• 한국산업융합학회 논문집
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• 제27권3호
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• pp.675-684
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• 2024

The purpose of the study is to determine the relationship between the infection control organizational culture, infection prevention environment, and infection control performance of nurses at a children's hospital and to identify factors affecting infection control performance. The subjects of the study were 160 nurses from five children's hospitals, and data collection was conducted from February 19 to 29, 2024. Data analysis was performed using frequency, percentage, mean, standard deviation, and difference analysis of variables using t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. As a result of the study, infection control performance was positively correlated with infection control organizational culture (r= .610, p< .001) and infection prevention environment (r= .586, p< .001), and as a result of multiple regression analysis, infection control organization The influencing factors appeared in the following order: culture (β= .369), infection prevention environment (β= .312), medical institution accreditation evaluation experience (β= .165), and infection control education experience (β= .137), and the overall explanatory power was It was 50.8% (F=41.966, p< .001). Based on the results of this study, to carry out infection control in children's hospitals, integrated management including the will and effort of individual nurses, support and policy from medical institutions and the government is needed, and the development of an infection control education program that takes into account the special characteristics of children's hospital nurses. Application is necessary.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.147-155
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• 2012

Aboriginal and Torres Strait Islander people comprise about 2.5% of the Australian population. Cancer registry data indicate that their breast cancer survivals are lower than for other women but the completeness and accuracy of Indigenous descriptors on registries are uncertain. We followed women receiving mammography screening in BreastScreen to determine differences in screening experiences and survivals from breast cancer by Aboriginal and Torres Strait Islander status, as recorded by BreastScreen. This status is self-reported and used in BreastScreen accreditation, and is considered to be more accurate. The study included breast cancers diagnosed during the period of screening and after leaving the screening program. Design: Least square regression models were used to compare screening experiences and outcomes adjusted for age, geographic remoteness, socio-economic disadvantage, screening period and round during 1996-2005. Survival of breast cancer patients from all causes and from breast cancer specifically was compared for the 1991-2006 diagnostic period using linked cancer-registry data. Cox proportional hazards regression was used to adjust for socio-demographic differences, screening period, and where available, tumour size, nodal status and proximity of diagnosis to time of screen. Results: After adjustment for socio-demographic differences and screening period, Aboriginal and Torres Strait Islander women participated less frequently than other women in screening and re-screening although this difference appeared to be diminishing; were less likely to attend post-screening assessment within the recommended 28 days if recalled for assessment; had an elevated ductal carcinoma in situ but not invasive cancer detection rate; had larger breast cancers; and were more likely than other women to be treated by mastectomy than complete local excision. Linked cancer registry data indicated that five-year year survivals of breast cancer cases from all causes of death were 81% for Aboriginal and Torres Strait Islander women, compared with 90% for other women, and that the former had larger breast cancers that were more likely to have nodal spread at diagnosis. After adjusting for socio-demographic factors, tumour size, nodal spread and time from last screen to diagnosis, Aboriginal and Torres Strait Islander women had approximately twice the risk of death from breast cancer as other women. Conclusions: Aboriginal and Torres Strait Islander women have less favourable screening experiences and those diagnosed with breast cancer (either during the screening period or after leaving the screening program) have lower survivals that persist after adjustment for socio-demographic differences, tumour size and nodal status.

• 한국식품위생안전성학회지
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• 제32권1호
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• pp.14-19
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• 2017

본 연구에서는 HACCP 인증 활성화를 위한 중소규모 젖소목장과 유가공장에 대한 쉽고 간소화된 HACCP 위해 분석 표준모델의 개발을 위하여 32곳의 젖소목장을 상대로 설문조사를 하였다. 목장 종업원 수가 HACCP 인증률에 가장 큰 영향을 미치는 것으로 나타났다. 비인증목장의 경우, 2인 인력에 보유 두수가 40-60마리이며, 1일 착유량이 1,000-1,500 L인 목장 규모가 가장 많은 비율(66.7%)을 차지하였다. 지속적인 관리의 어려움과 시설설비 문제가 각각 주요한 미도입 이유와 추진 시 장애 요인으로 뽑혔다. 따라서, 젖소목장 규모와 유가공품 생산 현황에 맞는 표준기준서 및 O/X 체크리스트 형식으로 단순화된 기록지를 개발하고 전문성이 요구되는 검사항목의 경우 위탁분석을 하는 방안을 마련한다면 HACCP 도입 및 유지를 위한 어려움을 완화할 수 있을 것이다.

