• Title/Summary/Keyword: Safety management nursing care

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Nurse의s Perception in the Homecare Needs of Cancer Patient (간호사가 지각한 암환자의 퇴원후 가정간호요구)

  • Kwon, In-Soo;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.602-615
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    • 1998
  • The purpose of this descriptive study was to identify the homecare needs of the discharged patient with cancer as perceived by nurses caring hospitalized cancer patients. At two hospitals in Gyeongnam, 74 nurses responded to an open-ended questionnaire consisting of four need categories : 1) educational & informational need, 2) physical need, 3) emotional need, 4) social need. Respondents were asked to list above ten needs of cancer patient in each category. Two researchers analyzed the data by content analysis method. The findings are summarized as follows : 1) A total of 1,417 need items were generated by nurses. The largest number of needs were in the educational & informational need category(475 items, 36.3%). Physical(414 items, 31.6%), emotional (237 items, 18.1%) need were the second, third largest, and social(184 items, 14.0%) need made up the smallest category. 2) In the educational & informational need category, there were seven subcategories of prognosis, diet & exercise, medication & pain, wound care, folk remedy, personal hygiene, comfort. The need items related to prognosis of cancer accounted for almost a half(48.2%) of the total. 3) In the physical need category, there were ten subcategories of personal hygiene, skin & tissue, nutrition, side effect on treatment, exercise, pain, elimination, equipment, comfort & safety, others. The largest number of needs were in subcategory of the personal hygiene(82 items, 19.8%). 4) In the emotional need category, there were four subcategories of emotional support related to disease, emotional support related to routine life, spiritual support, maintenance of relationship with nurse & doctor. The largest number of needs were in subcatgory of the emotional support related to disease(96 items, 40.5%). 5) In the social need category, there were five subcategories of support for social life, household management, legal support, the use of volunteer service, financial support. The largest number of needs were in support for social life subcategory(58 items, 31.5%).

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Extracting of Interest Issues Related to Patient Medical Services for Small and Medium Hospital by SNS Big Data Text Mining and Social Networking (중소병원 환자의료서비스에 관한 관심 이슈 도출을 위한 SNS 빅 데이터 텍스트 마이닝과 사회적 연결망 적용)

  • Hwang, Sang Won
    • Korea Journal of Hospital Management
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    • v.23 no.4
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    • pp.26-39
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    • 2018
  • Purposes: The purpose of this study is to analyze the issue of interest in patient medical service of small and medium hospitals using big data. Methods: The method of this study was implemented by data mining and social network using SNS big data. The analysis tool were extracted key keywords and analyzed correlation by using Textom, Ucinet6 and NetDraw program. Findings: In the results of frequency, the network-centered and closeness centrality analysis, It was shown that the government center is interested in the major explanations and evaluations of the technology, information, security, safety, cost and problems of small and medium hospitals, coping with infections, and actual involvement in bank settlement. And, were extracted care for disabilities such as pediatrics, dentistry, obstetrics and gynecology, dementia, nursing, the elderly, and rehabilitation. Practical Implications: Future studies will be more useful if analyzed the needs of customers for medical services in the metropolitan area and provinces may be different in the small and medium hospitals to be studied, further classification studies.

A Study on the Comparative Study on the Work Obstacles and Safety Culture Perceptions of Elderly Welfare Facility Employees in Korea and Japan (한·일 노인복지시설 종사자의 업무저해요인과 안전문화인식 비교)

  • Byeon, DO-Hwa;Choi, Hwa-Yeong;Back, Jong-Uk;Furukawa, Kazutoshi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.498-508
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    • 2019
  • This is a comparative descriptive research conducted to compare work obstacles and safety culture perceptions of elderly welfare facility employees in Korea and Japan. The number of subjects are total 680 including 460 Japanese employees, working at elderly welfare facility in city 'N', and 220 Korean employees in city 'A' and 'S' of province 'K'. This study had been conducted from April 1, 2018 to August 30, 2018 and the data was analyzed by x2-test, t-test, ANOVA. As a result, work obstacles were korea and japan, there were no statistically significant differences between two groups. In the safety culture perceptions, employees of elderly welfare facility in Korea showed significantly higher level of safety culture perception than employees of that in Japan. furthermore, it is revealed in both countries that the less work obstacles they have, the higher safety culture perceptions they get. And it is a work obstacles that affects safety culture perceptions. Lastly, it is expected that the result of this study can be used as basic data for the improvement of working environment and for the strategy development in human resource management to enhance the safety culture perceptions and to reduce work obstacles.

