• Title/Summary/Keyword: 대학종합병원

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Nurses' Perception on Fluid Therapy for Terminally Ill Patients (말기 환자의 수액요법에 대한 간호사의 인식)

  • Jo, Hyeon-Sook;Cho, Ok-Hee;Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
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    • v.13 no.4
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    • pp.243-251
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    • 2010
  • Purpose: This study was conducted to investigate how nurses who take care of terminal patients perceive fluid therapy and how this therapy is currently being used in hospitals. Methods: This survey included 200 nurses, 87 of whom were working in the oncology units of 3 university hospitals in Seoul, Korea, and 113 were working in 18 hospice centers. The data for this study were collected by means of structured questionnaires and analyzed by using the Statistical Analysis System software. The differences in perception towards fluid therapy between nurses working in oncology units and those working in hospice centers were examined using the $x^2$ test and analysis of covariance. Results: Fluid therapy was perceived more negatively by the nurses from hospice centers than by those from oncology units. Continuous subcutaneous infusion was used in hospice centers, but not in oncology units. In addition, the average amount of fluid infused daily differed significantly between the oncology units and hospice centers. Conclusion: Our results show that there were differences in the perception towards fluid therapy between nurses in different clinical settings. Nurses caring for terminal and palliative care patients should not simply provide or withhold fluid therapy, but rather develop a wider range of views on fluid therapy, focusing on effective alternative interventions.

The Factors Associated with Job Satisfaction of Assistant Nurses in General Hospitals (종합병원 간호조무사들의 직무만족도와 관련요인)

  • Kim, Gwang-Jin;SaKong, Joon
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.296-304
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    • 2007
  • Background : The main aim of this study was to analyze the factors that could be used to predict job satisfaction of assistant nurses in general hospitals. Material and Methods : This study was based on a survey of assistant nurses in the Daegu region from January 1, 2006 to January 31, 2006. Originally 300 questionnaires were distributed and among them 291 were completed. The data was collected and used for the statistical analysis. Descriptive and inferential statistics, such as the frequency, t-test and one-way ANOVA were used for the analysis. Results : Among the respondents, the average score for job satisfaction was lowest in the university-trained nurses and highest in the nurses who had only graduated from high school. Conclusion : The working conditions, work place and motivation are significantly associated with job satisfaction. In particular, there was lower job satisfaction in those nurses who wanted to change their occupation.

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Relationship between Degree of Clinical Satisfaction and Experience on Performance for Dental Hygiene Students (치위생(학)과 학생들의 임상만족도와 수행경험과의 관계)

  • Choi, Ok-Sun;Ahn, Gwang-Sook;Kim, Hye-Jin
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.182-189
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    • 2015
  • The purpose of this study was to investigate the relationship between degree of satisfaction and experience on performance in accordance with the characteristics for the dental hygiene students. Dental hygiene students to 480 people from November to December 2014 and analyzed by conducting a survey. The higher grade students were more satisfied with the degree of satisfaction on experience for clinical test performance and clinical practice organization rather than the lower grade students. Also, the degree of satisfaction on major for the higher grade students has been shown as relatively higher than the lower grade students. The factors that affecting the experience for clinical performance and the degree of satisfaction for clinical practice were shown as grade, satisfaction for major and period for practice. In order to enhance the degree of satisfaction on the clinical performance for students, it should be established the system for practice management considering the characteristics of clinical practice by relevant organizations. Also, the dental hygienist who is responsible for dental education should manage his/her practice for students actively. Meanwhile, the practice organization should improve and update the content of education through the consistent alliance with colleges continuously.

