• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제27권4호
• /
• pp.7-14
• /
• 2021

Purpose: This study summarized architectural planning data for clinical practice spaces for CPX/OSCE and Simulation spaces, through analysis of domestic and foreign literature and a survey of domestic colleges of medicine. Methods: This study analyzed the architectural planning elements of the clinical practice spaces of the college of medicine, through a literature review on the clinical practice space and the survey of four recently established colleges of medicine. Results: ① It is desirable to plan the floor plan type for Simulation and CPX/OSCE spaces as a corridor-separated type that separates the circulations between students and staff (faculty). ② The simulation area arranges their practice rooms around the control space where the circulation of the staff is made. Conversely, it is desirable to arrange the CPX/OSCE rooms around the test waiting room where students enter. ③ It is desirable to separate access to the staff and students to allow student control, and to install various support spaces facing the staff corridor to secure the movement of equipment and the flow of evaluators. ④ In the simulation area, the equipment stored in the storage must be set in each room before the practice according to the setting of delivery or surgery like, and the equipment that has been removed must be back, so the circulation is short and does not intersect with the student circulations. ⑤ Debriefing rooms, seminar rooms, etc. are arranged in the staff area for review and discussion of clinical situations where practice and evaluation have been completed. Implications: It is important to configure an appropriate movement system and spatial zoning for each space for simulation and CPX/OSCE.

• Safety and Health at Work
• /
• 제13권3호
• /
• pp.269-278
• /
• 2022

Background: PTSD (Post-traumatic stress disorder, PTSD) had a great impact on health care workers during the COVID-19 (Corona Virus Disease 2019, COVID-19). Better knowledge of the prevalence of PTSD and its risk factors is a major public health problem. This study was conducted to assess the prevalence and important risk factors of PTSD among medical staff during the COVID-19. Methods: The databases were searched for studies published during the COVID-19, and a PRISMA (preferred reporting items for systematic review and meta-analysis) compliant systematic review (PROSPERO-CRD 42021278970) was carried out to identify articles from multiple databases reporting the prevalence of PTSD outcomes among medical staff. Proportion random effect analysis, I² statistic, quality assessment, subgroup analysis, and sensitivity analysis were carried out. Results: A total of 28 cross-sectional studies and the PTSD results of doctors and nurses were summarized from 14 and 27 studies: the prevalences were 31% (95% CI [confidence interval, CI]: 21%-40%) and 38% (95% CI: 30%-45%) in doctors and nurses, respectively. The results also showed seven risks (p < 0.05): long working hours, isolation wards, COVID-19 symptoms, nurses, women, fear of infection, and pre-existing mental illness. Two factors were of borderline significance: higher professional titles and married. Conclusion: Health care workers have a higher prevalence of PTSD during COVID-19. Health departments should provide targeted preventive measures for medical staff away from PTSD.

• 한국비블리아학회지
• /
• 제33권2호
• /
• pp.33-54
• /
• 2022

본 연구는 도서관주간에 대한 관종별 도서관 직원의 인식을 설문조사를 통해 파악하고 향후 법정 도서관의 날 및 도서관주간 활성화를 위해 도서관계가 검토해야 할 내용을 모색했다. 분석결과, 도서관 직원의 도서관주간 참여경험과 주최기관의 행사지원에 대한 만족도가 낮은 것으로 나타났다. 또한, 2023년부터 시행될 법정 도서관의 날 및 도서관주간에 대한 인지도가 상당히 낮은 것으로 조사되었다. 향후 도서관의 날 및 도서관주간 추진 시 중점사항으로는 도서관에 대한 국가적 홍보와 행사를 위한 충분한 예산지원에 대한 의견이 많았다. 도서관 직원의 인식조사를 통해 향후 법정 도서관주간을 효과적으로 추진하기 위해서는 도서관계 인식 개선을 위한 다각적 노력, 다양한 관종 참여 유도를 위한 타 관종과의 연계 협력 및 관종별 협의회 내 추진위원회 구성, 각종 매체를 활용한 적극적 언론 홍보, 예산확보 등이 필요하다는 것을 확인할 수 있었다.