The Effects of Hospital Accreditation Participation Factors on Hospital Management Performances (의료기관 인증제도 참여요인이 경영성과에 미치는 영향)

  • Jung, Yumin;Kim, Kyung Sook;Lee, Sunhee
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.74-86
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    • 2017
  • Purposes: This study was performed to understand the recognition about accreditation motives, support within the hospital and accreditation survey process for the hospitals that participated in the accreditation program and to find out whether these factors are related to hospital management performances, so that the study can suggest plans for activation and development of the accreditation program. Methodology: This study was performed targeting 98 hospitals answered th the survey among 189 acute care hospitals that acquired accreditation from December 2010 to February 2014. For data analysis, frequency analysis, ${\chi}^2$-test, reliability analysis, ANOVA, Kruskal-Wallis H test and multiple regression analysis with SPSS 21.0 were used. Findings: The hospitals that had staff in charge of patient safety had bigger hospital culture change than those that didn't have(p<.05). In addition, the hospital culture change was bigger as internal motives were bigger, and as CEO's will was bigger(p<.05). Meanwhile, as maintenance rate of internal management after accreditation was higher, and as CEO's will was bigger, process improvement level was higher(p<.05). The quality improvement and patient satisfaction level were higher as CEO's will was bigger, and as suitability of survey process was recognized to be high(p<.05). As a result of analyzing the factors that affect hospital management performances with hospital culture change, process improvement and quality improvement combined, as internal management maintenance rate was higher, as CEO's will was bigger, and as suitability of survey process was higher, performances were higher(p<.05). Practical Implications: Hospitals need to reinforce internal motives to improve internal competences such as the whole system maintenance opportunity and staff training. In addition, the will of hospital director is most important, and if there is hospital director's interest in quality improvement and improvement intention definitely, employees voluntarily participate in and cooperate with the accreditation program, so that prompt medical service provision and high quality of medical services can be guaranteed, leading to hospitals' management performances.

A Study on Smoking, Drinking and Safety Awareness using Raw Data in the 8th year of the National Health and Nutrition Examination Survey(2019) (국민건강영양조사 제8기 1차년도(2019년) 원시자료를 활용한 흡연, 음주와 안전의식 연구)

  • Kim, Ja-Ok;Oh, Hyun-Mi;Kim, Jong-Hyuck
    • Journal of Digital Policy
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    • v.1 no.1
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    • pp.27-37
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    • 2022
  • The purpose of this study attempted to provide basic data for the safety awareness intervention program by identifying smoking, drinking and safety awareness survey using raw data from the National Health and Nutrition Examination Survey (KNHANES VIII-1, 2019). The self-reported questionnaire was used to assess the gender, age, smoking, drinking, and safety awareness. Descriptive statistics and chi-square test were used for the general characteristics according to gender and the difference between smoking and drinking. positive thinking, emotional expressivity, public speaking anxiety. The SPSS WIN 23.0 version program was used for data analysis. The data were analyzed using descriptive statistics and Chi-square test were used for the general characteristics according to gender and the difference between smoking and drinking. There were significant difference between wearing a seat belt while driving and smoking for life (𝑥2=6581.46, p<.001). Among safety awareness, there was a statistically significant difference between wearing a seat belt while driving and lifelong drinking experience (𝑥2=6421.29, p<.001). It is considered that this can be used to prepare a customized smoking prevention education and alcohol prevention education intervention program to improve safety awareness.

Development of Case Review Form for Detecting Adverse Events (위해사건 확인을 위한 증례검토지 개발)

  • Ock, Min-su;Lee, Sang-il;Kim, Yoon;Lee, Jae-ho;Lee, Jin-yong;Jo, Min-woo;Kim, Seon-ha;Son, Woo-seung;Kim, Hyun-joo
    • Quality Improvement in Health Care
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    • v.21 no.1
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    • pp.66-76
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    • 2015
  • Objectives: The purpose of this study is to develop a case review form for detecting adverse events through a medical records review in hospitalized patients in South Korea. Methods: To develop the case review form, several literatures were reviewed, first. Through the clinical expert meeting, screening criteria were selected and case review form was developed. Result: The Korean version of case review form consisted of the review form-1 for adverse event screening and form-2 for adverse event identification. The applied methodology for the case review form is determined according to the previous studies. For example, the method used in the first stage review is nurse review. Furthermore, the National Coordinating Council for Medication Errors Reporting and Prevention index is used to categorize disability, and a scale of 1 to 6 was used in the causation scores and preventability scores, respectively. Through the clinical expert meeting, a total of 41 screening criteria were selected. Conclusion: The Korean specific case review form was developed for detecting adverse events in hospitalized patients. The results from this study can be used in a large-scale study regarding the nationwide incidence of adverse events.

