• Title/Summary/Keyword: Professional staff

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Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors

  • Kafadar, Didem;Ince, Nurhan;Akcakaya, Adem;Gumus, Mahmut
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4653-4658
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    • 2015
  • Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

Silver Town Satisfaction with Food Service Effect on Word of Mouth - With Charged Silver Town in Gyeonggido Area - (급식 서비스 만족도가 구전에 미치는 영향 -경기 지역 유료 실버 타운을 중심으로-)

  • Shin, Mi-Kyung;Kim, Ha-Yun;Kim, Myung-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.1
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    • pp.159-165
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    • 2010
  • This study was conducted to evaluate food service satisfaction of senior citizens in three charged silver towns in Gyeonggido. Food satisfaction factors influencing the satisfaction of silver town residents' included satisfaction and word of mouth. For this study, 210 silver town residents were surveyed; however, 16 of these resident did not complete the survey. Therefore, the results of 194 survey questionnaires were analyzed. All results were conducted using the frequency, factor analysis, and regression procedure of SPSS 12.0. The determinant factors of the silver town feeding service included food service, food feeding, emotional, physical, and sensory characteristics of the senior citizens. Among these, food service, food feeding, emotional, and sensory characteristics of the respondents had a significant effect on their level of satisfaction. In addition, satisfaction of the residents was affected by word of mouth. Thus, the results of this study suggests that if the food service is well-arranged by hiring professional workers in the food service industry while considering the needs of senior citizens, feeding service can be improved. In addition, if the feeding service is focused on providing better service with more trained and educated staff members so that the clients perceive that they receive more personalized care and differentiated concern, it would be possible to enhance the relationship with customers continuously and to induce potential customers' residence in the silver town.

A Study on the Effects of Comprehensive Nursing Care Service Quality to Health Care Service Performance -Focusing on the Mediating Effects of Relational Commitment- (간호·간병 통합서비스 품질이 의료서비스 성과에 미치는 영향 -관계몰입의 매개효과를 중심으로-)

  • Kim, No-Sa;Choe, ho-Gyu
    • Industry Promotion Research
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    • v.3 no.2
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    • pp.21-31
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    • 2018
  • This study conducted a hypothesis test to examine the effect of integrated service quality of nursing and care on medical service performance. The results of this study are as follows. First, the perceived performance, loyalty, perceived performance, perceived loyalty, and perceived loyalty of medical service achievement, perceived performance of medical service performance, responsiveness, confident, empathy, The results show that adoption has a positive impact on loyalty. In other words, the integrated service quality proved to be very important for the medical service capacity. In order to do this, institutional efforts should be given priority to increase the number of nursing staff. In order to nurture excellent nursing team members, in addition to professional nursing ability, emphasis should also be placed on personality education for positive relationships through patient empathy. In this study, we can find the implication of the study that we measured the effect of integrated service quality on medical service performance.

A Stakeholder Analysis for Understanding Barriers to Resource Sharing (대학도서관의 자원공유의 장벽에 대한 이해관계자 분석)

  • Shim, Won-Sik
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.21 no.2
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    • pp.129-143
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    • 2010
  • There is a recognition that traditional resource sharing methods such as interlibrary lending and document delivery are now inadequate to meet user needs in the increasingly networked environment. The current study identifies barriers to resource sharing and provides analysis of stakeholders engaged in resource sharing. Focused interviews with six professional librarians were also carried out to seek out deeper understanding of perceptions of barriers among librarians. Results show that the size of the library was not necessarily result in active resource sharing. There was a wide gap among librarians in terms of their attitudinal and organizational orientations towards resource sharing. Barriers specifically identified in the study include the narrowly defined notion among librarians of what constitutes research and the untested fear of swamping where there is an imbalance of collections. Overall, while resource sharing is recognized as an integral part of library services, it seriously lacks funding and staff. The study recommends earnest efforts to build librarians' community to invigorate resource sharing among libraries.

