• 제목/요약/키워드: Practice guidelines

검색결과 982건 처리시간 0.022초

간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도 (Cognition and Practice of Safe Handling of Cytotoxic Drugs in University Hospital Nurses)

  • 김매자;전명희;최진선;박종순
    • 종양간호연구
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    • 제4권2호
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    • pp.154-165
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    • 2004
  • Purpose : To provide basic data for establishing the policy of safe handling of cytotoxic drugs and for building training materials and clinical guidelines for nurses handling cytotoxic drugs. Methods: 255 nurses in Seoul and 257 nurses in D metropolitan area participated in the study. Questionnaires were based on the safe handling guideline for cytotoxic drugs issued by OSHA and ONA. Results: Nurses in Seoul scored higher in the cognition for safe handling guidelines of cytotoxic drugs in preparation, administration. as well as total score compared with nurses in D metropolitan area. The practical score also showed higher in nurses in Seoul in administration, disposal and total score. But both groups showed low level of practical score. The answers why they could not follow the guideline for cytotoxic drugs were "don't have", "busy", and "don't know", etc Conclusion: Handling of the cytotoxic drug is very common and important. The study findings suggest that hospitals especially in D metropolitan area should educate the nurses and supply equipments for safe handling of cytotoxic drugs. Thus, repetitive and continual education of all nurses including experts is needed. In addition, it is necessary to supply enough protective equipment for preventing exposure to the cytotoxic drugs.

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중국 BIM 표준의 현황과 특성에 관한 사례 분석 (A Case Study of Status and Characteristics of the BIM Standard in China)

  • 신규철
    • 한국BIM학회 논문집
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    • 제8권3호
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    • pp.20-30
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    • 2018
  • The Standard for BIM in Construction of China was released in 2017. The Unified Standard for BIM of China also took effects on 2017. The BIM standards of China needs to be compared with those related guidelines of Korea to find the status and characteristics for future development of BIM application in both countries' construction industries. The research methodology is a case study of comparing various standards of both countries. The case study results reveals many interesting issues for future BIM application and guidelines for practice of design and construction process. The research foundings include followings : LOD (Level of development) are well defined including LOD 350 in Chinese Standard. P-BIM(Practice based BIM) concepts and series of standards are set for the well-defined design and construction process by work stage in China. Korean standards shows more processes of design and documentation in detail. Major three aspects, particularity in BIM standard by work trade, practicality in BIM work process of design and construction, and professionality in subjects of BIM application, are analyzed and compared with various Guidelines of BIM in both countries.

코로나19 상황에서의 64세 이하 인구와 65세 이상 노인인구의 방역수칙 실천과 심리적 영향에 대한 비교연구: 2020년 지역사회 건강조사를 중심으로 (A Comparative Study on the Practice of Quarantine Guidelines and the Psychological Influence of the Population Aged Under 64 years (Young Group) and Over 65 years (Elderly Group): 2020 Community Health Survey)

  • 한명희
    • 한국보건간호학회지
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    • 제35권3호
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    • pp.401-414
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    • 2021
  • Purpose: The purpose of this study was to compare the practice of quarantine guidelines and psychological influence between the young (aged under 64 years) and the elderly (aged over 65 years) groups during the coronavirus disease 19 (COVID-19) pandemic. Method: The data of this study were obtained from the Community Health Survey, 2020, Korean Disease Control and Prevention Agency. A total of 229,296 (young group: 156,314, elderly group: 72,812) participants were included in this study. Independent t-test, chi-square test and descriptive analysis were used for analyzing the data. Result: Elderly group showed lower adherence to wearing face-mask, maintaining social distance when outgoing and practicing handwashing rules than the young group. The elderly group showed a higher level of psychological influence than the young group. In addition, the elderly group had fewer supporters when they were isolated than the young group. Also, the elderly had difficulties in following the quarantine guidelines related to COVID-19. Conclusion: To prevent infection and death from COVID-19 in the elderly, proper education and support programs are needed. Also, support groups should be prepared and applied to relieve their psychological impact related to COVID-19.

