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The study of Health Care Utilization and Direct Medical Cost in the Diabetes Mellitus Client (당뇨병 질환자의 의료이용 및 직접의료비 연구)

  • Yoo, In Sook
    • The Journal of the Convergence on Culture Technology
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    • v.1 no.4
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    • pp.87-101
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    • 2015
  • This study was aimed to make data how much spent money of medical utilization and direct medical cost. In order to research we were using Korea Health panel 2012 Statistics which data contained Diabetes mellitus client 812 people in age 19. The method of this study was emergency cost, admission medical cost, out patient department cost(client own due, National Health insurance service due, not insurance fee). The result of this study, Diabete Mellitus client were using 198 times during 1 year per 100, total medical direct cost were 859,942 won, 447,359 won, 363,255,508. And admission times were 5.6 times per year, total direct cost was 772,240 won, 4,061,982 won, and 3,298,329,384 won, and out patient clinic using number was 10 times, medical cost total direct cost containing total direct cost was 11,978 won, 26,020 won, and 21,129,240 won. From this research we conclusion that the occurrence of diabetes mellitus can be increased medical cost and direct medical cost and it can be huge burden to client including their family and quality of life in the future. We suggest that in order to prevention and management of diabetes mellitus healthy diet, activity, blood sugar, and blood management should be encouragement.

Relationship between Job Satisfaction, and Turnover Intention and Quality of Life in Small and Medium Hospital's Nurses (중소병원 간호사의 삶의 질 및 직무 만족도와 이직 의도와의 관계)

  • Kim, Kyeong-Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.678-688
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    • 2019
  • This study evaluated the factors related to quality of life, job satisfaction and turnover intention of nurses attached to small and medium hospitals. From 24th June to 2nd August 2019, data were collected through a questionnaire from 360 nurses attached to H, G, S and C medical centers. Data were analyzed by applying the independent t-test, ANOVA, Spearman rho Correlation, and Multiple Linear Regression, using SPSS/WIN statistics 18.0. The factor that most significantly affected the quality of life of nurses in small and medium hospitals was support reason for self-efficacy (t=14.796, p<0.001), which accounted for 62.6% of the total factors. Factors that were significant to job satisfaction include support reason for quality of life (t=5.962, p<0.001) and turnover intention(t=-10.059, p<0.001), which account for 51.8% of the total. Moreover, 40.1% of significant factors that affect turnover intention were support reason for job satisfaction (t=-10.059, p<0.001), sex (t=2.049, p=0.041) and age (t=-2.207, p=0.028). In conclusion, this study confirms the need to improve the quality of life and job satisfaction of nurses attached to small and medium-sized hospitals, and lowering of turnover intention.

A comparative study on Self-esteem, Organizational commitment, Transformational leadership of ROTC Cadets: focus on a non-smoker and smoker (학군사관후보생의 자아존중감, 조직몰입, 변혁적 리더십 비교 -비흡연자와 흡연자 중심으로)

  • Yoon, Hong-Gyu;Do, En-Su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.164-172
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    • 2017
  • This study was conducted to compare physical fitness, self-esteem, organizational commitment and transformational leadership among non-smoker and smoker ROTC cadets. This study used 425 questionnaires from male grade 3 and 4 ROTC cadets of 12 universities located in P city and G-do. Data were collected from May 1 to June 23, 2017. The data were analyzed by SPSS/WIN 23.0 using a ${\chi}^2-test$, independent t-test, and Pearson's correlation coefficient. Running 3km (t=3.26, p=0.046), self-esteem (t=1.06, p=0.003), organizational commitment (t=2.57, p<0.001) and transformational leadership (t=3.98, p<0.001) were significantly lower in the smoking group than the non-smoking group. There was a positive correlation between self-esteem, organizational commitment, and transformational leadership in both non-smokers and smokers. Therefore, to practice smoking cessation for the health promotion of ROTC cadets smokers, it is necessary to develop an effective education and intervention program that can enhance self-esteem, organizational commitment and transformational leadership.

