• Title/Summary/Keyword: Workload-division

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Study for Revision of the Korean Patient Classification System (한국형 환자분류체계의 개정연구)

  • Song, Kyung Ja;Choi, Woan Heui;Choi, Eun Ha;Cho, Sung-Hyun;Yu, Mi;Park, Mi Mi;Lee, Joongyub
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.113-126
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    • 2018
  • Purpose: The purpose of this study was to revise the KPCS-1 and to standardize the three patient classification systems for general ward, ICU and NICU. The actual utilization of the KPCS-1 score and each nursing activity was evaluated and the relationships between KPCS-1 score and nursing related variables were reviewed. Methods: The 47,711 KPCS-1 scores of 6,931 patients who discharged from $1^{st}$ to $30^{th}$ April 2017 were analyzed and the statistical significance between KPCS-1 score and nursing related variables was reviewed by Generalized Estimating Equation. The revision of the KPCS-1 was carried out by Partial Least Square model. The 3 patient classification systems (KPCS-1,KPCSC and KPCSN) were standardized by professional reviews. Results: KPCS-1 was a valid instrument to express nursing condition adequately and was revised as a new version which has 34 nursing activity items. The names and terminologies of pre-existing 3 patient classification systems developed by KHNA were standardized as KPCS-GW, KPCS-ICU, KPCS-NICU. Conclusion: KPCS-1 was a valid instrument to represent diverse nursing conditions precisely and was revised as a 34-item KPCS-GW. The terminologies of the other patient classification systems by KHNA were standardized as KPCS-ICU and KPCS-NICU.

Identifying the Effect of Personal, Foodservice and Organizational Characteristics on Foodservice Managers' Job Satisfaction by the Contract Management Company Scale (위탁급식업체 규모에 따른 급식관리자 직무만족에 영향을 미치는 개인, 급식소 및 조직특성 분석)

  • Han, Jeong-Hye;Yi, Na-Young;Hong, Wan-Soo
    • Korean Journal of Community Nutrition
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    • v.14 no.2
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    • pp.216-228
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    • 2009
  • The purpose of the study was to investigate the influences of contract foodservice managers' personal characteristics, foodservice characteristics and organizational characteristics on job satisfaction, including interpersonal relationships, self-actualization and promotion opportunity categories. A survey was administered to four hundred contract foodservice managers of five large companies and five small/medium companies in the Seoul and Kyungin areas. The final response rate was 66%(N=265), and the data were analyzed using SPSS Windows(ver. 12.0). The respondents were 76.1% female, average age 28.8 years, and 73.0% were regular workers. Contract foodservices have profit and loss contracts(69.1%), single menu types(59.6%) and buffet serving styles(37.7%). There are significant differences of job satisfaction by some personal characteristic variables(gender, martial status, age, education, position, work hours, period of working for the present company, and payroll per year) and foodservice characteristic variables(type of contract and charge of food costs). In three job satisfaction categories, foodservice managers reported the highest interpersonal relationship satisfaction, following self-actualization satisfaction and promotion opportunity satisfaction in both large companies and small/medium companies. However, foodservice managers of large companies tended to be more satisfied regarding their promotion opportunities than foodservice managers of small/medium companies(p<0.05). Work hours, number of meals served/day, male, workload, communication with the clients, relationship with co-workers, obvious role and autonomy were significant factors to increase the job satisfaction in contract foodservices of large companies. On the other hand, relationships with co-workers and males were significant factors to increase the job satisfaction in contract foodservices of small/medium companies. This research suggests that contract foodservice companies need to understand the characteristics of their managers, foodservices and organizations to enhance the job satisfaction of foodservice managers and to develop specified human resource management strategies that can be applied to each company scale.