• 한국간호교육학회지
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• 제6권2호
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• pp.171-185
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• 2000

The twenty-first century may be said to be entering into a specialized qualification age to meet the needs of new technical innovations such as environmental changes, demographical changes, changes in the constitution of diseases, changes in the needs of the national health, reforms of information and knowledge, etc., which requires the provision of competitive services that can fulfill the high level needs of consumers. In consequence, it is needed to apply a practical nursing model that can serve as a guide for healthy society and to secure the sphere that can affect nursing policy-making by keeping pace with the changing environment. Furthermore, it is also urgent to expand more the activity sphere of nurse specialists with authority and autonomy, establish their legal foundation, establish a qualification accreditation system for nurse specialists, and develop educational programs. In Korea, the law relative to organ transplant past the national assembly on February 9, 2000, legally acknowledged brain death, which indicated to us the emergence of an age of organ transplant. Therefore, it necessitates to find out those of brain death from whom organ transplant is feasible in clinical practices, with their families' consent link to those terminal organ failure patients who are in need of an organ, and mediate both parties so that smooth transplant can be accomplished. A series of these complicated procedures require systematically trained specialists with high level techniques of organic management. With this in mind, this study was conducted on 69 clinical nurse specialists for organ transplant, accredited by the hospital, who are in active service in clinical practices. The resultant findings were revealed, as follows: 1. The qualifications of clinical nurse specialists for organ transplant should be accredited by Ministry of Health and Welfare or Korea Nurses Association. 2. The validity of qualifications should be for three years, and their renewal should be based on marks of a supplemental training or an education course for more than 12 hours a year. 3. The qualification of the clinical nurse specialist necessitates theoretical lectures and practices on those nurses who have had clinical experience in the pertinent field. 4. The course of training is required to be one year in the length of training and take more than 20 credits (320 hours) and 5 credits (240 hours).

• 공학교육연구
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• 제12권1호
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• pp.64-72
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• 2009

본 연구는 공학교육인증제 운영과정에서 강조되고 있는 학습성과 중 리더십 교육과 관련한 CQI 방안을 탐구하는 데 목적이 있다. 이를 위해 본 논문에서는 리더십 교육과 관련된 영남대학교의 사례를 연구하였다. 본 연구를 위해 리더십 교육과 관련된 영남대학교의 교과 및 교과 외 교육과정 분석, 리더십 교육 CQI 방안 마련을 위한 전문가 및 유관 기관 실무자 포커스그룹 면담이 실시되었다. 또한 리더십 캠프 참가자를 대상으로 리더십 역량진단, 리더십 교육 수요 조사, 캠프 만족도 조사를 실시하였다. 리더십 캠프진행을 주관한 데일 카네기 연구소 대구지부의 전문 강사들과 포커스그룹 면담을 실시하고 캠프 기간 동안 비참여관찰법을 통한 내용분석과 질적 면접이 병행되었다. 본 연구 결과를 정리하면 다음과 같다. 첫째, 대학수준의 수학능력 향상방안과 심리적 차원의 역량강화 방안이 동시에 고려되어야 한다. 특히 지방대학이라는 특성을 고려할 때 외국어 능력 향상과 자신감 및 비전 수립을 위한 교육에 역점을 둘 필요가 있다. 둘째, 일회성의 단기 리더십 세미나 및 팀 티칭 형태의 교육을 보완하기 위해서 설계교과목 이수체계도를 활용한 중장기 교육계획 수립 및 리더십 캠프 참가 경험이 있는 학생과 차기 캠프 참가자들간의 멘토-멘티제 운영이 고려될 수 있다. 셋째, 리더십 교육에 역점을 두는 전공, 학과 및 교내외 유관기관 관계자들로 구성된 리더십 교육 자문위원회를 구성함으로써 체계적이고 효과적인 리더십 교육을 실현할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.1264-1272
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• 2015