Factors Affecting Turnover Intention of General Hospital Nurses (종합병원 간호사의 이직의도 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.414-422
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    • 2019
  • The purpose of this study was to explore the predictors of turnover intention among nurses working in general hospitals. The subjects were 181 nurses who worked in two general hospitals in Gyeonggi-do, Korea. Data were collected from June to November 2018, and analyzed by descriptive statistics, Independent t-test, One-way ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression analysis, using SPSS/WIN 21.0. The main findings of this were as follows. The mean scores for the nursing work environment, professional self-concept, job satisfaction and turnover intention were $2.43{\pm}0.38$, $2.60{\pm}0.25$, $2.59{\pm}0.29$ and $3.43{\pm}0.72$ points. Turnover intention is negatively correlated with the nursing work environment (r=-.43, p<.001) and job satisfaction (r=-.46, p<.001). Factors influencing turnover intention were job satisfaction(${\beta}=-.47$, p<.001), nursing work environment(${\beta}=.32$, p<.001), professional self-concept(${\beta}=.20$, p<.001), and total length of a clinical career(${\beta}=-.15$, p<.05) showing an explanatory power of 38%. Since various variables influence the turnover intention of nurses, it is necessary to improve the nursing environment in the medical field rather than the strategy to increase the number of simple nurses. In the university, education for establishing through introductory nursing specialty is needed.

Convergence factors Affecting Burnout of Emergency Room Nurses During the COVID-19 Pandemic (COVID-19 팬데믹 상황에서 응급실 간호사의 소진에 영향을 미치는 융합적 요인)

  • Noh, Seung-ae;Yang, Seung Ae
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.99-113
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    • 2022
  • This study is descriptive research to investigate the effects of COVID-19 stress, interpersonal (caregiver-patient) stress, and emotional labor on burnout in emergency room (ER) nurses during the COVID-19 pandemic. The data collection of this study was conducted from December 9 to 23, 2021 with ER nurses working at five tertiary general hospitals and general hospitals of Medical Center H. The data was collected with a questionnaire using tools measuring the subjects' general & job-related characteristics, COVID-19 stress, interpersonal(caregiver-patient) stress, emotional labor and burnout. The collected data was analyzed using the SPSS/WIN 25.0 statistical program for frequency analysis, descriptive statistical analysis, independent sample t-test, one-way ANOVA, Scheffé test, correlation analysis, and multiple regression analysis. The average score of COVID-19 stress in ER nurses was 3.64, interpersonal(caregiver-patient) stress 4.35, emotional labor 3.38, and burnout 3.44. As a result of analyzing differences according to general & job-related characteristics, burnout showed a significant difference according to gender, marital status, total clinical experience, and working organization. And burnout showed a significant positive correlation with COVID-19 stress, interpersonal stress and emotional labor. As a result of multiple linear regression analysis, regional emergency medical centers and local emergency medical centers among the work organization types, interpersonal stress, COVID-19 stress, and gender and the explanatory power was 28.6%. Through these results, we intend to provide basic data for the development of an intervention program to prevent burnout of emergency room nurses and improve nursing performance at the time of a new infectious disease pandemic.

The Factors influencing on the Interpersonal Caring Behavior of Clinical Nurses in COVID-19 (COVID-19 상황에서 임상간호사의 대인돌봄행위에 영향을 미치는 요인)

  • Lee, Sook;Choi, Ae-Sook;Yim, So-Youn;Chun, Yeol-Eo;Ryu, Young-Mi
    • Journal of Convergence for Information Technology
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    • v.12 no.5
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    • pp.246-255
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    • 2022
  • This study aimed to identify the influence of caring character and knowledge of COVID-19 on interpersonal caring behavior of clinical nurses. The subjects were nurses working at one tertiary hospital in Seoul and two general hospitals in Gyeonggi province. The data were collected from October 15 to November 5, 2021. A total of 130 nurses participated in the online survey. The collected data were analyzed by performing stepwise multiple linear regression using SPSS/Win 27.0. As a result, the factors affecting the interpersonal caring behavior of clinical nurses were caring character (β=.50, p<.001), age (β=-.24, p=.002), and job satisfaction (β=.16, p=.040), and they explained 36.0% of caring behavior (F=24.49, p<.001). Therefore, it is necessary to improve caring character and job satisfaction to enhance the interpersonal caring behavior of clinical nurses. More efforts of the hospital should be made to provide caring character building education and to increase job satisfaction of clinical nurses.

