This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.
Gyu Lee Kim;Seung Hun Lee;Yun Jin Kim;Jeong Gyu Lee;Yu Hyeon Yi;Young Jin Tak;Young Jin Ra;Sang Yeoup Lee;Young Hye Cho;Eun Ju Park;Young In Lee;Jung In Choi;Sae Rom Lee;Ryuk Jun Kwon;Soo Min Son
Journal of Hospice and Palliative Care
/
제26권2호
/
pp.60-68
/
2023
Purpose: For the dignity of patients nearing the end of their lives, it is essential to provide end-of-life (EoL) care in a separate, dedicated space. This study investigated the utilization of specialized rooms for dying patients within a hospice unit. Methods: This retrospective study examined patients who died in a single hospice unit between January 1, 2017, and December 31, 2021. Utilizing medical records, we analyzed the circumstances surrounding death, the employment of specialized rooms for terminally ill patients, and the characteristics of those who received EoL care in a shared room. Results: During the 1,825-day survey period, deaths occurred on 632 days, and 799 patients died. Of these patients, 496 (62.1%) received EoL care in a dedicated room. The average duration of using this dedicated space was 1.08 days. Meanwhile, 188 patients (23.5%) died in a shared room. Logistic regression analysis revealed that a longer stay in the hospice unit was associated with a lower risk of receiving EoL care in a shared room (odds ratio [OR]=0.98, 95% confidence interval [CI] 0.97~0.99; P=0.002). Furthermore, a higher number of deaths on the day a patient died was associated with a greater risk of receiving EoL care in a shared room (OR=1.66, 95% CI 1.33~2.08; P<0.001). Conclusion: To ensure that more patients receive EoL care for an adequate duration in a private setting, additional research is necessary to increase the number of dedicated rooms and incorporate them into the hospice unit at an early stage.
The purpose of the study is to investigate the characteristics of the elderly housing preference and spatial usage to plan floor space of the elderly housing by the respondents of the ages 50 to 79. Based on the result of the study, it is suggested that the elderly housing should be located in regards to social environmental factors rather than natural environmental ones. There are differences in preference for the space planning of housing units such as the number of rooms and bathrooms, and floor space depending on income level, so the housing should be differently planned to accept the difference of preference. On the other hand, there is not notable difference in furniture preference for each space. In the characteristics of spatial usage according to behaviors, high-income respondents demonstrate the characteristics of spatial usage in accordance with a western lifestyle. Thus, behaviors such as sleeping, watching TV, resting, reading, conversation, and receiving guests, occur using such things as beds, sofas, and dinning tables. On the other hand low-income respondents show a mixed western and traditional lifestyle. Thus many behaviors are done on the floor of bedroom and livingroom in addition to using furniture such as a sofa and chairs. Therefore, the way of spatial usage has to be reflected in the floor space planning. At least floor space of the provided rooms should be planned to accommodate the behavior of the elderly even though all of the rooms preferred can not be provided.
Background: The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability. Methods: We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively. Results: The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment. Conclusion: The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.
The aim of this study is to identify the floor plan types of folk houses or traditional vernacular dwellings found in Nagan Folk Village located in Joellanamdo province. Examining the floor plans appeared among 36 vernacular folk houses presumably built in the 19th century in the village by means of the changes in the number of bays of Anche, the mail block of the house, the study was also able to construct a spatial compositional process of floor plan development. The floor plan examination revealed that the basic floor plan type in Nagan folk housing was '一' shape, a typical southern dwelling based on the existing classification. This basic type is consisted of three bays or rooms: Jeongji (kitchen), Anbang (large room), and Jageunbang (small room). New spaces or rooms are added to this three room house to expand the house as the residential functions become more complex, such as more living and storage spaces. The expansion appears to have two direction. On the one hand, it has been taken place by inserting Marea, an open wooden floor living space between Anbang and Jageunbang to meet the extended living demand. On the other, Jeongjibang, a second kitchen/storage has been attached to Jeongji outward for extra cooking and storage. This two-way expansion shows the trend of symmetric expansion between cooking, storing space and dwelling space. It can be implied that the arrangement of house rooms has been structurally formulated and shared by the farmer-builders in the 19th century in Nagan village who appeared to be influenced by fixed images for housing.