Development of Nursing Practice Standards of Hemodialysis Care According to Admission Types (내원유형별 혈액투석 간호업무 표준개발)

  • Kim, Min Sun;Kim, Moon Sil;Kim, Jung A;Jeong, Eun Ju;Heo, Eun Hwa;Hong, Hwa Jeong;Shin, Hye Sun;Jeong, Yeo Won
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.293-308
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    • 2015
  • Purpose: This study aimed to develop nursing practice standards of hemodialysis care according to admission types. Methods: The standards were developed in four phases. Phase 1: The preliminary standards of hemodialysis care were developed based on literature review and evaluation of professional experts. Phase 2: Content validity was evaluated by 34 professional experts and the standards were modified and revised. Phase 3: Clinical validity was evaluated by 212 hemodialysis nurses. Expert group validated and verified the final outcome. Phase 4: Final standards of hemodialysis care according to admission types were developed. Results: The standard of hemodialysis care for out-patients included 5 standards, 9 contents, 43 nursing activities. The standard for in-patients included 6 standards, 10 contents, 50 nursing activities. The standards for critical patients included 4 standards, 10 contents, 43 nursing activities. There were differences in nursing activities according to admission type. Time required to meet the standards were different according to admission types. Conclusion: The findings of this research demonstrated that the time required for hemodialysis care and appropriate number of nurse would be different according to admission types. Different nursing workload according to admission type of hemodialysis patients need to be considered in allocating nursing manpower.

Role Ambiguity of Comprehensive Nursing Care Unit Nurses: A Concept Analysis (간호·간병 통합서비스 병동 간호사의 역할 모호성 개념분석)

  • Lee, Jeesun;Kim, Yuna;Moon, Semi;Jeong, Eunyoung;Park, Hayoung
    • Health Policy and Management
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    • v.29 no.4
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    • pp.502-512
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    • 2019
  • Background: The purpose of this study was to identify role ambiguity of comprehensive nursing care unit nurses. Methods: A concept analysis method by Walker and Avant was used to understand role ambiguity of comprehensive nursing care unit nurses. Results: The antecedents of role ambiguity of nurses at comprehensive nursing units were shortage of nurses, unclear admission criteria, and demands for customized nursing care according to severity. Attributes include ambiguity in role delegation, patient placement ambiguity, and professional ambiguity among nursing staff. The consequences were diminished job satisfaction due to excessive workload, difficulty in resolving role ambiguity due to the lack of work analysis studies, and poor outcome of nursing indicators. Conclusion: Improvement of nationwide awareness for comprehensive nursing care unit is required. Clear division at scope of practice for nursing staff in accordance of each medical institution's characteristics is essential. Nurses at comprehensive nursing care unit should understand nature of role ambiguity that occurs as they work in large groups. Nurses should promote communications between nursing staff and they must have volition to improve status quo. An additional research of comprehensive nursing care on the causes of role ambiguity in the practice of nursing care for ward nurses is needed, and management measures should be sought at the organizational level.

Design and realization of the passenger ship's MSP service system using ASM2.0 : focusing on captain's mandatory reporting items (차세대 해상디지털통신기술 ASM2.0을 이용한 여객선 MSP서비스 시스템 설계 및 구현)

  • Kim, Kilyong;Kim, Do-yeon;Lee, Seojeong
    • Journal of Digital Contents Society
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    • v.16 no.6
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    • pp.871-882
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    • 2015
  • AIS-ASM is one of the studies to provide a variety of maritime safety information as well as the information on a ship's position that is their own function, and AIS-ASM has been implemented with adjustment of the relevant regulations since 2004. However, it was reported that the increased use of ASM message on the existing AIS channel affects the part of the existing AIS own function such as the transmission of the ship's position and safe-related information. Also, seamless MSP service is difficult to provide at a low transmission rate of the existing AIS channel. This study aims to reduce the marine officer's workload through automating captain's mandatory reporting items using the one of the next maritime digital communication technology (ASM2.0). For this purpose, we designed and realized the ASM2.0 protocol through analyzing domestic regulations about passenger flight and AIS-ASM message.

A Study on the Analysis of Crew Members Fatigue Survey for the Ship Types in Korea (국내 선종별 선박승무원 피로도 분석에 관한 연구)

  • Yang, Won-Jae
    • Journal of Navigation and Port Research
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    • v.38 no.5
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    • pp.479-484
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    • 2014
  • This paper presents the crew members fatigue survey in order to understand the current state of various fatigue causal factors and personnel fatigue subjective symptoms, and then analyzes the survey items. The results of this survey are as follows. Firstly, many crew members were struggling with the lack of sleep and rest hour. Secondly, environmental factors such as weather, ship motion and vibration, noise, accommodation condition etc. disturbed the sleep of crew members. In third, their duty hours were more than 10 hours per day in certain types of ship. In fourth, they felt fatigue a lot when they were on board because of the workload and stress. Lastly, in some measurement items of fatigue symptoms(physical, mental, emotional), many crew members were experiencing more than moderate fatigue symptoms.

