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Estimation of nursing costs for hospitalized patients using the resource-based relative value scale (상대가치(Resource-Based Relative Value)를 이용한 간호행위별 간호원가 산정)

  • Park, Jung-Ho;Song, Mi-Sook;Sung, Young-Hee;Cho, Jung-Sook;Sim, Won-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.253-280
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    • 1999
  • A cost analysis for hospitalized patients was performed based on the RBRVS in order to determine an appropriate nursing fee schedule. The study was conducted through three phases as follows: 1) Nursing activities provided for the inpatients currently in Korea were identified and classified using a taxonomy which was developed by our research team through the Delphi process. 2) The resource-based relative points for every nursing activity according to nursing time, mental effort and judgement, technical skill, physical effort and stress were determined through a survey of 300 clinical RNs working at 5 tertiary hospitals from May 25 to July 25. 1998. 3) The nursing cost of every nursing activity for hospitalized patients was estimated based on the RBRVS. As a result, 136 nursing activities were identified and classified by nursing processes and nursing domains. However, our classification system of nursing activities should continue to be refined, and all nursing practices should be standardized. The nursing activities were given resource-based relative points ranging from 100 to 400 points, then each nursing activity was assigned a value for the RBRVS, which was determined by the exponential function of 2resource-based relative point/100. Thus, a value of 2 was calculated for 100 points, 4 for 200 points, 8 for 300 points, and 16 for 400 points. Meanwhile, the unit cost of nursing was calculated as 170 Won. The nursing cost of 136 nursing activities was estimated using the RBRVS as shown in

    . A proper nursing fee schedule for a new reimbursement system based upon the results of the above study should be prepared in the near future.

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  • A Study on Practice of Infection Control among Dental Staffs in Dental Office (치과진료실에서의 직종별 감염방지 실천 정도에 관한 조사 연구)

    • Lee, Yeong-Ae;Jo, Min-Jung;Bae, Ji-Young;Park, Hyun-Sook
      • Journal of dental hygiene science
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      • v.7 no.4
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      • pp.263-269
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      • 2007
    • To investigate the actual conditions management of infectious prevention in dental office, questionnaire about infection control and education of infection control was performed on 50 dentists, 176 dental hygienists, 100 aide nurses who are working in Deagu City from march to April, 2007. The results are as the following. Dentists are the highest on the health inspection's ratio, dental hygienists are the highest on vaccination's ratio. Experience ratio about education of infection control is the highest on dentist and the lowest on aide nurses(p < 0.05). Dental hygienists are higher than dentists and aide nurses on ratio of wearing protective gear(p < 0.05). Dentists have the highest ratio on washing hands after treat(p < 0.05). Practice of instrument's sterilization is higher in dental hygienist than other groups. Disinfection of equipment's surface practice mainly on bracket table, dental hygienist's ratio is the highest among the three groups.

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    A Study of Clothings for Cold Prevention -Protective Effects of Vinyl Sheet against Wind- (피복(被服)의 보온효과에 관(關)한 연구(硏究) -비닐의 방풍효과를 중심(中心)으로-)

    • Shim, Sang-Hwang;Cha, Chul-Hwan;Yoon, Jong-June;Lee, Chung-Hee
      • Journal of Preventive Medicine and Public Health
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      • v.2 no.1
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      • pp.81-87
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      • 1969
    • Three Combinations of cloths were evaluated for the protective effects of different kinds of clothings in cold environments. Table 1 shows the components of the three models of clothings. A prototype was made by putting a sheet of vinyl at the middle layer of raw cotton in a fabric-quilt cloths. A glove mannequin was covered by each of these cloths. The globes contained 1,000 cc of hot water about $40^{\circ}C$. Tele-thermistors were fixed in order to check the temperature of cloths space and water temperature for evaluation of calorie-loss and climate of clothings. Results are summarized as follows: 1) Without wind, there is no significant difference of air temperatures between sti-parka and quilt-wear clothing. 2) The prototype with vinyl sheet best protects against wind, the next is the ski-parka. Quilt-wear protects the least. 3) It is well-known that a working-clothing needs not have any separate liners nor outers. 4) For innermost layer of a clothing preventing cold, a cotton-fabrics is recommended and a water-proof cloths for outer layer. 5) Heat-loss was calculated from the cooling degrees of water. Calorie-loss was $910cal/m^2/hr$. when bared, but with the prototype of vinyl sheets the calorie-loss was $350cal/m^2/hr$. (38.5% of bared). Quilt-wear and ski-parka were 380(41.8%) and $440cal/m^2/hr$. (48.4%) respectively.