• 디지털융복합연구
• /
• 제20권5호
• /
• pp.119-128
• /
• 2022

오늘날 중국의료기관에 종사하는 구성원의 업무량은 여전히 증가하고 있으며 이에 따라 초과근무도 증가하고 있다. 초과근무의 빈도는 조직신뢰와 직접적인 관계가 있다. 기존의 연구는 대부분 초과근무를 하나의 변수로 보고 연구해 왔다. 이를 기반으로 본 연구는 초과근무를 자발적 및 비자발적 초과근무로 구분하였다. 중국의료기관에 존재하는 초과근무 현상이 구성원의 조직신뢰에 어떤 영향력을 미치는지에 대해 연구할 필요가 있다. 또한, 개인성취가 초과근무와 조직신뢰 사이에서 매개변수로서의 매개효과를 탐구했다. 본 연구의 분석결과를 통해 구성원의 자발적 초과근무와 비자발적 초과근무는 모두 조직신뢰에 긍정적인 영향을 미치는 결과를 보여주었다. 또한, 본 연구의 결과는 개인성취가 초과근무(자발적/비자발적)와 조직신뢰 사이에서 매개효과가 있음을 보여준다. 전반적으로 본 연구는 의료진의 초과근무(자발적/비자발적)가 조직신뢰에 미치는 영향을 탐색하는 데 중점을 두고 구성원의 조직신뢰를 높이려는 방안을 제시하였다.

• 임상간호연구
• /
• 제28권2호
• /
• pp.122-136
• /
• 2022

Purpose: This study attempted to recommend a revision of inpatient nursing fees based on analyzing current and appropriate staffing levels. Methods: Staffing grades and their inpatient nursing fees as of the first quarter of 2022 were analyzed. Nurse managers and staff nurses answered surveys about the current and appropriate staffing levels, working days, and monthly salary. A total of 101 nurse managers and 588 staff nurses working in general wards at tertiary hospitals and general hospitals participated in the study. Results: The results showed that grade 1 staffing was found in 73.3% of tertiary hospitals and 63.7% of general hospitals. The current staffing ratios of tertiary hospitals and general hospitals were 1:9.3 and 1:10.4, respectively. The appropriate staffing ratios according to nurse managers and staff nurses at tertiary hospitals were 1:7.6 and 1:7.0, respectively, and 1:8.7 and 1:8.8 in general hospitals, respectively. The average estimated annual working days of staff nurses were 235.2 days in tertiary hospitals and 240.0 days in general hospitals. The median monthly salary for staff nurses was 4.957 million won in tertiary hospitals and 4.140 million won in general hospitals. The new staffing grade system was suggested from 1:6 (Grade 1) to 1:12 (Grade 5). The new inpatient nursing fee schedules were recommended to be paid based on nursing hours per patient day of each grade. Conclusion: The new staffing grade and inpatient nursing fee schedules are expected to increase staffing levels, improve the quality of nursing care, and provide a better work environment for nurses.

• 중환자간호학회지
• /
• 제16권1호
• /
• pp.71-86
• /
• 2023

Purpose : This study aims to investigate the status of delirium intervention in adult intensive care unit (ICU) patients and the perception of this delirium by medical staff. Methods : This retrospective study involves 185 patients, whereas, a descriptive survey is conducted with 197 medical staff members. Results : The delirium group includes 100 patients (54.1%). The incidence of delirium is 64.9% in the medical ICU, 65.9% in the surgical ICU, 42.4% in the neuro ICU, and 46.5% in the cardiac ICU. The percentages of delirium prevention intervention differs between the two groups: 65.0% in the delirium group and 95.3% in the non-delirium group. The medical staff recognize that delirium is a common problem in the ICU (100.0%) and requires active medical intervention (98.5%). Conclusion : The length of stay at the ICU is longer in the delirium group than in the non-delirium group. It is necessary to standardize delirium prevention and treatment protocols to be equally applicable to all ICU patients.

