• Title/Summary/Keyword: Safety management nursing care

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A Study on the Elderly Women's Voluntary Activities for Child Nursing Facilities -Centering around workers of child nursing facilities- (보육시설 내 여성노인 자원봉사활동 도입을 위한 탐색적 연구 -보육시설 종사자를 대상으로-)

  • Sim, Mi-Young;Jung, Jung-Sook
    • Korean Journal of Human Ecology
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    • v.8 no.1
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    • pp.59-70
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    • 2005
  • The purpose of this study is to develop a program that allows older women to provide voluntary services for child nursing facilities, making those women have more social participation, effectively their spare time and ultimately improve the quality of their life. Results of the study can be described as follows. First, social requests about the use of older women as volunteers for child nursing services were analyzed to show that most people working at child nursing facilities perceived lack in the number of child nursing teachers. Those people recognized the need of using older women as service volunteers for the facilities. They were very positive about such use. Second, it is recommendable that volunteers of child nursing service should be not too much older women, or below 65. Voluntary activities that those women participate include taking care of younger children, reading interesting stories for children, helping works of child homes, teaching manners and living attitudes, instructing dietary etiquettes and cooking. Voluntary service activities should be made 1 to 3 times a week, 1 to 2 hours a time, considering psychological and physical states of older people. Third, such older volunteers should be educated about 6 areas, 'the operation and management of child homes, 'practices', 'child health and safety', 'the quality of child nursing', 'child development and counseling' and 'voluntary service training'. Out of these six areas, 'child health and safety' and 'voluntary service training' are more required to be instructed. such training needs to focus on activities in which older women can actually engage as volunteers. Fourth, it is advisable that the recruitment and management of such volunteers are led by the city and that the development of training programs for voluntary service activities and education of the volunteers are referred to universities.

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Analysis of Core Interventions of Operating Room using Nursing Intervention Classification (NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석)

  • Lee, Yoon-Young;Park, Kwang-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.361-372
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    • 2002
  • Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.

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Legal Definition of Nursing Practice (간호 업무의 법적 정의)

  • Kim, Eui-Sook;Lee, Han-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.4
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    • pp.574-586
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    • 2006
  • Purpose: This paper is intended to provide a clauses of scope of nursing practice with nursing act. Method: This was a planning study. The provision of scope of nursing practice is constructed through critical review of literatures and regulations. The validity of the legal definition was tested through expert and staffs in affiliates of Korean Nurses Association review. Result: 'Nursing is an activity that assesses and diagnoses the reaction of an individual, family, and community for health promotion and maintenance, illness prevention and rehabilitation and to provide intervention and evaluate the results. This practices are done through nursing knowledge and skills. The nursing practices include basic nursing services (general hygiene, environment and safety control, emotional and physical comfort, examination and surgery related care, systematic observation and reporting about patients, activity and organ function maintenance), practice of doctor's regimen, consulting and education to patients, reference, collaboration and management with other health personnel, public health activity by regulation. And nursing standards are set by a separate code. Conclusions: The result of this study can be used to offer for nursing act. So, This legal definition will be constantly discussed and extended to reflect actual nursing practice.

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Comparisons of the Nursing Workforce with Japan, and the U.S. (한국, 미국, 일본의 간호인력 양성 및 활동 현황 비교)

  • You, Sunju
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.275-287
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    • 2013
  • This study aims to derive implications on current problems in the nursing manpower management in Korea through the comparison with the nursing workforce and employmentrent in the United States and Japan. There are various issues in nursing policy, such as nursing shortage, quality of the nursing service, and the increased cost of management due to the high turnover rate of nursing staffs and it is urgent to seek various policy measures to resolve this. Although nursing shortage is a commom problem in the world, the U.S. and Japan were higher rate of employment than Korea in nursing staffs, which implicates the importance of the legislation of mandatory minimum staffing ratios, the establishment of policies such as the fees and charge policy and the nursing work environments. For quality nursing care and patient safety through the stable workforce of qualified nursing staffs, administrative mechanisms that support adequate nurse staffing and promote positive work conditions are needed, for which the improvement of legal system is required.