Real-world Treatment Pattern and Outcomes of Hypercalcemia among Solid Tumor Patients (성인 고형암 환자의 고칼슘혈증 치료현황과 치료효과 분석)

  • Shin, Da Eun;Park, Seol Hee;Kim, Sung Hwan;Suh, Sung Yun;Jo, Yun Hee;Cho, Yoon Sook;Im, Seock-Ah;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.3
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    • pp.166-172
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    • 2019
  • Background: Hypercalcemia is an important metabolic emergency condition in cancer patients. Bisphosphonate is the treatment of choice for hypercalcemia, whereas calcitonin and hydration with furosemide are recommended for acute supportive therapy. However, data regarding real-world treatment patterns and outcomes of pharmacological treatments are limited. Therefore, we aimed to investigate the treatment patterns and clinical outcomes of hypercalcemia treatment in solid tumor patients. Methods: Electronic medical records of 123 adults with solid cancers and albumin-corrected calcium levels >10.5 mg/dL or ionized calcium levels >1.35 mmol/L were reviewed. We retrospectively analyzed the pharmacological treatment and recovery rate according to the severity of hypercalcemia. Results: A total of 177 cases were identified, of which 49 were not treated and 30 were treated with hydration only. In moderate-to-severe cases, 86.5% received pharmacological treatment. Thirty-four cases (19.2%) were treated with bisphosphonate alone and 58 cases (32.8%) were treated with bisphosphonate and calcitonin. In mild hypercalcemia cases, the recovery rate was higher for those receiving hydration only or pharmacological treatment (79.7%) than for those receiving no treatment (61.4%, p = 0.041). Most moderate-to-severe cases were treated with medication and of those treated, 56.3% recovered. The recovery rate was lower in those treated with bisphosphonate alone (38.2%) than in those who underwent calcitonin combination treatment (73.7%, p = 0.001). Conclusions: Bisphosphonate combined with calcitonin was found to be more effective than bisphosphonate alone for the treatment of moderate-to-severe hypercalcemia. Considering the current shortage of calcitonin, further efforts are required to ensure its stable supply.

A Field Research on Multi-Language Sign System in Hospital at the Point of View in Convergent Study - Focused on General Hospital in Busan and South Gyeongsang Province - (융합적 관점에서 본 병원 사인시스템 다중언어 표기 현황 조사 - 부산 및 경남지역 의료기관을 중심으로 -)

  • Park, Han Na;Paik, Jin Kyung
    • Korea Science and Art Forum
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    • v.37 no.1
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    • pp.87-97
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    • 2019
  • The study began in recent years with the aim of grasping the nation's medical status following the fast-growing trend of international medical tourism and attracting foreign patients, among other things, Busan, which ranks second in attracting foreign patients after the nation's capital, Seoul, has been highly active in the past eight years, with foreign patients rising by about 426 percent, and Russian patients entering the sea. In addition, Gimhae and Changwon, the Busan-based Gyeongsangnam-do region, ranked first and second in number of foreign residents, and are inhabited by a variety of foreign workers. Medical institutions, such as hospitals, should be able to find directions within hospitals. It is also a space where information in various languages, including Korean, English, Chinese, or Russian, must be delivered in a single medium. Based on this research, the purpose of this research is to provide converged information that helps foreigners who are not familiar with Korean language easily understand the proposed recognition system when visiting hospitals. Therefore, this paper is applied to a multi-language survey of six medical institutions (A, B, C, D, E, F) at the university hospital in Busan, and 10 medical institutions (R, J) in Gimhae, South Gyeongsang Province with high foreign residents. Research results and contents are as follows. First, the results of analyzing the design of the sinusoidal system show that the font uses colorless Gothic fonts, arrows, and pictograms to introduce the design of a typical hospital sign system. Second, the results of the multi-lingual situation were found to have only two languages in the system, such as Korean and English, and to have four languages, including Korean, English, Chinese, and Russian, according to their geographical location. However, it was judged that most medical institutions currently have only two languages (Korean, English) that may cause some discomfort in terms of language for foreign patients in non-English speaking countries. Based on these findings, it is necessary to propose designs that are considered by Koreans as well as foreign users in the use of multilingual hospital sign systems.

