• 제목/요약/키워드: self-operating

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수술실 간호사가 경험하는 언어폭력 측정도구의 개발 (A Study on the Development of Verbal Abuse Scale for Operating Room Nurses)

  • 윤계숙;정혜선;박순애;장부영;김혜란;엄현신;성영희;남경동
    • 간호행정학회지
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    • 제11권2호
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    • pp.159-172
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    • 2005
  • Purpose: The Purpose of this study was to development a verbal abuse scale for operating room nurses in Korea. Method: To achieve the purpose of the study, a questionnaire was developed to interview 30 nurses and distributed to 761 nurses who working at 28 general hospital in Korea from september 7 to November 25, 2004. Item analysis and factor analysis were carried out to validate violence predicting scale. Cronbach's Alpha coefficient was used to test reliability of the scale. The data were analyzed by using SPSS/WIN 11.5 program. Result: As a result of the item analysis and factor analysis, 17 items were selected from the total of 30 items, and four factors were labeled as 'self esteem abuse by nurses(7 items)', 'self esteem abuse by physicians(6 items)', 'sexual abuse by physicians(2 items)', 'colleague abuse by physicians(2 items)'. Four factors were explained by 60.8% out of the total variance. The first factor explained 35.456%, second factor explained 12.401% and third factor explained 6.637%. And fourth factor explained 6.304%. Reliability of the factors were tested by Cronbach's Alpha coefficient and result was 0.885. Conclusion: The scale was identified to be a tool with a high degree of reliability and validity. Therefore, this scale can be effectively utilized for assessment of verbal abuse for operating room nurses by nurses and physicians in Korea.

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한의학 정통요법과 보조요법의 임상적 운용방안 (Study on Clinical Operating Measures of Authentic Therapy and Supplementary Therapy in Oriental Medicine)

  • 이재수;권영규;양재하;김광중
    • 동의생리병리학회지
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    • 제20권1호
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    • pp.215-223
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    • 2006
  • This research surveyed oriental medicine therapies currently used in oriental medicine circles by referring to oriental medicine books-based existing traditional authentic therapies, as well as market-sold supplementary therapy-related ordinary health books and Internet information, and supplementary therapy-related dissertations, reviewed the fundamental operating significance of these therapies, and pursued their clinical operating measures based on their clinical information as follows Various therapies currently used in oriental medicine circles are categorized into authentic therapies and supplementary therapies in oriental medicine. Authentic therapies in Oriental medicine are based on bodily self-vitality abilities, pursue positive methods of treating diseases, and include medication therapies, acupuncture therapies, and external therapies. Supplementary therapies in oriental medicine are based on bodily self-vitality abilities, pursue indirect methods of treating diseases, and consist of lifestyle therapy and body management therapy. Authentic and supplementary therapies in Oriental medicine are used either separately or together according to clinical treatment methods. In treating diseases, clinical operating methods exclusively based on traditional authentic therapies and supplementary therapies include Donguibogam (anthology of ancient oriental medicine), Uihakipmun (introduction to medicine), Somun school, and bodily acupuncture according to diagnoses of symptoms, as well as sasangbang (prescription based on four types of bodily constitution), myeongribang prescription, hyeongsangbang prescription, and bodily constitution-based acupuncture according to diagnoses of bodily constitutions. In clinical operation of Oriental medicine, supplementary therapies are parity duplicated dy alternative medicine. However, given patients' needs and clinical practicality, Oriental medicine circles should establish a system based on the fundamental viewpoint of Oriental medicine theories, and corresponding policies should also be researched.

의료보험 관리체계에 대한 연구 - 관리비용을 중심으로 - (A Study on the Health Insurance Management System; With Emphasis on the Management Operating Cost)