A Study on the Actual Conditions of Museum Environment for Old Textile Collections -Focused on university Museums- (직물류 유물의 전시 및 보관환경 실태조사-대학박물관을 중심으로-)

  • 배순화
    • Journal of the Korean Society of Costume
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    • v.34
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    • pp.109-120
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    • 1997
  • The conservation of collections in muse-ums is an important aspect for our her-itage. The control of museum environment is a vital factor in the preservation of cool-lections. Inappropriate or fluctuating envi-ronmental conditions can cause irreparable damage to works of arts. In this research we investigated the ac-tual conditions of museum environment for old testiles using questionnaire and mea-sured dye fasing of old textiles on exhibi-tion for 2 months in a university museum the major results are as follows: 1. The control of temperature and rela-tive humidity is a vital factors I the preservation of old textiles in museum generally acceptable temperature and rel-ative humidity standards for old textiles are 18-23$^{\circ}C$ and 50-65% R. H and light level for textiles on exhibition should be limited to 30-50 lux. 2, In university museums the limate control system in exhibition and storage area is in an early stage. Therefore to minimize the deterioration of old textiles the best method of controlling the envi-ronment is to have centralized climate control system in sorage area as well as in display area. 3. Conservator is needed to maintain collections scientifically. Only professional conservator by combining scientific tech-nical and artistic training has the exper-tise needed to maintain the physical in-tegrity of old textiles. In order to solve the inferior environment of museums the staff should recognize the importance of the condition of exhibition and storage. 4. Old textiles are susceptible to damage by light and associated heat. Dyed textiles which have been exhibited under the light without any UV filter were faded notice-ably within two months of exhibition. Light levels for textiles on exhibition should be limited to 30-50 lux. It is de-sirable to use special light source that can absorb UV. and UV filter is also recom-mended to reduce photodegradation of old textiles.

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Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model (범이론적 모형에 기반한 근거기반실무 활성화 프로그램의 개발)

  • Cho, Myung Sook;Cho, Yong Ae;Song, Mi Ra;Kim, Mi Kyung;Cha, Sun Kyung
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.136-147
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    • 2013
  • Purpose: This study developed a program to facilitate evidence-based practice (EBP) in one nursing organization, and identifies the effects of the program on the nurses' EBP facilitators. Methods: The program was based on the Transtheoretical Model of stages of organizational change, a literature review, the cases of hospitals overseas, and a prior study. To identify the effects of the program, a one-group pretest-posttest study was conducted with 45 nurses who participated in the EBP implementation. Results: The program consisted of EBP educational sessions, consultations with academic nursing faculty and clinical EBP mentors, and support from the administration and relevant departments. After the EBP program, there was a statistically significant difference in belief in the value of EBP between the pretest and the posttest (t=2.31, p=.026). However, no significant differences were found between the pretest and the posttest for organizational support to develop EBP (t=0.62, p=.537), skills in locating and evaluating research reports (s=-1.00, p=.987), knowledge of research language and skills (s=-1.00, p=.986), and time to devote to EBP (s=-23.00, p=.711). Conclusion: The findings provide important data that can be used to develop and implement strategies for enhancing EBP in clinical settings in Korea.

Comparison Study of Uptake of Colorectal Cancer Testing between Ethnic Minorities and the General Population in Hong Kong

  • Choi, Kai-Chow;So, Winnie Kwok-Wei;Chen, Joanne Man-Ting;Lau, Grace Chieh;Lee, Paul Chi-Wai;Chan, Carmen Wing-Han
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7713-7720
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    • 2015
  • Background: Colorectal cancer (CRC) is one of the most common cancers. This study aimed to compare the uptake of CRC testing in the general public and in ethnic minorities in Hong Kong. Materials and Methods: This cross-sectional survey covered 2,327 South Asian and Chinese adults aged over 50, recruited from two separate studies. A structured questionnaires were administered by research staff over the telephone or in faceto-face interviews. Results: The uptake rate of CRC testing among South Asians was significantly lower than that of the general population in Hong Kong. Factors associated with the uptake rate were health professional's recommendation, perception of regular visits to doctor, use of complementary therapy, ethnicity, perceived susceptibility to cancer, presence of chronic illness, and education level. In addition, a significant interaction (p<0.05) between ethnicity and health professionals' recommendations was found, after adjustment for the main independent factors identified. Conclusions: Older people with lower educational attainment, without chronic illness and those have lower perceived susceptibility to cancer may be targeted for CRC testing promotion in the society. In addition, health professionals can play a highly influential role in promoting such testing, particularly among ethnic minorities.