노인요양병원 간호사의 병원감염관리에 대한 인지도 및 실천도: 융복합적 접근 방안 모색 (Perception and practice of hospital infection control in nurses of geriatric hospital : for convergent approach)

  • 이덕자;고성희;이영희
    • 디지털융복합연구
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    • 제13권11호
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    • pp.461-470
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    • 2015
  • 본 연구는 융복합적 접근을 위해 노인요양병원 간호사의 병원감염관리에 대한 인지도와 실천도를 파악하고, 제변수간의 관계를 조사하는 연구이다. Lee(2011)가 사용한 병원감염관리 설문지를 이용하여 2012년 10월 29일부터 11월 3일 까지 자료를 수집하였고, 수집된 자료는 t-test, ANOVA 및 Correlation 으로 분석하였다. 병원감염관리 실천도의 평균 점수는 인지도 평균 점수 보다 통계적으로 유의하게 낮았다. 영역별 인지도와 실천도는 손씻기 영역, 호흡기감염관리 영역, 소독 오염물품관리 영역, 감염성 폐기물관리 영역에서 통계적으로 유의한 차이가 있었으며 실천도가 인지도보다 낮았다. 인지도는 연령, 학력, 감염관리지침서 유무에 따라 차이가 있었으며, 실천도는 감염관리지침서 유무에서만 차이가 있었다. 병원감염관리 인지도와 실천도는 통계적으로 유의한 정적상관관계가 있었다. 따라서 본 연구결과는 노인요양병원 감염관리에 대한 인지도와 실천도를 높이기 위한 제도적 지원과 더불어, 지속적이고 다양한 교육방법을 통해 체계적이고 전문적이며 실제적인 교육을 제공하는 것이 필요하다는 것과 병원감염관리 능력을 증진시키기 위한 프로그램을 개발할 필요를 제기한다.

교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사 (A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries)

  • 박인화;황의형;황만석;허인;김병준;임경태;신병철
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.131-145
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    • 2017
  • Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

국내 근거기반 임상간호실무지침 주제의 우선순위 결정 (A Prioritizing for the Evidence-Based Nursing Practice Guidelines Development)

  • 구미옥;조명숙;조용애;정재심;은영;정인숙;박정숙;김혜정
    • 임상간호연구
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    • 제18권1호
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    • pp.39-51
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    • 2012
  • Purpose: Thisstudy was conducted with an aim to get a kind of prioritiesin developing the evidence-based nursing practice guidelines in fields. Methods: This study utilized a two-round Delphi surveys from November to December, 2010 with self-administered questionnaires which had a scale ranged from 0 to 9. A total of 95 head nurses working at the forty different general hospitals was asked to evaluate the priorities in four criteria; patient coverage, certainty, improvement in patient outcome and in nursing practice (first round) and 65 head nurses were asked to decide the importance of the criteria afterwards (second round). Results: The relative importance of 4 criteria was 22.3% in patient coverage, 26.5% in certainty, 23.5% in improvement of patient outcome, and 27.7% in improvement of nursing practice as the results of the 1st round and 20.6%, 26.6%, 24.8%, and 28.0% for the 2nd round, respectively. Top five nursing practices showed high scores after considering the relative importances of the 4 criteria were medication, intravenous therapy, checking vital sign, pain management, and diagnostic test or procedures care. Conclusion: It is recommended to take into account of the priorities that were found in this study when someone intends to develop a evidence-based nursing practice guideline.

수술실 간호사의 병원감염관리에 대한 인지도와 실천정도에 관한 연구 (A Study on Levels of Awareness of Nosocomial Infection and Management Practices by Operating Room Nurses)

  • 김경희;최미혜;강미경
    • 기본간호학회지
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    • 제11권3호
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    • pp.327-334
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    • 2004
  • Purpose: This study was done to examine the awareness and management practice of operating room nurses, to prevent nosocomial infection, to identify problems and to propose solutions. Method: The research tools used were the hospital infection control guideline and a modified version of the measurment tools used in the study of Cho (1998). The questionnaire consisted of questions on hand washing, personal hygiene and clothes control, cleaning and environment control, sterilizing supplies and disposal of contaminated materials. The collected data were analysed with the SPSS program. Results: The mean score for domain-specific awareness of nosocomial infection control was 4.81 out of a possible 5 points. The highest score was for sterilizing supplies and disposal of contaminated materials. The mean score for domain-specific practices of nosocomial infection control was 4.40, out of a possible 5 points. Sterilizing supplies and disposal of contaminated materials had the highest scores. The mean score for awareness in all domains was higher than mean score for practice. Among the general characteristics of the nurses, high awareness was found only in the provision of infection control guidelines and it had shown statistically significant difference. Examination of relation of general characteristics to practice showed that for age, career, the provision of infection control guidelines, and experience in infection control education there were statistically significant differences in the scores. For the relation between awareness of nosocomial infection control and practice, positive correlation was found in all domains, thus high awareness leads to high practice. Conclusion: Considering the result of this research, plans are needed that promote virtual practice of hospital infection control.