The Mediating Effects of Self-efficacy in the Relationship between Communicative Competence within the Medical team and Turnover Intention in Hospital Nurses (병원 간호사의 의료진 간 의사소통 능력과 이직의도 관계에서 자기효능감의 매개효과)

  • Son, Hyun Mi;Sung, Kyung Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.300-309
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    • 2017
  • This study was conducted to investigate the mediated effects of self-efficacy in relation to communication competency within the medical team and turnover intention of hospital nurses. Data were collected from 208 nurses working at two university hospitals. In analyzing data using SPSS/WIN 23.0 program, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and after analyzed with Multiple regression analysis using Baron & Kenny's 3 stage procedure, confirmed indirect effect with Sobel test. Evaluation of relationships among communication competency, turnover intention and self-efficacy of subjects revealed a negative relationship(r=-0.22, p=0.001) between communication competency and turnover intention, a positive relationship(r=0.61, p<0.001) between communication competency and self-efficacy and a negative relationship(r=-0.25, <0.001) between self-efficacy and turnover intention. Concerning the mediated effect of self-efficacy in the relationship between communication competency and turnover intention, the influence of communication competency at stage 1 on turnover intention was significant(${\beta}=-0.22$, p<0.001), but communication competency at stage 3 had no significant influence on turnover intention(${\beta}=-0.11$, p=0.194). Accordingly, the mediated effect of self-efficacy in the relationship between communication competency and turnover intention fully mediated and the mediated effect of self-efficacy was significant(z=-2.15, p=0.032). Heightening self-efficacy by improving communication competency could effectively reduce the turnover intention of nurses.

A Pilot Study on Korean Version Development of the Rearing Knowledge and Practice for Infant Parents (부모의 양육지식과 실천 도구 개발 예비연구)

  • Kim, Kyeong Uoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.485-493
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    • 2017
  • Rearing knowledge is a significant factor of relevance for rearing practice, and assessment of rearing knowledge and practice is important for infant parents. The author adopted the Child Rearing Knowledge Scale (CRKS) and Child Rearing Practice Scale (CRPS) that were developed and validated by Saramma & Thomas. According to the international linguistic validation process, pilot testing was done based on 20 infant's mothers in one Oketani massage center and one public health center. Descriptive statistic methods and Wilcoxon Rank Sum Test were employed to evaluate the level and compare the mean score according to general characteristics of subjects of the tools. Reliability and validity were tested by Cronbach's alpha and Spearman Correlations. The mean age of the subjects was 33.94 (${\pm}2.99$) years and the mean age of babies was 3.35 (${\pm}0.58$) months. The understanding level of the Korean version of the CRKS and CRPS was 1.80 (${\pm}0.65$) and 1.33 (${\pm}0.54$), respectively. In addition, the CRKS and CRPS were relatively easy to use. The mean score of the CRKS was 22.50 (${\pm}4.89$), which was a moderate score, while the mean score of the CRPS was 30.75 (${\pm}2.04$), which was high. The Cronbach's alpha values of the CRPS were as follows: feeding, 0.71; growth and development, 0.64; cleaning and protection 0.68; infant stimulation, 0.77. There was a significant correlation between infant stimulation of the CRPS and growth and development of the CRKS (r=0.530, p=0.016). The CRKS score of medical staff was significantly higher than that of non-medical staff (p=0.04). The CRKS and CRPS are expected to be used in clinical or community care practice as easy-to-use tools that are easy to respond to.

Development and Validation of College Students' Core Competency Assessment: Based on the Case of S University (대학생 핵심역량 진단도구 개발 및 타당화 연구 -S대학 사례를 중심으로-)

  • Kang, Min-Soo;So, Mi-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.236-247
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    • 2020
  • This study was conducted with the aim of developing inspection tools to select and measure human resource figures and appropriate core competency of the educational goals pursued by S universities. Therefore, key competency factors were defined consistent with concept of talented figures and educational objectives of S universities, inspection tools were developed to measure core competences, and directions are presented for future education policies and curriculum compilation and securing data for rational operation. Based on key competency indicators, questions were developed in a self-reporting form that measures the consent level of the respondents by comprising seven areas of competence, 16 small areas (sub-capacity), and 46 questions. The main Test conducted an analysis of the questionnaires based on the survey results of 2,486 people to ensure the validity of the inspection by conducting a positive factor analysis and reliability analysis. The core competency diagnostic tool of S university is meaningful in this study which verifies the effectiveness of the curriculum and programs conducted at S university and as the first step for the rational operation of the core competency certification system to improve the competency appropriate for students.

The Effects of Cognitive Reserve on Adult's Cognitive Function -Focusing on the Multiple Mediation Effect- (성인의 인지예비능이 인지기능에 미치는 영향 -우울, 주관적 기억감퇴 및 삶의 질의 다중매개효과를 중심으로-)

  • Kim, Ji-Hyun;Chung, Min-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.358-372
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    • 2020
  • This study examined the effect of cognitive reserve on the cognitive function in adults. In addition, this study investigated the direct and indirect effects of factors, such as subjective memory decline, depression, and quality of life on the cognitive function. The participants consisted of 253 adults who were 40 to 80 years of age. The assessment tools included the cognitive function scale, depression scale, quality of life scale, subjective memory decline, and cognitive reserve scale. The data results were analyzed using SPSS 25.0, and PROCESS macro for SPSS Version 3.3 and bootstrapping were used. The results of multiple mediating of the cognitive reserve and cognitive function in adults did not have a mediating effect in depression and subjective memory decline, and the quality of life showed a complete mediating effect in the relationship between the cognitive reserve and subjective cognitive function. Based on the results of this study, adults must accumulate cognitive reserve continuously through various activities and continuous training so that the cognitive function can lead to a positive direction. Nevertheless, more studies on cognitive reserve and cognitive function in healthy adults are needed.