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    A Study on Human Error Assesment in Gas Industies (가스산업시설에서 인적 오류 평가 방법에 관한 연구)

    • Park Myung Seop;Kim Sung Bin;Ko Jae Wook
      • Journal of the Korean Institute of Gas
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      • v.4 no.2 s.10
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      • pp.52-57
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      • 2000
    • This paper suggests the evaluation sheet to ensure the objective and detailed information based on a classification table of PIF (Performance Influencing Factor). And this paper shows the results of HEP(Human Error Probability), using a quantitative method with the evaluated data as a result of estimating the likelihood of . human errors in the gas industry facility together with the evaluation sheet. Finally, these results are programmed to be operated in personal computer so that field workers an apply it in easy and convenient manner. The results of this study offer two key benefits; sharing reliable information on human errors with the Data Base and establishing a strategy to reduce human errors as well as to improve working proficiency.

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    Optimization of Inner Nitriding Process for Cr-Mo-V Steel of Small Arms Barrel by using Taguchi Experimental Design Method (다구찌 실험계획법을 이용한 소구경화기 총열 내부용 Cr-Mo-V강의 질화공정 최적화)

    • Kwon, Hyuk-Rin;Kim, Dong-Eun;Son, Hyung-Dong;Shin, Jea-Won;Park, Jae-Ha;Kang, Myung-Chang
      • Journal of the Korean Society of Manufacturing Process Engineers
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      • v.17 no.3
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      • pp.148-154
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      • 2018
    • When shooting small arms, the inner surface temperature is heated up to about $700{\sim}1,000^{\circ}C$ by the friction of the bullet and the inner wall of the barrel and the combustion of propellant. High-temperature propellant gas and high-speed movement of the bullet cause corrosion of the inner wall, which is noticeable immediately in front of the chamber. In this study, the mechanical properties of Cr-Mo-V steel, which is the base material, were tested using Taguchi experimental design to find the best nitriding treatment conditions. For the nitriding process, the working time, salt bath temperature, and salt concentration were combined as three conditions and placed in the $L_9(3^4)$, orthogonal array table. The thicknesses of the white layer and the nitrogen diffusion layer were measured after nitriding under each condition in a salt bath furnace. Durability was evaluated by measuring the degree of dispersion through actual shooting because it was difficult to evaluate the mechanical properties of the cylinder inner structure. As a result, it was confirmed that the durability was optimal at $565^{\circ}C$, 1 hour, 0.5%. These optimal conditions were selected by the statistical analysis of the Minitab program(ver.17).

    Design of Learning Management System Interconnection Model (학습관리시스템(LMS) 상호 연동 모형의 설계)

    • Nam, Yun-seong;Choi, Hyung Jin;Hyun, eun-mi;Seo, Hyun-suk
      • Proceedings of the Korea Contents Association Conference
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      • 2009.05a
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      • pp.45-50
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      • 2009
    • The educational exchange through e-learning is working very well in such case as develop e-learning, development of various learning tools, cooperative practical use of e-learning contents, etc. However because there were no considerations of LMS(Learning Management System) interconnection when each systems were developed, the exchange through e-learning is starting to raise a problem. Especially the exchange through e-learning between university produced problem for a variety of reasons by absence of direct exchange in every case such as communication of students information, communication of lecture information, etc. Hence in this thesis, I will present designed model about efficient LMS interconnection through analysis case of exchange through e-learning and deduce problem. In the first place I define essential part for study such as lecture establishment data, lecture data, user data, class data, student learning tracking to interconnection data, then constituted data interconnection table used view by data interconnection prcess. By experiment result, the accessibility between students and professors was more convenience, and decreased work process by less data exchange. Henceforth there are researches in development of various essential parts for study, considered security of LMS interconnection.

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    A Path Analysis on Morale among Staff of Long-term Care Insurance in National Health Insurance Corporation (노인장기요양인정조사원의 사기에 관한 경로분석)

    • Kim, Hyun Mi;Choi, Yeon Hee
      • Korean Journal of Occupational Health Nursing
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      • v.21 no.3
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      • pp.247-257
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      • 2012
    • Purpose: This study is designed to identify major factors that affect morale among staff of long-term care insurance in National Health Insurance Corporation. Methods: In order to collect the data, a survey was conducted by using the structured questionnaire based on 161 staff members of long-term care insurance of 50 long-term care operation centers, which were randomly selected by the table of random numbers in the whole centers of National Health Insurance Corporation from September 1 to 30, 2011. As for the data analysis, SPSS 18.0 was used to conduct the descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, mutiple regression, and path analysis. Results: The average point of morale was 3.37, and had a negative correlation with the job stress, while it had a positive correlation with the social support, professional identity, and self-efficacy. Job stress, social support, and professional identity have a significant effect on morale among the independent variables. These variables have significant effects on morale, and also have a positive effect on self-efficacy. The findings show that self-efficacy mediates the process of morale. Conclusion: In this study, the factor which influences the morale was identified. It turned out that the morale could be improved by reinforcing the professional identity, managing the health status as well as rotating the working place. As such, it expects both the improvement of long-term care insurance services outcome and its quality through the morale management.

