• Journal of Korean Biological Nursing Science
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• v.9 no.2
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• pp.125-134
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• 2007

Purpose: To examine knowledge and attitudes of nurses on post-operative pain, and to find the factors that hinder pain management by the nurses. Method: Data was collected using a questionnaire from all the nurses working in the surgical units and intensive care units in a hospital in Seoul between March 12 and 22, 2007. Data was analyzed with descriptive statistics, t-test, $x^2$ test, and Pearson Coefficient Correlation. Result: The average knowledge score on pain was $9.33{\pm}1.55$, and that for analgesics was $6.89{\pm}2.00$. There was a significant difference in knowledge of analgesics in terms of career(p=0.012), present work place(p=0.024) and education(p=0.042). The knowledge on pain etiology was significantly different in career. Around 61.1% of respondents answered that they would administer analgesics immediately if patients complaint pain, and 94.1% re-administer analgesics if the VAS score is over 5.69.3% thought that their knowledge was adequate for pain management. The attitudes of pain management were significantly different in career. Conclusion: We found that a further improvement on nurses' knowledge on pain management and analgesics is necessary. This study also suggests a need for professional education for nurses on post-operative pain management.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.1
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• pp.6-11
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• 2016

Purpose: This study was done to describe level of knowledge and performance of pain management by nurses in general hospitals. Methods: The study was conducted from August 1 to 28, 2014 with 141 nurses from a general hospital in B city. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficient with SPSS 20.0. Results: Average correct response rate for knowledge was 62.7%, indicating poor knowledge of pain management. Mean score for knowledge of pain management was $31.33{\pm}3.24$ out of 50(general knowledge about pain $14.02{\pm}2.18$ out of 20, knowledge on use of analgesics $9.21{\pm}1.97$ out of 20, knowledge on analgesic classification $8.16{\pm}1.00$ out of 10). Mean score for performance of pain management was $3.19{\pm}.44$ out of 4. There was significant difference in knowledge of pain management by age. Performance of pain management differed significantly according to age and type of working unit. No significant relationship was found between knowledge and performance of pain management. Conclusion: These findings show that nurses who have good knowledge do not always have good performance of pain management. Therefore, it is necessary to develop new strategies to promote performance as well as continued pain management education to increase ability of nurses to manage pain.

• The Journal of Korean Academic Society of Nursing Education
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• v.12 no.1
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• pp.115-123
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• 2006

Purpose: This study is purposed to provide basic data needed in constructing the educational contents about cancer pain management for the health care professionals. Methods: This study surveyed the degree of knowledge in cancer pain management of clinical nurses and doctors. Subjects were clinical 143 nurses and 88 doctors in 3 cities. The tool used are 32-item scale for evaluation of health care professionals' knowledge modified by Kim(1997), which was originally developed by McCaffery and Ferrel(1995). Results: The level of the health care professionals' knowledge about and attitude toward pain management were insufficient. The level of the doctors' knowledge and attitude showed higher score than those of the nurses'. The knowledge of health professional who were not hesitated to administrate analgesia was showed more higher than who were hesitated to do. Conclusion: Nurses need more knowledge and effective attitude toward cancer pain management. Various and sufficient educational program about cancer pain management can be contribute to improve the nursing quality of cancer pain.

• Journal of Korean Academy of Nursing Administration
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• v.10 no.1
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• pp.141-159
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• 2004

