• Title/Summary/Keyword: tertiary education

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Changing Pattern of Patients in the Tertiary Care Hospitals after National Medical Insurance Implementation (전국민의료보험 실시이후의 3차 의료기관 환자이용의 변화)

  • 김명호;김송현;장재찬;이규진
    • Korean Journal of Health Education and Promotion
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    • v.7 no.1
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    • pp.27-32
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    • 1990
  • Since the medical insurance covered the total population in Korea in July, 1989, the number of patient's visitation to the tertiary care hospital had changed because of referral regulation. In the referred patients through the secondary care hospitals such as out-patients of departments of internal medicine, general surgery, obstetrics and gynecology, pediatrics had decreased as well in-patients in these departments. However, departments of urology, dermatology, dentistry, ophthalmology and ear-nose-throat had more or less similar number of patients after medical insurance implemented for the total population. Contrarily, the number of patients visited emergency clinics and department of family medicine had increased very many. Thus, expansion of emergency clinic department, new special clinic set-ups, establishment of family medicine department in each hospital etc are strongly recommend.

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Development of Korean Nurse Residency Program for Tertiary Hospitals (국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발)

  • Kwon, In Gak;Cho, Yong Ae;Kim, Kyeong Sug;Kim, Mi Soon;Cho, Myung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.149-164
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    • 2021
  • Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.

Evaluation of Nursing Outcomes among Advanced Practice Nurses in a Tertiary Hospital (분야별 전문간호사의 전문간호업무에 대한 성과 평가: 일개 병원을 중심으로)

  • Seol, Miee;Yi, Myoung Sun
    • Journal of Korean Critical Care Nursing
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    • v.5 no.2
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    • pp.37-48
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    • 2012
  • Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.

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Development and Study of Digital Literacy Indicators(Checklist) for Micro Business Owners for Continuous Digital Transformation: Focusing on the Tertiary Industry (지속적인 디지털 전환을 위한 소상공인 디지털 리터러시 측정지표 개발 연구: 3차 산업(숙박 및 음식점업, 도·소매업, 서비스업)을 중심으로)

  • Jungmoon Choi;Junghoon Lee;Jiwon Kim
    • Journal of Information Technology Applications and Management
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    • v.30 no.1
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    • pp.81-95
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    • 2023
  • As the DT of micro businesses emerges as an important task, the government is also promoting support projects such as policy establishment and micro business education. This study aims to develop a new index (checklist) that can objectively measure the level of digital literacy required for DT in the tertiary industry, which accounts for the largest share of micro business owners. In this study, indicators were derived through review of existing studies and FGI, and the validity and reliability of Likert 5 were measured for decision makers in the tertiary industry. In the field of digital literacy for micro business owners, a total of 22 indicators were developed, largely composed of basic technology environment competency, information utilization competency, information dissemination and production capability, and mind recognition capability. This study has academic significance in that it can contribute to accurately understanding the digital capabilities of micro business owners by developing a digital literacy index for micro business owners, a specific group lacking in research.

Influencing Factors on the Practice of Medical Waste Management of Nurses in Tertiary General Hospitals after COVID-19 (코로나 19 이후 상급종합병원 간호사의 의료폐기물 관리 실천에 미치는 영향요인)

  • Oh, Da In;Cho, Gyoo Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.327-336
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    • 2023
  • Purpose: This study aimed to identify the factors affecting the practice of medical waste management of nurses in tertiary general hospitals after the coronavirus disease 2019 (COVID-19). Methods: The participants were 154 nurses working in two tertiary general hospitals. Data were collected using structured questionnaires and analyzed using an Independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Factors significantly influencing the subject's practice of medical waste management include medical waste education(β=.18, p=.013), recognition of infection control organizational culture (β=.26, p=.007), and attitudes toward medical waste management (β=.23, p=.011). The explanatory power of these variables for medical waste management practice was 29.0% (F=7.34, p<.001). Conclusion: To improve the practice of medical waste management, a strategy to provide positive attitudes toward medical waste management should be needed when developing medical waste management training programs, and various measures are necessary to make the organizational culture positive for the implementation of infection control guidelines at the organizational level.