• Journal of Korea Trade
• /
• 제27권1호
• /
• pp.192-210
• /
• 2023

Purpose - Vietnam has the fastest growing digital economy in Southeast Asia and is emerging as a critical overseas market for Korean banks in the post-COVID-19 era. Accordingly, many Korean banks entered the Vietnamese market to overcome the limitations of the saturated domestic financial market and create new revenue sources. This study examined the current status of digital finance in Vietnam and the cases of Korean banks that have succeeded in the Vietnamese market. Then, importance-performance analysis (IPA) was conducted on local customers, managers and staff members of Korean banks in Vietnam. Design/methodology - In this study, we analyzed the importance and satisfaction factors of mobile banking app usage in Vietnam through IPA. In particular, we identified the differences between the two groups by considering the viewpoint of customers who use mobile banking apps and that of managers and staff members who provide mobile banking services. Findings - The IPA results from the customer group and managers and staff members group were generally similar, but differences were observed in Ease of Use (Technology), Innovativeness (Organization), and Increase in Revenue (Economic). In the case of the customer group, Ease of Use (Technology) is located in the second quadrant, which shows low satisfaction compared to high importance. However, in the managers and staff members group, Ease of Use (Technology) is located in the first quadrant, which indicates high importance and high satisfaction. This difference in perception can cause complaints from local customers; thus, it is necessary to change the perception of the technological aspect for ease of use of mobile banking apps in consideration of the customer's position. In addition, it is necessary to allocate the resources invested in the Innovativeness (Organization) and Increase in Revenue (Economic) to Ease of Use (Technology). Originality/value - In this study, based on the HOTE framework, factors for using mobile banking apps were derived, and IPA was conducted targeting local customers (app user) and managers and staff members (app provider) of Korean banks in Vietnam. Through this, we presented the results of empirical analysis that can help Korean banks efficiently utilize limited resources and budgets.

• 품질경영학회지
• /
• 제51권3호
• /
• pp.381-401
• /
• 2023

Purpose: The purpose of this study was to understand the perception of medical staff to propose an infected patient transport robot as a means of responding to infectious diseases. Methods: The data collected through the survey was analyzed through AHP analysis. The measurement tools used in this study were derived through the SERVQUAL model and Focus Group Interview(FGI), and consisted of four detailed questions for each of five classes: tangible, reliability, responsiveness, assurance, and empathy. Results: As a result of the study, there are concerns about risk factors that may occur in areas where medical staff intervention is minimized. Above all, we confirmed the consensus that safety should be the top priority during the process of robots to transport patients. In particular, highlighted were the resolution of device errors that may occur during the process for transporting patients and easy provision of the first aid. Additionally, the ability to monitor patients and suppress infection factors turned out to be important, which was directly related to the simplification of the role of medical staff and work efficiency. Conclusion: As one of the means of effectively controlling infectious diseases in a pandemic situation, a robot to transport the infected patient was considered. However, in order to commercialize this, specific verification of the safety of medical staff and patients is needed, and empirical data on providing the first aid, patient monitoring, and infection factor suppression should be presented.

• 보건의료산업학회지
• /
• 제9권1호
• /
• pp.31-39
• /
• 2015

This study was undertaken to investigate the effectiveness of a hospital organization targeting both hospital administrative staff members and internal/external customers under a rapidly changing organizational environment, where the effect of creative behavior on passion about one's job was controlled with the participation of 55 people from two larger general hospitals, with 103 people from four general hospitals, with 51 people from eight regular hospitals. Thus, data from a total 209 people were collected. The creative behavior of hospital administrative staff members working for general hospitals and larger general hospitals significantly affected job engagement, showing that 'Relevant knowledge, maintaining status, and application appetite' were higher than the scores of 'new knowledge pursuit activities.' However, a weaker relationship between creative behavior and job engagement was found in medical institutions than for hospitals.

• International Journal of Advanced Culture Technology
• /
• 제6권2호
• /
• pp.86-99
• /
• 2018

This study examined the relationship between the demographic profiles of 260 staff nurses in the SPC Health Care Ministry Hospitals and their Transcultural Self-Efficacy (TSE) level on the Cognitive, Practical and Affective dimensions. To obtain the result, among the nine (9) demographic profile items, three (3) common positive predictors were considered, namely, 1) Educational attainment level; 2) Age; and 3) Willingness to work abroad in all three dimensions. While in the Practical and Affective dimensions, the number of years employed were a common negative predictor and in the Affective dimension, Gender of participants was added as the positive predictor. Therefore, there are some significant demographic characteristics of respondents influence to the transcultural self-efficacy. Further, based on the results of this diagnostic study, the researcher designed the One (1) year Cultural Competence Training Program for staff nurses. For future research, the researcher recommended to conduct a further study that will evaluate the effectiveness of the educational intervention by approaching a longitudinal study form administering the test and retest of TSET.