The effect of coronavirus disease-19 knowledge, anxiety, and psychosocial well-being on the infection prevention behavior in college students in health care (보건의료계열 대학생의 코로나바이러스감염증-19 지식, 불안, 사회심리적 건강이 감염예방행위에 미치는 영향)

  • Lee, Hyo-Cheol;Lee, Mi-Lim
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.57-70
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    • 2022
  • Purpose: The purpose of this study was to investigate the effect of coronavirus disease-19 (COVID-19) knowledge, anxiety, and psychosocial well-being on the infection prevention behavior of college students in health care. Methods: This study is a descriptive survey research. A total of 301 college students at four health care departments in three regions were surveyed using a structured questionnaire from February 10 to February 16, 2022. The collected data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Pearson correlation coefficients and multiple regression analyses were done using SPSS ver. 18.0. Results: Knowledge on COVID-19 was significantly dependent on a family history of chronic disease (p=.049). Anxiety was significantly dependent on test of COVID-19 (p=.040). Gender (p=.049), perceived physical and mental health status (p=.000), and chronic disease (p=.000) had significant effects on infection prevention behavior. When the level of anxiety was higher, the infection prevention behavior was also higher (p=.000) and the psychosocial well-being was improved (p=.017). Stepwise multiple regression analysis revealed that anxiety significantly improved the infection prevention behavior (𝛽=.396, p<.001) and psychosocial well-being (𝛽=-.139, p=.008), which accounts for 18.5% (F=22.444, p<.001) of the variance. Conclusion: In order to prevent infectious diseases such as COVID-19 and its spread, measures to prevent infection and improve the psychosocial well-being should also be sought.

Development and Evaluation of Separation Anxiety Scale for Mothers Using Child Care Facilities (보육시설 이용 어머니의 격리불안 측정 도구 개발 및 평가)

  • Cha, Hyo Sung;Ko, Jihyun;Lee, Kyoung Ju;Choi, Aelee;Lee, Gunjung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.409-420
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    • 2016
  • The aim of this study was to develop and validate an instrument to measure the separation anxiety of mothers who use child care facilities. The scale was developed as follows: initial items generated, validity and reliability tests performed, and final items extracted. The initial items were developed through a literature review and interviews. The content validity was verified by five experts. Using a final questionnaire, the data was collected from 204 mothers who used child care facilities with a convenient sampling method. The construct validity was evaluated by item analysis, exploratory factor analysis and confirmatory factor analysis. The results of confirmatory and exploratory factor analyses showed that the separation anxiety consisted of 6 factors: the mother's guilty feelings (5-items), safety of child care facilities (5-items), trust of teachers (5-items), child's anxiety (4-items), interaction anxiety with the child (4-items), and management of child care facilities (3-items). The separation anxiety scale for mothers using child care facilities consisted of 26 items. The reliability of the developed scale was examined. The Cronbach's ${\alpha}$ coefficient was 0.93. These results show that this scale is a valid and reliable instrument for measuring the separation anxiety level of mothers who use child care facilities.

Frequency of Workplace Health Promotion Activites (일부 산업장에서의 건강증진 활동 실태)

  • Cho, Dong Ran;Chun, Kyung Ja
    • Korean Journal of Occupational Health Nursing
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    • v.3
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    • pp.71-85
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    • 1993
  • The objective of this study is to describe the frequency of workplace health promotion activites. For this objective, questionaire was requested to 648 trainees of Korea Industrial Safety Corporation. Respondents' positions were safety manager, health care manager, or representatives of employee. Major findings are as follows: 1) Of responding workplaces, 66.2% supported the activities related to promote employees' health. The support rate was higher of Manufacturing and Tranport than others. And the lager workplaces had the higher support rate. 2) Most frequent activity is exercise program. But the prevalence of smoking cessation, stress management, nutrition education and women health care was very low. Major contents of support were to pay the cost of these activites and to equip the places or the facilities. 3) 24.9% had the non-smoking policy in the workplace. 98.6% equiped the places and facilities for employees. Mean number of facilities across all workplaces was 2.96 and that of exercise circles was 3.60. In conclusion, it was suggested that the stratege was needed to develop the Korean model for workplace health promotion on the basis of exisiting activites.

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An Importance-Performance Analysis of the Healthcare Reform on a Doctor-Designation System - Focused on the Perception of Medical Providers' at Tertiary Hospital in Seoul - (선택진료제도 개편에 대한 중요도-성취도 분석(IPA) - 서울시내 상급종합병원 의료종사자 인식을 중심으로 -)

  • Park, Hye Jin;Kim, Hyo Jeong;Kim, Young Hoon
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.28-40
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    • 2018
  • Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.