본 연구는 간호사가 지각하는 핵심기본간호술의 중요성과 실제 빈도가 일반병동과 특수병동에서 차이가 있는지를 확인하기 위한 비교 조사연구로 2011년 10월 1일에서 2011년 10월 30일까지 D광역시 소재 Y 대학병원 간호사 182명을 대상으로 하였다. 간호평가원에서 제시한 핵심기본간호술 20개 문항에 대해 자가 보고식으로 작성하였다. 자료 분석은 SPSS 20.0 program으로 분석하였다. 연구결과에서 일반병동과 특수병동의 핵심기본간호술에 대한 중요성 인식은 일반병동이 특수병동에 비해 피내주사(p=.011), 수혈요법(p=.028), 단순도뇨(p=.047), 배출관장(p=<.001), 수술 전 후 간호(p=.035), 입원관리하기(p=.027)와 비강 캐뉼라를 이용한 산소 요법(p=.002)이 유의하게 높았다. 일반병동과 특수병동의 핵심기본간호술에 대한 실제 수행 빈도는 일반병동이 특수병동에 비해 수혈요법(p=.002), 간헐적 위관영양(p=.032), 단순도뇨(p=<.001), 배출관장(p=<.001), 수술 전 간호(p=.001), 수술 후 간호(p=<.001), 입원관리하기(p=.001), 격리실 출입시 보호장구 착용(p=.021)과 비강캐뉼라를 이용한 산소요법(p=<.001)이 유의하게 높았다. 본 연구를 통해, 일반병동에서 중요하고, 실제로 특수병동보다 많이 수행하는 일반병동에서의 핵심기본간호술과 특수병동에서 중요하고, 일반병동에 비해 많이 수행하는 특수병동에서의 핵심기본간호술을 분류할 수 있었다. 이는 핵심기본간호술 학습을 체계화할 수 있는 교과과정을 개발하는데 초석이 되리라 사료된다.

• 대한기관윤리심의기구협의회지
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• 제4권2호
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• pp.36-41
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• 2022

Purpose: The purpose of this study is to evaluate how university hospital Institutional Review Boards (IRBs) in Korea classify risk when reviewing clinical trial protocols. Methods: IRB experts (IRB chairman, vice chairman, IRB administrator) in the university hospitals obtaining a Human research protection program (HRPP) or IRB accreditation in Korea were asked to fill out the Google Survey from September 1, 2020 to October 10, 2020. Result: Among the 23 responder hospitals, 8 were accredited by the American Association for Human Research Protection Program (AAHRPP) and 8 were accredited by the HRPP of Ministry of Food and Drug Safety (MFDS). Seven were accredited by Forum for Ethical Review Committees in Asia and the Western Pacific or Korea National Institution for Bioethics Policy. Thirteen of 23 hospitals (56.5%) had 4 levels (less than minimal, low, moderate, high risk), 4 hospitals had 3 levels (less than, slightly over, over than minimal risk), 1 hospital had 5 levels (4 levels plus required data safety monitoring board), and 1 hospital had 2 levels (less than, over than minimal risk) risk classification system. Thirteen of 23 hospitals (56.5%) had difficulty classifying the risk levels of research protocols. Fourteen hospitals (60.9%) responded that different standards among hospitals for risk level determination associated with clinical trials will affect the subject protection. Six hospitals (26.1%) responded that it will not. Three hospitals (13.0%) responded that it will affect the beginning of the clinical trial. To resolve differences in standards between hospitals, 14 hospitals (60.9%) responded that either the Korean Association of IRB or MFDS needs to provide a guideline for risk level determination in clinical trials: 5 hospitals (21.7%) responded education for IRB members and researchers is needed; 3 hospitals (13.0%) responded that difference among institutions needs to be acknowledged; and 1 hospital (4.3%) responded that there needs to be communication among IRB, investigator, and sponsor. Conclusion: After conducting a nationwide survey on how IRB in university hospital determines risk during review of clinical trials, it is reasonable to use 4-level risk classification (less than minimal, low, moderate, high risk); the most utilized method among hospitals. Moreover, personal information and conflict of interest associated with clinical trials have to be considered when reviewing clinical trial protocols.

• 대한임상검사과학회지
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• 제36권1호
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• pp.13-18
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• 2004