A Survey on the Awareness and Performance of Infection Management of Workers in long-term Care Institutions (장기요양 기관 종사자들의 감염관리에 대한 인지도 및 수행도 연구)

  • Park, Mi-Jin;Moon, Heakyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1393-1404
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    • 2021
  • The current study was conducted to understand the status of infection management through a survey on the status of awareness and performance of infection management and to improve efficient infection management and education programs of workers in long-term care institutions. The subjects of the study were 134 workers at 35 long-term care institutions in the C region, and data were collected from July 12 to 30, 2021. They agree to participate in research self reported structured questionnaire by SPSS program ver. 22.0. As a result of the study, the subject's awareness of infection management appeared to be a difference in accordance with occupation (F=3.181, p=.032) and education experience (F=6.372, p=.013). Also, factors influencing the subject's performance of infection management were occupation (F=3.972, p=.010) and education experience (F=4.403, p=.038). The relationship between awareness of infection management and performance resilience fined out a significantly positive correlation (r=.919, p<.001). As a result, for patient safety in long-term care institutions in the COVID-19 pandemic situation, it is very important for workers not only to recognize the importance of infection management but also to directly perform infection management activities. To this end, regardless of the size of the institution, it is necessary to prepare a systematic and continuous curriculum by occupation and educational topic, and to legally strengthen the evaluation system to improve the quality of the infection management system.

Factor Associated with Injury Related to Home Mechanical Ventilation in General Ward Patients: A Retrospective Study (가정용 인공호흡기 관련 안전사고 특성 및 손상 영향 요인 분석: 상급종합병원 일반병동 환자 중심으로)

  • Kim, Hyang Sook;Choi, Mona;Yang, Yong Sook
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.131-140
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    • 2020
  • Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

Development and Application of a Nursing Assessment Tool for Senior Center Nurses (노인복지관 간호사를 위한 간호사정조사도구 개발 및 적용)

  • Ko, Ha Na;Song, Misoon
    • Perspectives in Nursing Science
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    • v.13 no.2
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    • pp.96-109
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    • 2016
  • Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

A Study Occupational Safety and Health Education Activities in the Manufacturing Industries - Around Seoul-City and Gyunggi-Province Area- (산업장에서의 안전 및 보건교육활동에 관한 조사연구 - 일부 서울$\cdot$경기지역을 중심으로 -)

  • Chung Hye Ran
    • Journal of Korean Public Health Nursing
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    • v.2 no.2
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    • pp.62-80
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    • 1988
  • The main purpose of this study was to find out the actual status of safety and heal th education activities in the manufacturing industries through survey of 136 plants in Seoul City and Gyunggi- Province Area which employ nurses being charged in the safety and health care services to the employees. A questionaire was mailed to the employees on the Mar. 2, 1987. Total 634 responds from 87 industries were collected by Apr. 20, 1987. Among the total, 618 responds from 80 industries were included in the analysis. The major findings obtainded from this study are summarized as follows; 1. Safety and health education activities in each industry: 1) The $67.6\%$ of safety directors surveyed were performing the education to the employees. And in case of medical directors, it was $18.8\%$ of them. 2) Periodically, annual safety' and health education programs were being drawn up in the $65.0\%$ of the industries (52 companies). And the $60.6\%$ of the planners were safety directors of safety staffs in charge. 3) It was only $27.5\%$ of the companies surveyed in which the safety and health education were performed more than an hour every month. In the $22.5\%$ of the companies, neither safety programs nor health education activities were performed. 4) In the $47.5\%$ of them, safety and health educations were performed in cooperation with related agencies such as health center. 2. The rate of employees participated in safety and health educations; 1) The received rates by subjects of the educations when labors were newly employed to their companies were as follows; education regarding danger and profer handling method of machinery and appliances: $64.2\%$, education regarding noxiousness and handling method of raw materials: $42.2\%$, etc. 2) The $63.6\%$ of the labors received educations on safety and health when they changed their work places. 3) The $74.8\%$ of the labors received specific safety and health educations. 4) The general safety and health educations were received by the $47.2\%$ of management and clerical personnel and $50.0\%$ of labors pre and post physical examination. 3. The main reasons of inactive performance of the educations were as follows; lack of knowledge and inexperience of the occupational safety and health staffs, lack of cooperations between themselves and low need of workers for safety and health education, etc. 4. The preferable subjects of educations for workers; (1) pre and post education of physical examination, (2) education regarding the prevention of accidents. (3) general health care, sex education and family planning, etc. As a result of this study, we can conclude that the safety and health education work in industries as the subject of this study is on the incipient stage. Appropriate measures are to be taken for the activation of safety and health education work such as; continuous public relations, financial and technical supports of the government, training of professional/occupational safety and health staffs, efforts of workers to receive the education and collaborations of the employers.