The Influence of Information Retrieval Skill on Evidence Based Practice Competency in Clinical Nurses (상급 종합병원 간호사의 정보검색능력이 근거기반실무 역량에 미치는 영향)

  • Son, Youn-Jung;Kim, Sun-Hee;Park, Young-Su;Lee, Soo-Kyoung;Lee, Yun-Mi
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.635-646
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    • 2012
  • Purpose: The purpose of this study was to understand clinical nurses' level of information retrieval skill and its influence on evidence based practice (EBP). Methods: A cross-sectional design was used. Data were collected from a convenient sample of 492 nurses working at 5 university hospitals in Korea. The Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and hierarchical multiple linear regression. Results: The mean score for information retrieval skill and EBP competency were respectively $2.81{\pm}0.64$ and $3.98{\pm}0.86$. Two step hierarchical regression analysis showed that attendance at academic conference (p = .036) and information retrieval skill (p<.001) were significant factors of EBP competency, information retrieval skill explained about 19% of total variance of EBP competency. Conclusion: Nurse need to increased fundamental information retrieval skill for EBP competency. Therefore, it is important to increase nurses' information retrieval skills by tailoring continuing EBP education modules. It would be also advisable to develop centralized systems for the internal dissemination of research findings for the use of nursing staff.

Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals (전문간호사 역할의 중요도, 만족도 및 기여도에 대한 의료인의 인식 - 전문의, 간호사, 전문간호사를 대상으로 -)

  • Cho, Myung-Sook;Cho, Young-Ae;Kwon, In-Gak;Seo, Min-Jeong;Baek, Hye-Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.168-179
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    • 2011
  • Purpose: The purpose of this study was to identify level of recognition of the importance, satisfaction and contribution of APNs' role by physicians, nurses, and advanced practice nurses. Method: Perceived importance and satisfaction were measured with a 23-item questionnaire on APN role with 5 subcategories. APNs' contribution was investigated using a 13-item outcome questionnaire developed by the researchers. Between August 15 and October 31, 2009, the researchers collected data from 68 physicians, 265 nurses, and 23 APNs all working in a single tertiary hospital. Data were analyzed using descriptive statistics, Kruskal-Wallis Test with Bonferroni's Correction and scatter plot. Result: The importance (3.24~3.39, 4 point scale), satisfaction (3.02~3.13, 4 point scale), and contribution of APNs' role (3.39~4.12, 5 point scale) were well recognized by the health care professionals. All the three health care professional groups rated APNs' contribution high in medical service management, continuity of care, patient accessibility, improvement in patient satisfaction, and patient and family education. 'Importance-Satisfaction Analysis' showed that patient data management by APNs needed greater effort. Conclusions: The findings show that the importance, satisfaction, contribution of APNs' role are recognized, and indicate a need for further development of APNs' role through efforts to overcome the gaps identified through this research.

A Study on the Development of the Nightgown Considering the Construction Features of the Cheolik and the Shimui (심의와 철릭을 활용한 나이트가운 개발에 관한 연구)

  • Kim, Hyun-Jeong;Cho, Oh-Soon;Kim, Yeo-Sook
    • Journal of the Korean Society of Costume
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    • v.57 no.6 s.115
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    • pp.1-16
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    • 2007
  • The study aimed to develop the nightgown considering the construction and design features of the Shimui and the Cheolik. The analysis on the construction features of the Korean traditional costume and the physiological and motional attributes while sleeping resulted into the construction factors of the nightgown developed in the study. Consequently, the nightgown having these traditional Korean costume features were made for the evaluation. 4 different types of nightgowns were designed to be constructed. 20 professional clothing staff evaluated these 4 nightgowns developed and the existing nightgown used in the hotel industry. The results from the wearing test evaluation were: (1) to consider the stable closure of the gowns while wearing, the scores of the gowns developed were higher than the existing one. (2) the evaluations of the wearing comfort of the standing posture for the gowns developed and the existed were more or less similar but considering the lying down posture, the scores of the developed ones were significantly higher. (3) the gowns developed to have the wide-ham lines were considered more appropriate to the leg movement compared to the existing gown. The results from the fit and appearance test evaluation were: (1) throughout the all hight levels, the means of the gowns developed were higher than the existing gown's means in the most of the evaluation questions. (2) in the evaluation of the Korean traditional features, the gowns developed were more appropriate than the existing one. Consequently, the gowns developed were considered better to compare to the existing one in the context of postures, movements, comfort, appearance, fit, and design features.