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국내 병원에서 이루어지고 있는 인수인계 현황에 대한 조사연구 (An Exploration about Current Nursing Handover Practice in Korean Hospitals)

  • 김선호;김은만;최윤경;이향열;박미미;조의영;김을순
    • 임상간호연구
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    • 제19권2호
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    • pp.181-194
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    • 2013
  • Purpose: Examining current status of nursing intershift handover practice would provide opportunity to identify areas in need of improvement. The aim of this study was to describe nursing intershift handover practice in Korean hospitals. Methods: A cross-sectional survey using questionnaire was used to collect data. A total of 788 nurses working in general hospitals had participated. Results: More than half of the nurses participated responded that they used kardex for verbal handover (51.8%). The average time took for handover was 40.2 minutes (SD=14.7). Only 5.8% of nurses were satisfied with intershift handover practice. 72.9% of respondents did not have manuals for handover and 86% of nurses considered intershift handover manuals were necessary. Most nurses considered intershift handover pratice as an important component for patient safety (99.2%). The causes of handover error were interruption during handover, high work load, and stress/fatigue of nurses. Conclusion: The findings of this study indicated a need to develop handover practice guidelines which outline pertinent details. Intershift handover practice guidelines could provide consistency and structure to the information that is handed over.

COVID-19 이후의 손씻기 행태와 관련된 요인 융복합 연구 (Integrated Study on Factors related to Hand Washing Practice after COVID-19)

  • 김영란
    • 한국융합학회논문지
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    • 제13권2호
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    • pp.85-91
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    • 2022
  • 손씻기는 COVID-19 방역 지침에서도 강조하듯이 거리두기 및 마스크와 더불어 가장 중요한 감염수칙이다. 본 연구는 COVID-19 이후 손씻기 실천율 향상을 위한 접근방법을 모색하고자 손씻기 실천에 영향을 주는 관련 요인을 확인하고자 하였다. 본 연구는 2020년도 지역사회건강조사 전국 원시자료를 활용하였다. 연구방법은 단변량 로지스틱 회귀분석을 시행하여 관련성을 탐색하였으며, 유의한 변수를 이용하여 다변량 로지스틱 회귀분석을 실시하였다. 분석결과 손씻기 실천율은 여성, 고학력, 저연령, 도시, 사무직, 실내에서 마스크를 착용할수록, 주기적 환기를 할수록, 주기적 소독을 할수록, 건강거리를 유지할수록 손씻기 실천율이 높은 것으로 확인했다. 본 연구 결과는 손씻기 실천율의 관련 요인을 파악함으로써 COVID-19 방역 지침의 기초자료로 활용할 수 있다.

Development of Evaluation Items for Physical Therapy Clinical Practice

  • Seung-Hwa Jung;Joo-hee An;Seul-Ki Han;Dae-Sung Park;Cheong Hoon Kim
    • Physical Therapy Rehabilitation Science
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    • 제13권1호
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    • pp.71-77
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    • 2024
  • Objective: The purpose of this study is to present practice guidelines on what physical therapy students must learn during clinical training and how to evaluate them. Design: Design & development research Methods: A Delphi survey was conducted with 16 experts. Experts who participated in the study were asked to respond to 15 musculoskeletal system, 14 nervous system, and 12 physical factor therapy items through an online survey with a 5-point Likert score for each item regarding suitability and importance. Results: As a result of defining the core basic physical therapy skills that students in the Department of Physical Therapy must learn through clinical practice and in the process of evaluating them, there was a strong opinion that among the specific fields of physical therapy, evaluation items related to the musculoskeletal system, nervous system, and cardiorespiratory system were important. On the contrary, physical factor therapy showed poor results. Conclusions: In a previous study, opinions on the specialty of physical therapists were collected from current physical therapists, and the field of physical factor therapy was evaluated low. I think this reflects the perception that treatment using electricity has been commonly used in the field of physical therapy for a long time and does not require deep expertise among clinicians. Physical therapy clinical practice guidelines and efficient operation plans for clinical practice were presented. Through this, it can be usefully applied in hospitals where physical therapy students undergo clinical training in the future.