Purpose: This study aimed to examine pediatric hospital nurses' perceptions and performance of family-centered care. Methods: A descriptive study design was used. This study surveyed 162 nurses who worked at a single tertiary children's hospital in South Korea. The modified Family-Centered Care Scale was used to assess nurses' perceptions and performance of family-centered care. Barriers to the implementation of family-centered care were described in an open-ended format. Results: Pediatric hospital nurses had a higher score for perceptions (mean score=4.07) than for performance (mean score=3.77). The collaboration subscale had the lowest scores for both perceptions and performance. The perceptions of family-centered care differed significantly according to the nurses' clinical career in the pediatric unit and familiarity with family-centered care, while performance differed according to clinical career only. Perceptions and performance were positively correlated (r=.594, p<.001). Barriers to implementation included a shortage of nursing personnel, a lack of time, and the absence of a family-centered care system. Conclusion: To improve the performance of family-centered care, nurses' perceptions of family-centered care should be improved by offering education programs and active support, including sufficient staffing, and establishing systems within hospitals.
The 8th International Conference on Construction Engineering and Project Management
/
pp.249-256
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2020
Historical construction health and safety (H&S) challenges, in terms of a range of resources and issues, continue to be experienced, namely design process-related hazards are encountered on site, workers are unaware of the hazards and risks related to the construction process and its activities, activities are commenced on site without adequate hazard identification and risk assessments (HIRAs), difficulty is experienced in terms of real time monitoring of construction-related activities, workers handle heavy materials, plant, and equipment, and ultimately the experience of injuries. Given the abovementioned, and the advent of Industry 4.0, a quantitative study, which entailed the completion of a self-administered questionnaire online, was conducted among registered professional (Pr) and candidate Construction H&S Agents, to determine the potential of Industry 4.0 to contribute to resolving the challenges cited. The findings indicate that Industry 4.0 technologies such as augmented reality (AR), drone technology, virtual reality (VR), VR based H&S training, and wearable technology /sensors have the potential to resolve the cited H&S challenges as experienced in construction. Conclusions include that Industry 4.0 technologies can finally address the persistent H&S challenges experienced in construction. Recommendations include: employer associations, professional associations, and statutory councils should raise the level of awareness relative to the potential implementation of Industry 4.0 relative to H&S in construction; case studies should be documented and shared; tertiary construction management education programmes should integrate Industry 4.0 into all possible modules, especially H&S-related modules, and continuing professional development (CPD) H&S should address Industry 4.0.
This study tries to reveal and compare uplift rates in the southern coast of the Korean Peninsula, based on absolute ages from coastal terrace on the coast. The uplift rate in the East Coast from previous study ranges from 0.258 to 0.357 m/ka with a median rate of 0.262 m/ka and shows an increase trend from north to south. Median uplift rate of 0.082 m/ka with minimum and maximum rates of 0.053 m/ka and 0.127 m/ka, respectively, is calculated in the South Coast from previous and this studies. The uplift rate in the West Coast from 3 absolute ages in this study is 0.082~0.112 m/ka with a median rate of 0.090 m/ka. Based on these uplift rates in the southern coast of the Korean Peninsula, it can be concluded that since MIS 5, the East Coast has experienced 3 to 4 times faster uplift rate than the West and South Coasts. However, this study suggests that more discussion on whether these uplift rates are long-term tectonic movement associated with tilted warping movement since the Tertiary or short-term tectonic movement associated with isostatic rebound due to sea level change since the Last Interglacial is needed.
The purpose of this study is as follows: First, we restore the optimal topographical environment of the Bronze Age settlements in the Yongdu Stream and its surrounding area in Asan City. Second, we reveal the relative importance of the topographical factors that the Bronze Age people considered when selecting their dwelling locations. We compared and analyzed topographical factors (ridge scale, ridge direction, slope direction of the ridge, micro-landform of the ridge, position of the ridge) from the ridge's environmental perspective of 123 Bronze Age dwellings (hereinafter referred to as dwellings) found in the survey area for that purpose. The results are as follows: First, from a macro perspective, the optimal topographical environment for the location of the Bronze Age settlement is the second ridge that have the E-W direction. And from a micro perspective, it is the southeast direction slope of the Crest slope at the summit. Second, it appears that the Bronze Age people have taken important consideration in determining the location of their dwelling in the following order: ① position (eg. summit), ② micro-landform (eg. Crest slope, Upper slope), ③ slope direction (eg. southward, South, Southeast), ④ scale (eg. sub-ridge, secondary, tertiary), ⑤ direction (eg. E-W, NNE-SSE).
