Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지

Deriving the Effective Improvement Elements of the Emergency Room in Large General Hospitals

신종 감염병 환자의 효율적 처치를 위한대형병원 응급실 관리요소의 중요도 도출

  • Yoon, Songyi (Department of Nursing, Suwon Women's University)
  • 윤송이 (수원여자대학교 간호학과)
  • Received : 2015.09.24
  • Accepted : 2015.12.02
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to derive the elements for effectively improving the management of emerging infectious diseases in the emergency room in large general hospitals. Methods: This research involved an analytic hierarchy process analysis of 10 experienced nurses working in a large general hospital located in the Seoul metropolitan area. The weighted values of the criteria for evaluating the importance of the management elements of patients with emerging infectious diseases in the emergency room of large general hospitals were derived using an analytic hierarchy process survey. Results: The results of the analytic hierarchy process analysis showed that experts considers responsiveness (0.291) as most important with respect to the criteria for the policy for isolation and control of infectious patients. The order of importance of the criteria for the policy for isolation and control of infectious patients were as follows: responsiveness (0.291), economical efficiency (0.257), feasibility (0.242), and sustainability (0.209). Subsequently, the weighted values of the management of the policy elements were determined based on the derived importance of the criteria mentioned above. These were, in order of priority, the construction of communication channels with the government authorities when dealing with emerging infectious diseases (15.9%), the equipment and provision of personal protective equipment to protect nurses from infection and dissemination of material (14.6%), and the operation of the isolation room and patient separation systems (14.1%). Conclusion: This study suggests critical strategies for infection control during a pandemic of emerging infectious disease.

Keywords

References

  1. Byun, J. S. (2014). A study on the policy of social economy: focused on the implementation synthesizers and official recognition. Unpublished doctoral dissertation, Gachon University, Seongnam.
  2. Cho, G. R.. (2007). Influencing factors on the compliance about standard precautions among ICU and ER nurses. Unpublished master's thesis, Seoul National University, Seoul.
  3. Choi, J. W. (2015). A study on the architectural planning standard improvement for regional isolation facilities. Unpublished master's thesis, Ajou University, Suwon.
  4. Chowell, G., Echevarria-Zuno, S., Vibound, C., Simonsen, L., Tamerius, J., Miller, M, et al. (2011). Characterizing the epidemiology of the 2009 influenza A/H1N1 pandemic in Mexico. PLoS Medicine, 8(5). doi: 10.1371/journal. pmed.1000436
  5. Dunn, W. N. (2008). Public policy analysis: an introduction. 4th Ed. Englewood Cliffs, NJ: Prentice Hall.
  6. ECDC (2015). Epidemiological update: Middle East respiratory syndrome coronavirus (MERS-CoV). Retrieved August 19, 2015, from http://ecdc.europa.eu/en/press/news/_layouts/forms/News_DispForm.aspx?ID=1256&List=8db7286c-fe2d-476c-9133-18ff4cb1b568&Source=http%253A%252F%252Fecdc.europa.eu%252Fen%252Fhealthtopics%252Fcoronavirusinfections%252FPages%252Fnews_and_epidemiological_updates.aspx#sthash.ABA5pXjj.dpuf
  7. Health Care Service Employees Union (2015). National Congress discussion report: What should be different after the MERS epidemic? Retrieved August 19, 2015, from http://bogun.nodong.org/xe/index.php?document_srl=340488&mid=khmwu_6_1
  8. Jin, H. Y. (2015). Study on the analysis of risk factors and characteristics for nosocomial infection in intensive cure unit. Unpublished master's thesis, Yonsei University, Seoul.
  9. Korea Centers for Disease Control and Prevention (2014). Results of the national infectious diseases surveillance 2013. Retrieved August 19, 2015, from http://cdc.go.kr/CDC/contents/CdcKrContentLink.jsp?fid=31&cid=28728&ctype=6
  10. Korea Centers for Disease Control and Prevention (2015). Middle East Respiratory Syndrome information. Retrieved August 19, 2015, from http://www.mers.go.kr
  11. Lee K.Y.(2013). The development of performance indicators for hospital nursing units and the estimation of the weighted value. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Ministry of Health and Welfare (2014). Infectious disease risk management manual. Retrieved August 19, 2015, from https://assets.documentcloud.org/documents/2096990/20141215.pdf
  13. Moon, J. E. (2015). A structural model of performance of healthcareassociated infection control guideline in hospital nurses. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
  14. Park, H. J. (2013). Factors influencing performance about the management of the respiratory system nosocomial infection of ICU nurses. Unpublished master's thesis, Inje University, Kimhae.
  15. Rho, Y. J. (2005). A Study on the factors influencing policy evaluation utilization and the types of valuation utilization. Unpublished doctoral dissertation, Korea University, Seoul.
  16. Song, Y. N. (2013). A study on healthcare security management system using delphi and AHP. Unpublished doctoral dissertation, Yongin University, Yongin.
  17. You, S. J. (2011). An analytical study on action process to Novel Influenza A(H1N1) by the emergency room in a university hospital in Seoul. Unpublished master's thesis, Kyung Hee University, Seoul.