The Effect of Social Support and Resilience on Sick Role Behavior of Hemodialysis Patients (혈액투석환자의 사회적지지, 회복탄력성이 환자역할행위 이행에 미치는 영향)

  • Noh, Sung Bae;Lim, HyoNam;Lee, Mi Hyang;Kim, Doo Ree
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.385-395
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    • 2019
  • This was a descriptive study to investigate the effect of social support and resilience on sick role behaviors of hemodialysis patients, and aims to provide base data on nursing intervention programs for improving the sick role behaviors of hemodialysis patients. The study subjects was patients with chronic kidney disease undergoing hemodialysis treatment at a general hospital in D city. The final analysis has been made on 131 questionnaires. The average of social support score was $3.93{\pm}0.84$, and resilience score was $2.67{\pm}0.80$. At last sick role behavior score was $3.99{\pm}0.80$. According to the analysis on the correlations among the study subjects' social support, resilience and sick-role behaviors, the social support had statistically and significantly positive correlation. In regression analysis, frequency of dialysis, social support and resilience have appeared to be the variables influencing sick role behavior, and the explanatory power of this model is 44.0%.

Prevalence of CTX-M-type Extended-Spectrum $\beta$-Lactamases Producing Escherichia coli and Klebsieilla pneumoniae Isolates in General Hospitals in 2005 (임상에서 분리된 CTX-M형 Extended-Spectrum $\beta$-Lactamases를 생산하는 Escherichia coli와 Klebsiella pneumoniae의 유행)

  • Kim, Yun-Tae;Kim, Tae-Un
    • Microbiology and Biotechnology Letters
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    • v.34 no.4
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    • pp.342-351
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    • 2006
  • The aim of this study was to survey susceptibilities of Escherichia coli and Klebsiella pneumoniae isolates against cefotaxime and to determine the prevalences of CTX-M type extended-spectrum $\beta$-lactamases (ESBLs) producing E. coli and K. pneumoniae in Korea. During the period of February to July, 2005, 153 E. coli and 52 K. neumoniae isolates were collected from 2 hospitals in Busan. Antimicrobial susceptibilities to cefotaxime were tested by the disk diffusion method. ESBL production of E. coli and K. pneumoniae was determined by the double disk synergy test. MICs of $\beta$-lactam antibiotics were determined by the agar dilution method. Blac$_{CTX-M}$ genes of the organism were detected by PCR. Among 153 isolates of E. coli and 52 isolates of K. neumoniae, 27 (17.6%) and 25 (48.0%) were intermediate or resistant to cefotaxime, respectively. Twenty-three (15.0%) isolates out of 153 E. coli and 13 (25.0%) out of 52 K. neumoniae isolates showed positive results for ESBL by the double disk synergy test. Twenty isolates out of 23 ESBL producing E. coli and 12 out of 13 ESBL producing K. neumoniae isolates harbored biacTx-M gene,11 of ESBL producing E. coli and 12 of ESBL producing K. neuinoniae isolates harbored bla$_{CTX-M}$ gene, 11 of the ESBL producing E. coli and 2 of ESBL producing K. neumoniae isolates harbored bla$_{TEM}$ gene, and 1 of the ESBL producing E. coli and 12 of ESBL producing K. neumoniae isolates harbored bla$_{SHV}$ gene. E. coli and K. neumoniae isolates producing CTX-M-type ESBLs were not uncommon in Korea. It is thought that continuous survey are necessary for inspecting the spread and novel variants of CTX-M-type ESBL genes. Further me]'e investigation and research on ESBL producing strains are needed in order to prevent the spread of resistant bacteria.