Development of a Flexible Critical Pathway with Electronic Medical Record for Gastrectomy Patients in a University Hospital (위 절제술 환자의 진료계획표 개발 및 전자 의무 기록화)

  • Bae, Myung Sun;Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.37-55
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    • 2012
  • Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.

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Elemental techniques for automated size sorting system considering problems and status of sorting process of ark shell (Scapharca subcrenata) (새꼬막의 선별과정 현황과 문제점을 고려한 자동화 선별 시스템 요소기술)

  • JEONG, Seok-Bong;HWANG, Doo-Jin;YOON, Eun-A;MIN, Eunbi;CHOI, Byeong-Dae;JUNG, Yong-Gil
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.53 no.3
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    • pp.256-265
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    • 2017
  • Seafood is attracting attention as a future food industry. In recent years, the demand for fishery equipment of mechanization, automation, and unmanned was increased due to the environment affected by seafood processing, stricter regulations on safety, decline and aging of fishery worker. Ark shell (Scapharca subcrenata) was being produced in many steps in the production process. The process has been made such as collection-landing-washing-first sort (goods/non-goods)-transports-second sort (size). It was undergone first and second steps by delivering to the consumer. Here, the first step is to sort goods to collection and the second step is to sort by size. The fishery workers need ten people in first step and six people in second step. The workload of one hour per kg is 4,247 kg/h in first step and 2,213 kg/h in second step. In addition, the goods ratio by work process was 79% in first step and 98% in the second step. In this process, a lot of fishery worker and working time is needed. Therefore, this study developed elemental techniques for an automated size sorting system considering the working process problem, time and situation for washing and sorting of ark shell.

A Study on the Smart Printing Work Distribution Program to Increase the Efficiency of Managing Multiple Printers (복수의 프린터 관리효율을 증가시키기 위한 스마트한 인쇄작업 분배 프로그램 구현에 관한 연구)

  • Oh, Eun-Yeol
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.1-8
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    • 2019
  • Generally, printers are common for users to use for public use over a wired or wireless local area network. The number of printers in the same network is increasing, and management of multiple printers is needed. To do this, a program that drives two or more printers and a computer connected by a wired or wireless network. When a computer's control department receives a print command for a designated file, it executes the steps of receiving status information from the printer, selecting the printer, and sending the print command execution. As a method of research, we presented a method for selecting differentiation from this study through prior art research and literature research. Therefore, the purpose of the study is to distribute smart print commands according to real-time status information of many printers to increase the efficiency of the printer's management, and to distribute print commands according to the cumulative and usable workload of many printers so that parts replacement of many printers can be instantaneously performed.

A Convergence Investigation on Nursing Task Performance, Appropriate Performer, and Job Satisfaction of Nurses with Shift Work in General Ward (교대근무를 하는 일반병동 간호사의 간호업무 수행실태, 수행주체와 직무만족에 대한 융복합적 조사연구)

  • Park, Kyongok;Yi, Yeojin;An, Jiwon
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.295-304
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    • 2021
  • This study is a secondary data analysis to investigate the nursing tasks performance, appropriate performer, and job satisfaction in the general wards with sift work. We found that nurses performed direct (45%) and indirect nursing (55%). The workload per shift was 37.2% in the day, 35.6% in the evening, and 27.2% at night. The tasks performed after handover were 'direct nursing (34.5%)' and 'documentation and notification (25.8%)'. Nurses responded that there were some tasks that could be delegated to nursing assistants or had ambiguous boundaries with other medical personnel. There was a significant correlation between compliance to the job description of the night shift and job satisfaction (rs=.43, p=.01). These results imply that it is necessary to establish strategies that will enhance work efficiency based on job analysis by shift work, reduce handover time using EMR system, stmart devices, and clarify appropriate performers.