Purpose: The purpose of this study was to investigate the degree of information technology application, and to identify the effect of information technology application en knowledge management process in clinical nurses. Method: Participants were 629 regular clinical nurses who had worked for over 1 year in general units of 9 tertiary medical hospitals including 2 national university hospitals, 5 university hospitals, and 2 hospitals founded by business enterprises. Data were collected from March to May 2003 through questionnaires. Thee structured instruments were used to collect the data: Information Technology Application scale, Knowledge Management Process Scale(Jeong, Lee, Lee, & Kim, 2003), and one for general characteristics. The data were analyzed using reliability analysis, descriptive analysis, one-way ANOVA, $Scheff{\acute{e}$ test, correlation analysis, partial correlation analysis, and multiple regression analysis with the SPSS for Windows 10,0 program. Result: 1) The HIS application degree, IT application ability, and IT application frequency were significantly correlated with the degree of knowledge management process activation and 4 elements of knowledge management process, Knowledge Creation, Knowledge Storage, Knowledge Sharing, and Knowledge Utilization(p=.000). 2) The 3 variables, HIS application degree, IT application ability, and IT application frequency explained 47.2% of the total variance of the degree of knowledge management process activation, and 352% of me total variance of Knowledge Storage. And 2 variables, HIS application degree and IT application frequency explained 17.6% of the total variance of Knowledge Creation, 39.9% of the total variance of Knowledge sharing, and 33.8% of the total variance of Knowledge utilization(p=.000). 3) As a result of multiple regression analysis, the key determinant of the degree of knowledge management process activation for nurses was HIS application degree The HIS application degree, IT application frequency, position, IT application ability, and continuous total numbers of years working at the present hospital explained 51.1% of the total variance of the degree of knowledge management process activation(p=.000). Conclusions: These results suggest that the information technology application positively affects the nurses' knowledge management process. From the above findings, information technology application is empirically verified as a useful and effective method to activate knowledge management process, and knowledge management.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.329-339
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• 2011

Purpose: The purpose of this research was to develop and train caregivers in tracheostomy tube care using a self-management program to assist patients with an 'at home' tracheostomy procedure. Caregivers' self-efficacy and knowledge of tracheostomy management before and after the training was also identified. Methods: Research participants were the main caregivers for patients with tracheostomies who were affiliated with a 'Home Healthcare Center'. Training and observation were done at 'A Hospital' and 'G Hospital' both affiliated with 'K University' in Seoul. Data were collected from May 3, 2010 to January 25, 2011 and analyzed using Wilcoxon signed rank test with SPSS program version 12.0. Results: Significant differences were found for the pre and post evaluation of the 'self-management program' for the implementation of tracheostomy care. The development and implementation of the 'self-management program' improved the main caregivers' knowledge of tracheostomy tube management (Z=-3.599, p<.001). Conclusion: Results show that this program has identified an effective nursing intervention for promoting the caregivers' knowledge of tracheostomy care and self-efficacy. We recommend that further research should be done to test primary caregivers' maintenance of knowledge and self-efficacy in tracheostomy tube management and identify factors affecting knowledge and self-efficacy in the care of these patients.

• Asian Oncology Nursing
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• v.12 no.2
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• pp.147-155
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• 2012

Purpose: The purpose of this study was to compare and check the levels of cancer pain management knowledge and awareness between doctors and nurses in a tertiary hospital and to develop an intervention program. Methods: Participants were 725 nurses and 95 doctors working in a hospital from May 2 to 29, 2009. Data were analyzed using t-tests, ${\chi}^2$-tests, and ANOVA with SPSS WIN 18.0. Results: In a comparison of the pain management score, nurses showed significant results for age (p<.001), carrier (p<.001), education (p<.001), workplace (p<.001), and doctors showed significant results only for age (p=.032). Doctors' marks were significantly higher than nurses' in pain management scores (p<.001). Knowledge about analgesic medication (t=-5.38, p<.001) and analgesic drug effect (t=-8.59, p<.001) were significantly different in the pain management subcategory score between nurses and doctors. There were four items with different awareness levels related to analgesics between nurses and doctors. Conclusion: The findings of this study demonstrate that it is possible to develop pain education content for nurses and doctors. The findings of this study are useful when seeking to change the awareness level of a medical team regarding opioid analgesics.

• Knowledge Management Research
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• v.19 no.4
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• pp.133-148
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• 2018

The hospital school is an organization designed to encourage long-term health-impaired students to receive treatment and education at the same time. There are 33 hospital schools in Korea. However, the management of hospital schools varies greatly depending on the amount of resources and support they possess, and especially the lack of manpower and quality improvement of education programs were found to be the biggest problems. This study aims to discuss the case of Hospital School in Yeungnam University Hospital (YUH), which successfully overcame internal resource limitations while solving existing hospital schools through networking and open innovation with external organizations. In particular, through cooperation with students of Herewego, volunteering club in Yeungnam University business school(YUBS), we increased the social interest of hospital school by creating a special program with financial support of Daegu city. They created customized education service programs for hospital schools that reflect their major-business management. The cooperativ e case of YUH's Hospital School and YUBS's Volunteering Club of Herewego showed that the cooperation is not only about volunteering service but also the open innovation, introduced as a platform to expand the company's source of product development. We think that this is a case of value creation through exchange of knowledge. It could have many implications for solving the problem of hospital school.