This study was designed to establish working range for reoportable range in own laboratory in order to cover the upper and lower limits of the range in test method. We experimented ten times during 10 days for setting of reportable range with between run for method evaluation. It is generally assumed that the analytical method produces a linear response and that the test results between those upper and lower limits are then reportable. CLIA recommends that laboratories verify the reportable range of all moderate and high complexity tests. The Clinical Laboratory Improvement Amendments(CLIA) and Laboratory Accreditation Program of the Korean Society for Laboratory Medicine states reportable range is only required for "modified" moderately complex tests. Linearity requirements have been eliminated from the CLIA regulations and from others accreditation agencies, many inspectors continue to feel that linearity studies are a part of good lab practice and should be encouraged. It is important to assess the useful reportable range of a laboratory method, i.e., the lowest and highest test results that are reliable and can be reported. Manufacturers make claims for the reportable range of their methods by stating the upper and lower limits of the range. Instrument manufacturers state an operating range and a reportable range. The commercial linearity material can be used to verify this range, if it adequately covers the stated linear interval. CLIA requirements for quality control, must demonstrate that, prior to reporting patient test results, it can obtain the performance specifications for accuracy, precision, and reportable range of patient test results, comparable to those established by the manufacturer. If applicable, the laboratory must also verify the reportable range of patient test results. The reportable range of patient test results is the range of test result values over which the laboratory can establish or verify the accuracy of the instrument, kit or test system measurement response. We need to define the usable reportable range of the method so that the experiments can be properly planned and valid data can be collected. The reportable range is usually defined as the range where the analytical response of the method is linear with respect to the concentration of the analyte being measured. In conclusion, experimental results on reportable range using concentrated control sample and zero calibrators covering from highest to lowest range were salicylate $8.8{\mu}g/dL$, phenytoin $0.67{\mu}g/dL$, phenobarbital $1.53{\mu}g/dL$, primidone $0.16{\mu}g/dL$, theophylline $0.2{\mu}g/dL$, vancomycine $1.3{\mu}g/dL$, valproic acid $3.2{\mu}g/dL$, digitoxin 0.17ng/dL, carbamazepine $0.36{\mu}g/dL$ and acetaminophen $0.7{\mu}g/dL$ at minimum level and salicylate $969.9{\mu}g/dL$, phenytoin $38.1{\mu}g/dL$, phenobarbital $60.4{\mu}g/dL$, primidone $24.57{\mu}g/dL$, theophylline $39.2{\mu}g/dL$, vancomycine $83.65{\mu}g/dL$, valproic acid $147.96{\mu}g/dL$, digitoxin 5.04ng/dL, carbamazepine $19.76{\mu}g/dL$, acetaminophen $300.92{\mu}g/dL$ at maximum level.

• 한국도서관정보학회지
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• 제47권2호
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• pp.71-98
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• 2016

우리나라의 사서자격증 발급을 위한 교육기관은 전국 문헌정보학과, 사서교육원, 학점은행제 등이다. 그러나 교육기관마다 질적 수준과 교육내용이 다르며, 자격증 발급 교육프로그램에 대한 검증방법이 없어서 전문성이 높은 사서를 양성하는데 한계가 있는 것으로 지적되고 있다. 이에 본 연구에서는 국내외에서 시행되고 있는 학과 또는 교육프로그램의 인증제도에 대해서 살펴보고, 인증제도가 지향하는 바가 무엇이며 어떤 목적과 기준을 가지고 있으며, 평가내용은 무엇인지 등을 구체적으로 분석해 보고자 하였다. 그 결과, 교육과정 인증제도를 도입하게 될 경우 인증제도 도입관련 도서관법 개정을 포함하여 관련 시행령의 대폭 개정, 인증기관 선정, 인증기준 및 절차 수립, 서류심사 및 인증실사관련 내용 개발, 인증의 효과 제시, 자격증별 인증기준 개발 등이 선행되어야 할 것으로 분석되었다. 지난 20여 년 동안 논의가 되고 있는 사서자격제도의 개선은 현 정부의 구조개혁, 사서자격자 배출급승, 인력수급불균형으로 인한 취업률 저하, 이로 인한 4년제 문헌정보학과의 존폐위기로 이어지는 현 문헌정보학계의 시급사안이므로 더 이상 미뤄서는 안 될 것으로 보인다.

• 한국의학물리학회지:의학물리
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• 제20권4호
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• pp.253-259
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• 2009

방사선관계종사자에 대한 개인피폭선량 측정의 정확성 및 신뢰성을 확보함으로써 방사선관계종사자의 건강을 보호하고 국민보건 수준향상에 기여하기 위한 개인피폭선량 측정기관의 선량측정 품질관리 기준을 국제기준에 적합하도록 개발할 필요성이 제기되고 있다. 국내 의료기관에서의 개인선량 관련법은 ANSI N13.11-1993 규정을 참조하고 있으나 미국을 비롯한 해외 여러 나라에서는 시험 범주를 줄이고 기준을 강화한 ANSI N13.11-2001을 이미 반영하여 개인피폭선량을 측정하고 있다. 제안하는 방법은 ANSI N13.11-2001을 참고하여 기준을 단순화하였고 유리선량계와 광자극선량계 같은 현재 법률에서 인정하지 않는 첨단기술을 이용하는 것을 막거나 방해할 수 있는 조치를 취하지 않으려고 하였다. 본 논문에서 제안하는 측정기관 품질관리기준은 개인피폭선량 성능시험기준은 관련법규개정에 참고할 수 있고, 측정기관 지도 감독에 활용할 수 있다.