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The Knowledge, Attentions and Behaviors of Radiation Safety Managment by Dental Health care Workers (치과종사자들의 방사선 안전관리에 대한 지식 및 행태)

  • Lee, Sun-Mi;Kim, Min-Ji
    • Journal of radiological science and technology
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    • v.42 no.6
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    • pp.469-476
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    • 2019
  • The purpose of this study examines the education, knowledge and behavior of radiation safety management among dental workers and compares the education, knowledge and behavior between dental hygienist group and other occupational groups. This study was conducted from November 2nd to November14th, 2019. The survey was conducted on dental workers(dental hygienists, nursing, assistants, coordinators, etc.) who worked in dental hospitals and clinics in Busan area. The tool of this study was modified and adapted to the clinical setting based on the questionnaire. Radiation safety education has 39 dental hygienists who had more education than non-dental hygienists (p=0.286). The most common types of radiation safety education were self-education which usually performed by dentistry, followed by conservative education and others. The average of radiation attitudes, knowledge and behaviors was higher in the dental hygienist group then in the non-dental hygienist group. On the item-specific behavior among employees, the question of 'the radiation should be shielded according to the menstrual cycle or pregnancy of the woman of childbearing' was significant (p<0.05). On the item-specific knowledge between occupations, the question of 'the intensity of X-rays decreases over distance' and 'the individual exposure can be measured by TLD badge or film badge' was significant (p<0.05). Taken together, these results indicate that the dental hygienist group is more concerned about radiation safety and that the dental hygienist group is receiving more radiation safety management training. However, if there is a low level of 'has experienced' in the presence or absence of safety management education, it is difficult to train radiation safety management in dentistry. Therefore, it is considered that dentists should be trained in radiation safety management periodically to pay attention to radiation safety accidents.

Exterior Environments for the Elderly with Dementia in the U.S.A. (치매노인을 위한 시설의 옥외공간에 관한 연구 -미국의 사례를 중심으로-)

  • 곽인숙
    • Journal of Families and Better Life
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    • v.21 no.3
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    • pp.1-13
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    • 2003
  • The purpose of this study is to understand the importance of exterior environments and to identify the design guidelines for the therapeutic garden for cognitively impaired seniors with Alzheimer's disease and related dementias. The data was collected from 4 Adult Day Care Centers, 2 Nursing Homes, & 1 Assisted living in the U.S.A. from 2001 to 2002 by interview and the floor plan about the outdoor space. Although some may believe that patients with Alzheimer's disease and related disorders are unresponsive to environment, evidence shows that environments especially designed for cognitively impaired seniors can maintain or increase their level of functioning. The use of specially designed exterior environments nay have in reducing incidents of aggressive behavior, and contributing significantly to a wanderer management program. The checklist includes 6 dimensions: safety environment, various sensual stimulations, social interactions, wandering, privacy, and support orientation and reality. The results indicated that the exterior environment have to support wandering behavior, orientation and reality.