• Korea Journal of Hospital Management
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• v.3 no.1
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• pp.83-99
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• 1998

The purpose of this study is to investigate factors influencing the attitude and satisfaction with inventory management of hospitals. Data were collected from 344 employees in two hospitals located in Seoul and one hospital located in Choong-Chung Do, Korea, using a self-administered questionnaire. Items included in the self-administered questionnaire were hospital and socioeconomic characteristics of personnels such as the level of knowledge, practice, attitude, and satisfaction with inventory management of hospitals. Major findings were as follows; Job position was significantly associated with satisfaction with inventory management. According to age, sex, type of position and aptitude of personnel the level of positive attitude to and satisfaction with inventory management showed significant association. Generally, those who had higher level of knowledge and practice showed a higher tendency toward positive attitude of inventory management, except for those in medical support post. A higher tendency of satisfaction with inventory management was also observed, with the exception of personnel in nurse post. This study showed that major factors affecting attitude toward inventory management are level of knowledge and practice, and factors affecting satisfaction are job position and aptitude. The level of attitude and satisfaction explained by these factors were 46.8% and 12.2%, respectively. According to the results of this study, higher level of knowledge and practice, job position and aptitude appear to be essential for the implementation of effective inventory management. Factors affecting attitude and satisfaction of inventory management should be studied more in depth systematically so that other objective test and measurements can be developed.

• Journal of the Korean Home Economics Association
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• v.43 no.11 s.213
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• pp.127-140
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• 2005

Sanitary management performance and knowledge of employees in hospital food service was evaluated by survey questionnaire to improve their sanitary management performance, analyse the weak points of sanitary management, and determine more practical and efficient alternatives of sanitation education. For this study, we selected 6 dieticians and 250 employees working in the six general hospitals larger than 400 beds in Gyeonggi and Incheon area. The questionnaire consisted of three parts: general subjects in the nutrition division of hospitals, sanitation education of dieticians, and sanitary management performance and knowledge of employees. The average ratio of HACCP related equipment and facilities of the target hospitals was relatively high at $86.5\%$. The number of sanitation education was 1.99 times/month by regular schedule and 6.47 times/month by occasional schedule. The average dietician's inspection time of cooking was 178.77 minutes/day. The average point of sanitary management performance was 4.62/5.0, showing a relatively high grade. In each region of sanitary management performance, food treatment sanitation was marked with the highest point, at 4.85, fellowed by cleaning and sterilizing sanitation at 4.65, personnel sanitation at 4.61 point and device and utensil sanitation was ranked with the lowest point at 4.53. Sanitary management performance was affected by the number of occasional education which was highest at 6-10times/month. The mean score of sanitary knowledge was 11.17/15.0. The assigned position, type of employment, status, working career and number of occasional education affected the mean score of sanitary knowledge of employees significantly. Sanitary knowledge of employees was highest in the case that occasional education was peformed at 6-10 times/month. There was no correlation between the sanitary management performance and sanitary knowledge of employees. In contrast, there were correlations between sanitary management performance and dietician's inspection time of cooking and number of employees.

• Health Policy and Management
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• v.21 no.2
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• pp.263-278
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• 2011

As the competition among hospitals become intensified, hospital management is required to carry out more effective marketing and positioning of the hospital. Successful positioning of a hospital requires the knowledge about how the concrete attributes inherent in the medical service associated with the customer values that customers seek eventually in the medical service. Thus, it is required for hospital management to understand which hospital attributes should be emphasized in order to improve the customer values. The hierarchical structure of service attributes can provide valuable information about effective positioning and advertising. To obtain such knowledge, we employed the order analysis technique as an objective means-end chain method. Order analysis is useful for identifying the causal structure among attributes. Thus, we can examine the underlying causal relationship and eventually the vertical structure of hospital selection attributes. For this study, we conducted a survey to obtain 370 responses for the analysis. The result suggests that hospital management had better increase the scale of hospital, improve the services of health care providers, and modernize the hospital facilities and equipments so as to enhance customer values and eventually to lead them to recommend the hospital to others. Our findings would provide the valuable information for hospital management to develop the more effective hospital positioning and marketing strategies.