Purpose: This study aimed to identify the influence of knowledge of personal information protection law and nursing patient advocacy on practice of personal information protection among nurses. Methods: The subjects were 130 nurses who have worked for six months or more in the ward of the tertiary or general hospitals. Data were collected from February 20 to March 3, 2023. Results: Factors influencing practice of personal information protection were acting as an advocate (β=.32, p=.004), environmental and educational influences (β=.21, p=.040), knowledge of personal information protection law (β=.19, p=.013) and clinical experience for five years or more but less than ten years (β=.17, p=.036). The regression model showed an explanatory power of 34.0%. Conclusion: Acting as an advocate has the most effect on practice of personal information protection. To promote practice of personal information protection for nurses, it is necessary to provide education related to privacy protection and encourage nursing patient advocacy.
Purpose: This study aimed to analyze the experiences of new nurses during their first year of hospital employment to gather data for the development of an evidence-based new nurse residency program focused on adaptability. Methods: This study was conducted at a tertiary hospital in Korea between March and August 2021 with 80 new nurses who wrote in critical reflective journals during their first year of work. NetMiner 4.5.0 was used to conduct a text network analysis of the critical reflective journals to uncover core keywords and topics across three periods. Results: In the journals, over time, degree centrality emerged as "study" and "patient understanding" for 1 to 3 months, "insufficient" and "stress" for 4 to 6 months, and "handover" and "preparation" for 7 to 12 months. Major sub-themes at 1 to 3 months were: "rounds," "intravenous-cannulation," "medical device," and "patient understanding"; at 4 to 6 months they were "admission," "discharge," "oxygen therapy," and "disease"; and at 7 to 12 months they were "burden," "independence," and "solution." Conclusion: These results provide valuable insights into the challenges and experiences encountered by new nurses during different stages of their field adaptation process. This information may highlight the best nurse leadership methods for improving institutional education and supporting new nurses' transitions to the hospital work environment.
This descriptive study was designed to find out the relation between nurses' perceptions of job-related empowerment, job satisfaction and organizational commitment. The data was collected from 390 staff nurses in a tertiary hospital located in Seoul during the period of 2 weeks from October 6 to October 19, 2000 by means of structures questionnaire. Five instruments were used in this study included the Job Activity Scale(Laschinger et al., 1994, 1999), the Organizational Relationship Scale(Laschinger et al., 1994, 1999), The Conditions of Work Effectiveness Questionnaire(Chandler, 1986), the Minnesota Satisfaction Questionnaire(Weiss et al., 1967) and the Organizational Commitment Questionnaire(Mowday et al., 1979). The results were summarized as follows: 1) The mean of the CWEQ was 49.56percentile, and the support was perceived higher(56 percentile) than the other subscales, opportunity, information and resources. The mean of the MSQ was 49.4 percentile and the OCQ was 54.02 percentile. 2) Nurses' perception of job related empowerment was significantly related to job satisfaction(r=.650, p<.001), and organizational commitment(r=.458, p<.001). And the job satisfaction was related significantly to organizational commitment(r=.426, p<.001). Job satisfaction(r=.583, p<.001) and organizational commitment(r=.426, p<.001)have higher relation with the opportunity subscales of the CWEQ than the others. 3) The significant difference was found in the nurses' perception of the empowerment, job satisfaction and organizational commitment according to the age group, length of nursing career and ward. 4) Results of the stepwise multiple regression shows that the nurses' perception of the empowerment and organizational commitment explained 52% of job satisfaction, and also, the nurses' perceptions of the empowerment and job satisfaction explained 35% of organizational commitment. In conclusion, nurses' perception of the empowerment, job satisfaction and organizational commitment have a strong relationship. The finding suggests the importance of the empowering nurses to increase job satisfaction and organizational commitment.