  • 남광성
    • 보건교육건강증진학회지
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    • 제6권2호
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    • pp.23-39
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    • 1989
  • There have been a lot of considerable. discussion and debate surrounding the management model in the health insurance management system and opinions regarding the management operating cost. It is a well known fact that there have always been dissenting opinions and debates surrounding the issue. The management operating cost varies according to the scale of the management organization and component members characteristics of the insurance carrier. Therefore, it is necessary to examine and compare the management operating cost to the simulated management models developed to cover those eligible for the health insurance scheme in this country. Since the management operating cost can vary according to the different models of management, four alternative management models have been established based on the critical evaluation of existing theories concerned, as well as on the basis of the survey results and simulation attempts. The first alternative model is the Unique Insurance Carrier Model(Ⅰ) ; desigened to cover all of the people with no classification of insurance qualifications and finances from the source of contribution of the insured, nationwide. The second is the Management Model of Large-scale District Insurance Carrier(Ⅱ) ; this means the Korean society would be divided into 21 large districts; each having its own insurance carrier that would cover the people in that particular district with no classification of insurance qualifications arid finances as in Model I. The third is the Management Model of Insurance Carrier Divided by Area and Classified with Occupation if Largescale (Ⅲ) ; to serve the self-employed in the 21 districts divided as in Model Ⅱ. It would serve the employees and their dependents by separate insurance carriers in large-scale similar to the area of the district-scale for the self-employed, so that the insurance qualifications and finances would be classified with each of the insurance carriers: The last is the Management Model of the Multi - insurance Carrier (Ⅳ) based on the Si. Gun. Gu area which will cover their own self- employed people in the area with more than 150 additional insurance carriers covering the employees and their dependents. The manpower necessary to provide services to all of the people according to the four models is calculated through simulation trials. It indicates that the Management Model of Large-scale District Insurance Carrier requires the most manpower among the four alternative models. The unit management operating costs per the insured individuals and covered persons are leveled with several intervals based on the insurance recipients. in their characteristics. The interval levels derived from the regression analysis reveal that the larger the scale of the insurance carriers is in the number of those insured and covered. the more the unit management operating cost decreases. significantly. Moreover. the result of the quadratic functional formula also shows the U-shape significantly. The management operating costs derived from the simulated calculation. on the basis of the average salary and related cost per staff- member of the Health Insurance Societies for Occupational Labours and Korean Medical Insurance Corporation for the Official Servants and Private School Teachers in 1987 fiscal year. show that the Model of Multi-insurance Carrier warrants the highest management operating cost. Meanwhile the least expensive management operating cost is the Management Model of Unique Insurance Carrier. Insurance Carrier Divided by Area and Classified with Occupation in Large-scale. and Large-scale District Insurance Carrier. in order. Therefore. it is feasible to select the Unique Insurance Carrier Model among the four alternatives from the viewpoint of the management operating cost and in the sense of the flexibility in promoting the productivity of manpower in the human services field. However. the choice of the management model for health insurance systems and its application should be examined further utilizing the operation research analysis for such areas as the administrative efficiency and factors related to computer cost etc.

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수술실 간호사의 언어폭력 경험과 정신건강과의 관련성 (Relationship Between Verbal Abuse and Mental Health in Some Operating Nurses)

  • 박부연;이경희;신지훈
    • 한국전자통신학회논문지
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    • 제7권5호
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    • pp.1205-1211
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    • 2012
  • 이 연구는 수술실 간호사들의 언어폭력 경험을 알아보기 위하여 수행되었다. 종합병원 수술실 간호사 176명을 대상으로 2011년 10월 17일부터 31일까지 설문지를 사용하여 자료를 수집하였다. 다중회귀분석에서 언어폭력경험과 간호사 요인 언어폭력 유형이 정신건강에 유의한 영향을 미쳤다. 결과적으로 언어폭력은 수술실 간호사의 정신건강에 영향을 미친다. 언어폭력을 예방할 수 있는 다양한 프로그램을 개발하여, 수술실 간호사의 정신건강을 증진시키고 그것을 유지시키는 것이 필요하다.

수술실 간호사의 조직사회화와 이직의도 (Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals)

  • 윤수정;박혜자
    • 간호행정학회지
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    • 제21권1호
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    • pp.88-98
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    • 2015
  • Purpose: To evaluate the relationship between organizational socialization and intention to leave, and to identify factors affecting on intention to leave in operating room nurses. Methods: This study used a descriptive design. Seventy operating room nurses recruited from three hospitals under the same management style, in-service educational system, and working conditions agreed to participate in this study, and completed self-administered questionnaires of the organizational socialization and the intention to leave questionnaire. Respondents were classified by career as advanced beginner, competent practitioner, proficient practitioner and expert practitioner by Benner's stages of nursing proficiency. Data were analyzed with t-test, ANOVA with multiple comparisons, Spearman correlation, and multiple regression analysis. Results: Nurses unsatisfied with the current in-service continuous education had lower organizational socialization and higher intention to leave. In advanced beginners, job performance was lowest and organizational commitment was highest. In expert practitioners, intention to leave was highest. Organizational commitment, interpersonal relationship, identity and burnout were associated with intention to leave. Mutual trust, burnout, and interpersonal relationship were predictors of intention to leave explained 20.8% of variance. Conclusion: The career ladder program to enhance nurses' organizational socialization and intention to stay should be established and expanded for well-experienced operating room nurses.

