphate are used. Design methods for the reconstruction of cranio-maxillofacial defects include the use of a pre-operative model printed with pre-operative data, printing a cutting guide or template after virtual surgery, a model after virtual surgery printed with reconstructed data using a mirror image, and manufacturing PSIs by directly obtaining PSI data after reconstruction using a mirror image. By selecting the appropriate design method, manufacturing process, and implant material according to the case, it is possible to obtain a more accurate surgical procedure, reduced operation time, the prevention of various complications that can occur using the traditional method, and predictive results compared to the traditional method.

Effects of Nonviolent Communication(NVC) Program consist of Communication Ability, Relationship and Anger in Nurses

  • Lee, Miok;Lee, Sang-Bok
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.10
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    • pp.85-89
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    • 2016
  • This study investigated the effects of nonviolent communication(NVC) program consisted of communication competency, relationship and anger in 48 nurses. Data were collected by Choe(2004)'s Communication Competency Scale, Ju(2005)'s Relationship Scale and anger of Visual Analogue Scale. Statistic analysis consisted of average, standard deviation, minimum and maximum, paired t-test using SPSS 21 program were done. After NVC program, nurses's communication competency(p=.000) and relation (p=.000) were improved. Nurse's anger was lowered(p=.000). The results will provide the basic data to develop the Mini-NVC programs for various work fields as like ER, ICU nurses and will provide the evidences for safe and non-violent work environment and more related studies.

The Cost of Long-Term Care Alternatives for the Elderly (미국 노인환자들의 만성질환관리형태에 대한 비용분석)

  • Lee, Tae-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.351-361
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    • 1998
  • The purpose of this study was to explore whether there is a point within the range of physical impairment after which the cost of home care exceeds the cost of nursing home care among the elderly who require long-term care. The provision of long-term care for the elderly is a major health policy issue, in part due to the aging of the American population and dramatic increase in health care costs. The framework for this study was guided by Pollak's(1973)model of costs of alternative care settings for the elderly. This study used a retrospective, descriptive correlational design. Physical impairment was measured by the modified Index of Activities of Daily Living(Katz et al. 1963). Cost of care was measured by the average cost per patient per day. The sample for this study included 67 patients receiving long-term care at home from the Long-term Home Health Care Programs (LTHHCPs) and 67 patients receiving long-term care in nursing homes. Data were collected on patient characteristics. including activities of daily living and cognitive impairment. and on the number of physician visits. emergency room visits. and hospitalization from the patient records. For each patient. Medicaid cost data for home care services/or nursing home services were collected from the financial department of each home care agency or nursing home. The living costs and informal care costs were estimated for home care patients. The results indicated that the home care sample and the nursing home sample were similar in terms of gender. ethnic background. and marital status. The elderly patients in the home care sample were: however. younger and less physically impaired than those in the nursing home sample. The hypotheses of this study were supported: For elderly persons with physical impairment scores below 12(possible range of 0 to 14), cost of care was lower in home care than in the nursing home care setting. However, for elderly persons with physical impairment scores above 12. the cost of care was higher in home care than in the nursing home care setting. Thus. in this sample for elderly patients with extreme physical impairment, the cost of home care exceeded the cost of nursing home care.

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Burden and Quality of Life in Main Caregivers of Cancer Patients Treated with Chemotherapy (화학요법을 받는 암환자 주보호자의 부담감과 삶의 질)

  • Na, Duck-Mi;Chung, Young;Yang, Kyung-Mi
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.686-698
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    • 2003
  • Purpose: This is a descriptive correlation study purposed to provide basic data for comprehensive nursing care by analyzing the relationship between the burden and the quality of life of family caregivers of cancer patients treated with chemotherapy. Methods: As for the subjects of this study, 66 family caregivers who take care of cancer patients hospitalized and treated with chemotherapy participated in the research. The tool of this study was a structured questionnaire including questions concerning burden(19 items) and the quality of life(33 items). Collected data were analyzed using SPSS PC+ program through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression. Results: 1) The mean score of burden was 2.6383. The mean score of quality of life was 3.3034. These score show that family caregivers perceive a moderate level of burden and the quality of life. 2) Family caregivers' burden was significantly related to symptoms in the cancer patient (r= 0.3501, P=0.0042) and family caregivers(r= 0.5340, P=0.0001). Family caregivers' quality of life was significantly related to symptoms in the cancer patient(r= -0.3528, P=0.0039) and family caregivers(r= -0.5472, P=0.0001). According to the result of examining' the relationship between burden and the quality of life, there was a statistically negative correlation(r= -0.6326, P=0.0001). 3) 'Family income after the onset of the patient' was the most important predictor of the burden of family caregivers($R^2$=0.158). 'Usual relationship with the patient' was the most important predictor of the quality of life of family caregivers($R^2$=0.138). Conclusions: The results presented above indicate that we must consider burden of family caregivers and symptoms experienced by them in order to improve the quality of life of family caregivers of cancer patients treated with chemotherapy.