Purpose: For this study an examination was done of relationships between intensive care unit (ICU) nurses' knowledge related to sedation and their clinical competencies in sedation practice. Methods: Ninety one ICU nurses were recruited from two tertiary hospitals in South Korea. A self-report questionnaire was used to examine the levels of knowledge related to sedation and nursing practice competence based on Ajzen's theory of planned behavior. Descriptive statistics, independent t-tests, one-way ANOVA, and Pearson correlations were performed using the IBM SPSS 21.0 Results: ICU nurses are more knowledgeable about general information on sedation rather than up-to-date information. Continuing education on sedation was related to difference in knowledge levels. However, the levels of knowledge were not related to competence in sedation practice. Instead, a positive attitude toward sedation practice was significantly related to the subjective norms; orders and goals, perceived behavioral control, practice of sedation, and intention to use. Conclusion: The results of this study provide fundamental information on levels of knowledge related to sedation practices of Korean ICU nurses. Continuing education should emphasize up-to-date information on sedation practice and need for positive attitudes which influence all other competencies towards sedation practices to achieve optical care of sedation in the ICU.
The objective of this study was to identify bisphosphonate-related osteonecrosis of the jaw (BRONJ) awareness and experience level of patients by medical doctors who prescribes bisphosphonate being used, analyze dental examination referral reality and to utilize its result as basic education data for early diagnosis of BRONJ and its prevention. The study was carried out through a self-administered questionnaire distributed among a sample 192 residents and specialists. They belonged to family medicine, internal medicine and orthopedics of 6 tertiary medical centers located in Seoul. The survey consisted of 22 questions; general characteristics, bisphosphonate therapy, awareness of BRONJ, implementation level of dental examination referral. Among 192 medical doctorss, 78.1% (n=150) showed awareness of BRONJ. Only 8.9% (n=17) had correct response in all 5 BRONJ knowledge questions. Dental examination referral by medical doctors was implemented in below 30% of the total patients. At the time of bisphosphonate administration, specialist of oncology most highly recognized necessity of dental examination referral and it was represented in the order of endocrinology, rheumatology, family medicine, orthopedics specialists. As recognition of medical doctors for BRONJ and implementation level of dental referral were represented to be low, it is considered that enhancement of BRONJ recognition for medical doctors and development of high accessible education program for increasing implementation rate of dental examination referral would be required.
Purpose: To examine the levels of the disease-related knowledge and educational demands of pre-dialysis, chronic renal failure patients at different GFRs and stages. Methods: This study used a cross-sectional survey and aimed at 116 pre-dialysis, chronic renal failure patients, who were registered and received regular treatment from December 1 to December 31, 2009 at the nephrology departments of tertiary medical centers in Seoul. Stages were classified into Stage 3, 4 and 5 depending on GFR ranges. To measure the levels of knowledge and educational demands, the tool, which were first invented by Young Ae Lim (1996) and then modified by Hyo Sun Lim (2005) to adjust the knowledge and educational demands measuring tool for hemodialysis patients to pre-dialysis patients with chronic renal failure, was used. Collected data was analyzed with the SPSS WIN 12.0 program (average, standard deviation, Pearson's correlation coefficient, t-test and ANOVA). Results: There was a significant difference in the disease-related knowledge levels of the subjects at each stage (F=24.41, p=.000). The Scheffe post hoc test confirmed that patients at higher stages had higher levels of knowledge of their disease. Also, although the results showed that patients at higher stages had higher educational demands, there was no significant difference among the groups (F=1.259, p=.288). Conclusion: As patients have different levels of knowledge of the disease and educational demands depending on their stages, it is important to develop and use a systematic education program that reflects the demands and levels of patients at each stage in order to help pre-dialysis patients with chronic renal failure with self-management and improve their quality of life.
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