A Study on the Design of DICOM Integration Engine in the Ubiquitous Computing Environments (유비쿼터스 컴퓨팅 환경에서의 DICOM 설계에 대한 연구)

  • Im, In-Chul;Ha, An-Rye;Kim, Chang-Soo;Hwang, In-Chul;Ok, Chi-Sang
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.307-315
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    • 2005
  • In the ubiquitous computing environments, ICT industries of current society are developed in enormous growth. Medicine or patients with mobile devices can access at any time, any place. The medical procedures at the patient bedside are out of the scope of current systems, which means that patient record and image data access during the medical visit or the execution, recording and confirmation of the medicine prescriptions, still do not enjoy computerized support. Today, the exchange of medical images and clinical information is well defined by DICOM and HL7 standards. The DICOM independent terminal equipment image access system was developed in which a DICOM Engine acts as the gateway between a PACS DB and user's terminal. Implementation system is compatible with most currently available Integration system models. This paper presents a software technology where the medical and nursing staff will be equipped with any device connected by wire and wireless to a central server that provides access to the electronic patient records and that will actively inform about tasks pending distribution. The prototype described in this article implements a medical images and structured reports server that makes the search and recovery of data stored in the DICOM standard possible.

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Towards Hope Seeking Intervention Based on Individual Experience in Palliative Care (완화돌봄에서 개인 경험에 근거한 희망 중재를 향하여)

  • Kim, Dal-Sook
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.1-9
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    • 2012
  • Purpose: The aim of this study was to discuss challenges for hope seeking intervention based on individual experience (HSIBIE) in palliative care, assuming that hope is an individualized unique, subjective, and dynamic experience. Methods: Literature, including analysis and discussion, was reviewed to identify limitations and ways to develop HSIBIE. Results: This study identified following challenges: 1. Hope was often described and utilized as a standardized unified structure with varying attributes or mono-structure emphasizing a realistic hope, or both of them (relativism vs. monism) in one literature. This challenge is represented as a problem in conceptualization. 2. Few studies discussed various patterns of hope or individuals' unique experiences in palliative care. 3. The HSIBIE and the method for the HSIBIE have been rarely discussed. Conclusion: A problem in conceptualization is often related to fixed ideas formed over a long period and used in a closed circle of scholars and professionals. Therefore, such fixed ideas should be openly challenged with fresh perspectives. The second issue requires a cross-cultural studies of various hope experiences in palliative care, which can be used for effective and appropriate HSIBIE.

Resilience to Burnout and Work Satisfaction of Hospice Volunteers (호스피스자원봉사자의 소진탄력성과 활동만족도)

  • Choi, Soon-Ock
    • Journal of Hospice and Palliative Care
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    • v.12 no.3
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    • pp.147-156
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    • 2009
  • The purpose of this study was to assess the level of resilience to burnout and work satisfaction of hospice volunteers. Methods: Participants included 235 regular volunteers at hospice facilities of two university hospitals and four general hospitals located in Busan. The study instruments were the scale of resilience to burnout and work satisfaction. The scale of resilience to burnout consisted of six dimensions (professional competency, accomplishment and worthiness, firm belief and value about their profession, good teamwork, support by their agency, and individual resources) and 31 items which were rated on a 5-point Likert scale, whereas the scale of work satisfaction consisted of 6 items which were rated on a 5-point Likert scale. Data were analyzed by descriptive statistics, t-test, ANOVA, Tukey and Pearson's correlation coefficient. Results: The mean score of resilience to burnout and work satisfaction of participants were 3.59 and 3.69, respectively. The highest and lowest scores of resilience to burnout were individual resources (3.81) and accomplishment and worthiness (3.36). There were significant differences in resilience to burnout scores, depending on religion, health status, type of hospice facilities, and period of volunteer experience. There were significant differences in work satisfaction scores, depending on gender, religion, education level, health status, and type of hospice facilities. Conclusions: Continuous education and efficient management need to be developed to improve the level of resilience to burnout and work satisfaction of hospice volunteers.

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