Clinicopathological Correlation of Cervical Carcinoma: A Tertiary Hospital Based Study

  • Shruthi, Pannayanapalya Suresh;Kalyani, Raju;Lee, Jun Kai;Narayanaswamy, Mariyappa
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1671-1674
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    • 2014
  • Background: To study the clinical presentation of cervical carcinoma correlating with histopathological findings in a tertiary hospital situated in the southern part of India catering to rural and semi-urban populations Materials and Methods: 199 cases histopathologically diagnosed as cervical cancer over a period of one year were considered for the study. Clinical details of the patients were noted with the help of semi-structured proforma. The data was analysed by descriptive analysis using SPSS software. Results: Out of 199 patients, 109 had moderately differentiated squamous cell carcinoma, 51 poorly differentiated and 35 well differentiated. Adenocarcinomas numbered only four. 121 cases were in the age group of 40-59 years, 59 in 60-80 years and 19 in 20-39 years. All four cases of adenocarcinoma were seen between 40-59 years. 95 (47.7%) cases were in women who had 4 or more children, 120 presented with white discharge, 89 with bleeding per vagina and 68 had constitutional symptoms. Most of the patients with adenocarcinoma presented with bleeding per vagina. 151 was in stage IIIB, 29 in stage IIB, 14 in stage IVA and 5 in stage IB. Conclusions: Screening of cervical cancer should be emphasised in women with white discharge especially in rural areas for early detection of dysplastic cells and reduce mortality and morbidity in productive age. In addition health education has to be given to women regarding the awareness of hygiene, risk factors and symptoms of cervical cancer.

Fashion Illustration Curriculum an analysis in Pursuit of Better Design Education (디자인 교육 강화를 위한 패션 일러스트레이션 교육과정의 개선방안 연구)

  • Kim, Mi-Hyun
    • Journal of the Korean Home Economics Association
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    • v.46 no.6
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    • pp.115-122
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    • 2008
  • In today's college curriculum, fashion illustration courses are regarded as fundamental sources of knowledge in the fashion industry and the fine arts. The purpose of this study was to critically examine current curricula and educational objectives of fashion illustration courses offered by domestic fashion-related universities and academic institutions, in order to help the development of more effective tertiary level fashion education. Based on the results of data analysis, we suggest the following recommendations: Firstly, university courses should focus on drawing-centered fundamental education. Secondly, design education linked to fashion illustration should be strengthened. Thirdly, creativity-boosting design education is necessary. The range of curricula that could foster creativity and problem-solving skills in professionals should be enlarged, and future education should place emphasis on lateral and creative thinking. The result of this study are expected to contribute to the development of better curriculum in fashion-related education.

Knowledge and Awareness of Nurses and Doctors Regarding Cancer Pain Management in a Tertiary Hospital (일개 상급종합병원 간호사와 의사의 암성 통증관리 지식 및 인식도)

  • Kim, Hee-Jin;Park, Ihn-Sook;Kang, Kyung-Ja
    • 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.

A Study on Educational Assortative Marriage (교육수준별 결혼유형에 대한 고찰)

  • Seong, Moonju
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.1-6
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    • 2014
  • This paper examines the relationship between education and marriage in South Korea, based on a 2 percent data of the 2000 census. The result found strong educational homogamy and wife-hypergamy over the five age cohort, 21-30, 31-40, 41-50, 51-60, and 61-70. For the primary, junior secondary, upper secondary and tertiary educational levels, the chance of marrying within the same educational level was stronger for primary and tertiary education. In terms of trends, the educational homogamy increased across the four cohorts. We note that while upward marriage was stronger for women (hypergamy), it decreased over time.