    Estimation of Rock Drilling Work Size for Mountain Forest Road Construction (산악지(山岳地) 임도시설(林道施設)을 위한 암석천공(岩石穿孔) 작업량(作業量)의 예측(豫測))

    • Ma, Sang Kyu
      • Journal of Korean Society of Forest Science
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      • v.76 no.3
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      • pp.193-199
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      • 1987
    • Simple estimating method of rock drilling and blasting work size is necessary to apply as a guidance of general road plan and a cost analysis of mountain forest road construction. For this work study, 11 cycles were divided in 5km route at Hyeonnammeon Yangyang-gun and the mountain slope at every 20m interval was measured. During working days all kind of works concerned on drilling and blasting was investigated in every cycle. Depending on the simple work study results it's work size can bef estimated with high correlation between drilling length in meter and frequency percentage of mountain slope more than 70%. With total drilling length known the machinery hours, drillers and explosive quantify can be estimated by the regression with high correlation. Estimation of drilling and blasting work by mountain slope gradient in road route is proposed like table 5 with estimating value of machinery hour, drillers and explosive in granite gneiss region.

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    A Study on the Attitude Toward the Periodic Health Screening for Workers in Korea -Attitude of Personnels in Health Screening Institutions and Enterprises- (근로자 일반건강진단에 대한 태도 조사연구 -건강진단기관과 대상 사업체를 중심으로-)

    • Seo, Dong-Yoon;Song, Dong-Bin
      • Journal of Preventive Medicine and Public Health
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      • v.20 no.2 s.22
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      • pp.270-279
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      • 1987
    • In all enterprises of Korea employing workers more than five, employeers have a duty of conducting a periodic health screening for improvement and maintaining healthful living and working conditions of employees. The health screening is performed annually in line workers and biennially in table workers under the supervision of the government. But there are some argument to the health screening programme in view of effectiveness, efficiency, reliability and etc. In order to obtain basic reference materials for increasing the efficiency of peridoic health screening programme for workers and understand the attitude of health screening institutions and enterprises toward the periodic health screening, mail questionnaire survey was conducted in July 1987. The questionnaire sent to 950 health screening institutions. and 700 enterprises in whole land but they were returned from 254 health istitutions and 187 enterprises, which were analyzed. The results were as follows: 1) The attitude of the respondents toward the necessity and benefit of the periodic health screening was showed highly positive responses in both of screening institutions and enterprises, and it was more positive in screening institutions. The attitude toward the affirmative and the contentment was showed less positive than that of the necessity and benefit. 2) The respondent recognized may problems on regard to the screening programme. The health screening institutions lie in the state of competition with other institutions for undertaking the screening programme. 3) One of major complaints from enterprises was the lack of sincerity in performing the screening programme. They wanted more practical and reliable health screening examination rather than showy one. 4) Health screening institutions and enterprises showed some mutual contradictions in the matter of screening fee, and so the screening fee should be adjusted to the appropriate cost.

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    A Study on Hygienic Spatial Composition of Self-Service Restaurants by Applying HACCP (HACCP를 적용한 셀프서비스 식당의 위생적 공간구성에 관한 연구)

    • Lee, Jong-Ran
      • Korean Institute of Interior Design Journal
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      • v.20 no.5
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      • pp.178-187
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      • 2011
    • This research suggested the hygienic spatial composition of sell-service restaurants applying HACCP(Hazard Analysis and Critical Control Point System). The circulation of the food, dishes, waste, workers and customers were each fractionated and arranged according to the hygienic sequence of cooking food in kitchen and process for eating food within the customer space. The spaces were separated by the degree of cleanness(clean area, semi-clean area, contaminated area). After that, hygiene facilities to remove contamination and pass facilities intended to control moving were added at the possible points of cross-contamination in oder to prevent the cross-contamination. For hygienic spatial composition of self-service restaurant, the following should be acknowledged: In the kitchen, spaces in which the food is handled after being heated should be located in the clean area. As of the customer space, spaces where dishes are prepared, food and water is received, and the table hall should be located in the clean area. Food circulation should flow from the contaminated area to the clean area. Food, dishes, waste should be moved through pass facilities so that workers do not have to come and go between other areas of cleanness. Also lockers for private clothes and lockers for uniforms should be separated. Hygiene facilities should be easily accessible so that workers can use them whenever they enter their working area. The contaminated area where dirty dishes are dealed with should be separated from the clean area. Waste should be thrown out without crossing cooking areas. As of customer circulation, the hygiene facility for hand washing should be located near the space where dishes for self-service are placed. The customer circulation should lead customers to leave restaurants after giving back the dirty dishes in the contaminated area.


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