구조화된 수술 전 교육이 백내장 수술 환자의 불안과 자가간호 수행에 미치는 효과 (The Effects of Structured Preoperative Instruction on Anxiety and Self-care Compliance in Patients with Cataract Surgery)

  • 최미정;박정숙
    • 성인간호학회지
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    • 제25권4호
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    • pp.473-482
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    • 2013
  • Purpose: The purpose of this study was to investigate the effects of a structured preoperative instruction upon anxiety and postoperative self-care compliance. Methods: A randomized control group pre-post design was used. Sixty subjects undergoing cataract surgery were randomly assigned to one of two groups. The instruction consisted of cataract surgery procedure, sensory information, deep breathing, use of eye drop, and post op self-care regimen and was provided to the experimental group with control group receiving an usual treatment. State anxiety NRS, pulse, BP, and self-care compliance scale developed by Cho & Rho were used. Data were collected at two time periods: on the day of surgery in the clinic and prior to anesthesia in the operating room. The postoperative self-care compliance scores were measured at their second visits to the hospital after surgery. Data were analyzed using Kolmogorov Smirnov test, t-test, and Mann-Whitney U test. Results: There were significant differences between the two groups in the postoperative state anxiety (t=-3.57, p=.001) and the postoperative self-care compliance score (t=3.92, p<.001). There were no significant difference between the two groups in the postoperative blood pressure and pulse rate. Conclusion: The results of this study suggest that the structured preoperative instruction could be a nursing intervention for cataract surgery patients.

Critical Current Degradation Analysis in HTS Pancake Coil due to Self Field Effects

  • Nah, Wan-Soo;Joo, Jin-Ho;Yoo, Jai-Moo
    • Progress in Superconductivity
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    • 제1권1호
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    • pp.68-72
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    • 1999
  • Since the discovery of high Tc superconductors, great efforts have been focused to develop high performance HTS magnets for the ultimate applications to power system devices. Magnet designers, however, have had difficulties in the estimation of the maximum operating current of the designed magnet from the tested short sample data, due to the degradation of the critical current density in the magnet. Similar story applies to the HTS electrical bus bar. It has been found that the critical current of Bi-2223 stacked tapes is much less than the total summation of critical currents of each tape, which is mainly attributed to the self magnetic fields. Furthermore, since the critical current degradation of Bi-2223 tape is greater in the normal magnetic field (to the tape surface) than in the parallel one, detailed magnetic field configurations are required to reduce the self field effects. In this paper, we calculate the self field effects of a stacked conductor, defining self field factors of normal and parallel magnetic fields to the tape surface. Finally, the critical current degradations in the HTS magnet are explained by the introduced self field factors of the stacked conductor.

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일 대학병원 간호사의 간호정보역량과 셀프 리더십의 상관성 (Relationship of Nursing Informatics Competency and Self-leadership among Hospital Nurses)

  • 김명희;채송화;김영숙;김명수
    • 간호행정학회지
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    • 제13권2호
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    • pp.176-183
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    • 2007
  • Purpose: The objective of this study was to define nursing informatics competency and self-leadership perceived by hospital nurses and the relationship between those variables. Method: The subjects of this study were 215 nurses who had worked in one university hospital in P city. For this study the following study tools were used: the Staggers Nursing Computer Experience Questionnaire and self-leadership scale. Data was analyzed using mean, standard deviation, t-test, ANOVA, Scheffe and Pearson correlation coefficient. Results: The mean score of each item in informatics skill domain and informatics knowledge domain $2.93{\pm}.49$ and $3.40{\pm}.50$. The average score of self-leadership was $3.39{\pm}.53$. 'Self-leadership' was positively related with 'nursing informatics competency'. Conclusion: This study proved that there were significant positive correlation between nursing informatics competency and self-leadership. These results suggested that it would be necessary to develop regular educational program which promotes the nurses' self-leadership as well as nursing informatics competency in schools. And practical education program for nurses must be planned continuously for informatics competency in hospitals.