This study aimed to clarify the multifunctional services and space composition in the process of developing a multifunctional long-term care program in small elderly care facilities in Japan. We collected data about multifunctional long-term care at small facilities from the Community Life Support Center (CLC), a Japanese non-profit corporation, and conducted an interview survey of the members of the CLC's secretariat in 2014. Furthermore, we selected 3 Japanese pioneering care facilities (known as takurosho), and conducted interview surveys and data collection to clarify in detail the space composition and process of development of multifunctional long-term care at small facilities. Four distinct results were found. First, the facilities had gradually increased non-institutional services, including visitation, overnight stays, and long-term stays, to fit the needs of users and their families. Secondly, in the 1990s, they could offer both non-institutional and institutional services at the same facility, but after the long-term care insurance system began in 2000, non-institutional long-term stay services were not allowed. Third, the facilities had built extensions or extra rooms in response to increases in multifunctional services and users. These rooms had common characteristics, with sitting rooms at the center of the facility. Lastly, the maximum number of service users at each of the 3 facilities was limited to 15, to maintain a small scale. However, as the size of facilities was increased through building extensions or remodeling, the overall amount of area available to users increased.
The purpose of this study is to find out the spatial characteristics of the multi-housing units in Seoul and Kyung-gi area since 2006. Literature review and content analysis were used for this study and 82units of the big size over $165m^2$ were analyzed to review such design characteristics as spatial composition, layout and linkage. Through this study, the following conclusions have been reached; 1) Most unit plans had 4LDK and 3bath types including family room as a public space. This results shows that family-room and bathroom has recently become more important than number of rooms in multi-housing units planning. 2) Diversity of plan figures such as mass-mixing, mass-separation and polygons(L, V-type)was showed in most unit plan, breaking from the standardized forms of box types. 3) Intermediated spaces such as foyers and halls in entrance zone were planned and sub-entrance into kitchen were planned for the various types of circulation and work-efficiency. Cases had private space separated from public space, the dispersion of rooms with the increase of connection by corridors, L-DK meaning the living room isolated from the dining and kitchen, partially located living room for a view in area distribution. The spatial planning of master-zone mostly consists of the types of two-rooms and an entry into a foyer(library, dress-powder room, bathroom and master bedroom). This study has a significant meaning on grasping current trend in Korean multi-housing and to provide information for future direction on housing-unit design.
The revision of regulations for apartment unit design, which are concerning the area calculating criteria (revised in 1998) and use of balcony (revised in 2005), considerably have increased livable space of apartment unit. This paper aims to verify its effect to apartment unit plan in the aspect of number of rooms and size of each room. For this purpose, 60 and 85 $m^2$ sized apartment unit plans in Seoul Gangnam district have been analysed by construction period, and a conclusion is drawn out as following; (1) The revison of regulations in 1998 and 2005 increased livable space of 60 and 85 $m^2$ sized apartment about 16.4~20.6 $m^2$ area. (2) Bedrooms, living room, dining room and kitchen have no change in size in nominal sense, actually, they increase their size after the fact by converting balcony to livable space. (3) Bathroom, dress room and entrance space have been considerably increased in size, which is possible for available area added in place of wall footprint according to 1998 revision.
Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.
The purpose of this study was to examine the actual condition and trends in changing dwelling style, focusing on the behavioral posture. Questionnaire survey method was used in this study. Questionnaires were administered to 402 households (April. 1988) and 178 households (April, 1994) in Seoul. The major findings were as follows : 1. Dwelling style related to dwellers in Seoul can be classified into several changing patterns. 2. The factors which affected on the dwelling style were age. family income. type of house, the size of floor space, and the number of rooms.
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