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Delayed Presentation of Self-discovered Breast Cancer Symptoms in Iranian Women: A Qualitative Study

  • Khakbazan, Zohreh;Taghipour, Ali;Roudsari, Robab Latifnejad;Mohammadi, Eesa;Omranipour, Ramesh
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9427-9432
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    • 2014
  • Background: Delayed presentation of symptomatic breast cancer is a public health issue in Iran, making a major contribution to low survival. Despite the importance of this problem, current knowledge is insufficient to inform interventions to shorten patient delay. The aim of this study was to explore factors influencing patient delay in Iranian women with self-discovered breast cancer symptom. Materials and Methods: This qualitative study was conducted during 2012-2013. Purposeful sampling was used to recruit 20 Iranian women with self-discovered symptoms of breast cancer who attended the Cancer Institute of Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured in-depth audiotaped interviews, which were transcribed and analyzed using conventional content analysis with MAXqda software version 10. Findings: Content analysis of the data revealed four main themes related to the delay in seeking medical help including: 1) attributing symptoms to the benign conditions; 2) conditional health behavior; 3) inhibiting emotional expression; and 4) barriers to access to health care systems. Conclusions: These results suggest that patient delay is influenced by complex and multiple factors. Effective intervention to reduce patient delay for breast cancer should be developed by focusing on improvement of women's medical knowledge, managing patients' emotional expression and reform of the referral system.

A Validity and Reliability of Korean Version of the Student Perception of Patient Safety Knowledge, Skills, Attitudes (한국판 환자안전 지식, 기술, 태도 측정도구의 타당도와 신뢰도)

  • Park, A Young;Kim, Ja Ok
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.479-488
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    • 2018
  • To develop and test validity and reliability of Korean version of the Student Perception of Patient Safety Knowledge, Skills, Attitudes to assess applicability for nursing students. Survey data were collected from convenience sample of 425 fourth year nursing students who enrolled in four universities. Data were evaluated using item analysis, content validity, exploratory factor analysis, and Cronbach's alpha. The attitudes scale was eliminated since item-total correlations were less than .3, on the final Korean Version Scales. The attitudes subscale needs further refinement before implementation. The finding out this study demonstrate that the knowledge and skills scales showed satisfactory validity and reliability. It is useful to evaluate nursing students during educational preparation and in practice.

The Effect of Ethical Values on the Patient's Personal Information Protection of College Students Majoring in Healthcare Administration (보건행정 전공 대학생들의 윤리적 가치관이 환자 개인정보 보호인지에 미치는 영향)

  • Jung, Eun-Young
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.345-352
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    • 2020
  • This study was conducted to investigate 820 university students in C and G areas to analyze the effects of ethical values of health administration major college students on the perception of patient personal information protection and to present important basic data for the development of education programs. The data were analyzed through SPSS/WIN 18.0 Program. As a result of analysis, the average of personal information protection of college students majoring in health administration was low at 2.04 ± 0.24, and ethical values were idealistic tendency 2.51 ± 0.32 points, and relativistic tendency was 2.34 ± 0.34 points, which showed a high idealistic tendency. Ethical values were also significantly related to idealistic ethics and relativistic ethics in terms of the level of awareness of patient personal information protection and the perception of patient personal information protection exposure. Therefore, in order to increase the protection of patients' personal information of university students majoring in health administration, the correct ethical values should be established, and systematic and continuous education is needed for this purpose.