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전북지역 양호교사의 업무수행과 자신감과 그에 영향하는 요인에 관한 연구 (A Study on the Factors of the school health Teachers' Self-confidence Affecting the School Nursing Activities in Jeonbuk Province)

  • 양경희
    • 지역사회간호학회지
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    • 제1권1호
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    • pp.582-594
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    • 1989
  • The purpose of this study is to analyze the factors affecting the school health teachers' self-confidence. This study was conducted with 87 school health teachers working in Jeonbuk province, from September to December, 1986, The results are follows; 1. Demographic characteristics of school health teachers 1) Age mean ; 34, range; 23-54 2) School Nursing experience mean; 11 years, range; 0-24 3) Clinical experience mean; 1.5 years, range: 0-13 2. Status of school health resources & nursing activities 1) Personnel resource school health teacher: pupils : 1 : 1,436 'classes=1:31 'general teacher=1:39 2) Budget Total school operating budget: School health budget : 100 : 4.2 (52.2 thousand Won) Half of the school health budget expend on medicine. 3) Clinic 80% of all schools have health clinic seperately. 71.32 of all schools have less than $35m^2$, 23.9%, $36-66m^2$. 4) Only 20% of all schools have organization for health 5) Average of clinic visitor for 1 year; 2,084 Major problem is on digestive system. And other problem: respiratory, skin, musculo - skeletal system, dental problem, etc... 6) Literal message for 1 year; 12 times. For health education (4), vaccination (3), examination of parasites (2), etc... 3. The degrees of the school health teachers' self-confidence 1) Program planning & evaluation; 2.9. 2) Clinic management; 2.8 3) Health education; 2.8 4) Management of school environment; 2.7 5) Health care services; 2.5. 6) Operating of school health organization; 2.3 4. Significances to self-confidence on school health nursing activities 1) Program planning & evaluation: home message (r=.228, p<.05) No. of clinic visitor (r=.220, p<.05) expending time for clinic management (r=.229, p<.05) religion (t: 2.5, p<.05) level of school (F=6.3, p<.005) 2) Clinic management: age of school health teacher (r=-.202, p<.05) school health experience (r=-.211, p<.05) salary step (r=.187, p<.05) expending time for clinic management (r=.315, p<0.1) marital status (t=3.97, p<.005) level of school (F=3,139, p<0.5) 3) Management of school environment: level of school (F=3.899, p<.05) expending time for clinic management (r=-,216, p<0.5) 4) Health care service: age of school health teacher (r=-.186, p<.05) marital status (t= 3.67, pH.005) 5) Health education: expending times for clinic management (r=-.252, p<05) level of school (F=5.343, p<.01) 6) Operating of health organization; age of school health teacher (r=-.258, p<.01)salary step (r=.188, p<.05) Based on the above results, the suggestions are as follows; 1. Need to raise ,appointment rate school health teacher. 2. Need to raise self-confidence on school health nursing activities through the inservice education or re-inforcement. 3. Need to secure adequate budget for school health. 4. Participation of school health teacher and support of school master for school health services are required. 5. Need for use the health clinic seperately, adequate facilities and free utilization by visitors.

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수술실 간호사를 위한 앱 기반 근골격계 운동프로그램의 개발 및 효과검증 (Development and evaluation of a mobile app-based musculoskeletal exercise program for operating room nurses)

  • 남화원;전상은
    • Journal of Korean Biological Nursing Science
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    • 제25권3호
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    • pp.215-227
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    • 2023
  • Purpose: The aim of this study was to develop a mobile app-based musculoskeletal exercise program (AMSEP) for operating room (OR) nurses and evaluate its effects on self-efficacy, the flexibility of the shoulders, lower back, and legs, and musculoskeletal symptoms and fatigue. Methods: The AMSEP was developed based on the information-motivation-behavioral skill model. In total, 48 OR nurses were recruited at a university hospital in Korea and divided into an experimental group (n=24) and a control group (n=24), matched for career experience in the OR. The experimental group participated in the AMSEP, while the control group received a booklet regarding musculoskeletal exercise. Results: The experimental group showed significant increases in self-efficacy (t = -2.77, p = .008) and flexibility of the right shoulder (t = -4.08, p < .001), left shoulder (t = -3.28, p = .002), lower back (t = -3.75, p < .001), and legs (t = -3.96, p < .001) compared to the control group. Musculoskeletal symptoms (t = 2.75, p = .008), and fatigue (Z = -1.98, p = .048) significantly decreased in the experimental group compared to the control group. Conclusion: Our findings indicate that the AMSEP for OR nurses provided information on the prevention of musculoskeletal disorders and methods of exercise, as well as an opportunity for continued exercise performance through self-management. The AMSEP was easily accessible and effective in increasing self-efficacy and flexibility and reducing musculoskeletal symptoms and fatigue.