• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권1호
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• pp.7-14
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• 2017

Purpose: Since the large hospitals are one of the most intensive energy users among building types in Korea, it is important to investigate and apply appropriate energy conservation measures. There are many researches on energy conservation measures for HVAC system in hospitals, but only few useful guidelines for envelope design variables were existed. The building envelope is one of the important factors to building energy consumption and patients' comfort. The purpose of this study is to suggest the most influential envelope design variables for each end-use energy demand. Methods: 100 samples were generated by LHS(Latin Hypercube Sampling) method. After energy performance simulation, global sensitivity analysis was performed by the regression method. DesignBuilder, Simlab 2.2 and JEPlus were used in this process. Results: The most influencing variables are SHGC, SHGC and VT for heating, cooling, and lighting, respectively. However, the most influencing variable for total energy demand is WWR(Window to Wall Ratio). The analysis was conducted based on the coefficient of variance results. Implications: The six envelop design variables were ranked according to the end-use energy demand.

• 가정간호학회지
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• 제28권3호
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• pp.295-306
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• 2021

Purpose: This study aims to compare and analysis job stress, patient safety culture, and patient safety management activities of nurses in comprehensive nursing care service wards and general wards. Methods: Through an online survey conducted on nurses with more than three months of working experience at five general hospitals in the metropolitan area, 156 participants's data were used for 𝜒²-test, t-test, ANOVA using SPSS ver. 26.0. Result: There were no significant differences in the nurses' job stress and patient safety management activities between the comprehensive nursing care service wards and general wards. However, the patient safety culture of nurses in the comprehensive nursing care service ward was significantly lower than that of general ward. Conclusion: Patient safety culture should be promoted through continuous regular patient safety education, training, and organizational support to increase patient safety management activities. Additionally, institutional programs should be prepared to reduce job stress of nurses at the frontline of patient safety.

• 한국산학기술학회논문지
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• 제13권6호
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• pp.2607-2616
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• 2012

본 연구에서는 의료기관의 환자안전문화를 이해하고, 의사들의 환자안전문화에 대한 인식분석을 위한 기초자료로 활용하고자 시도하였다. G시에 소재한 상급종합병원 의사를 대상으로 2011년 8월 1일 부터 9월 5일까지 설문조사하여 194부를 최종분석 하였다. 연구결과는 첫째, 대상자와 병동 및 병원안전문화 간의 관계는 직원배치가 성별, 연령별, 병원 근무년수, 환자 접촉여부, 1주 근무시간에 따라 인식의 차이가 있으며, 조직학습과 병동내 팀워크는 1주 근무시간에 따라, 병동 안전문화 모든 하부영역은 진료과별로 유의하게 나타났다. 둘째, 대상자와 의료사고보고체계, 환자 안전도 평가 및 전반적 의식수준과의 관계에서는 사고에 대한 피드백과 의사소통, 사고빈도보고, 전반적 안전의식이 진료과별로 유의하였으며, 전반적 안전의식은 환자접촉과 1주 근무시간에 따라 유의한 결과를 나타냈다. 셋째, 병동 및 병원 안전문화 인식 하부영역과 전반적 인식, 환자안전도 평가는 모두 정의 상관관계가 있는 것으로 나타났다. 의료사고 보고체계와는 직속상관/관리자의 태도와 병원경영진의 태도를 제외한 모든 영역에서 정의 상관관계가 있는 것으로 나타났다. 넷째, 환자안전도 영향을 미치는 환자안전문화 하부영역은 조직학습, 의사소통의 개방성, 전반적 안전인식, 부서간의 협조체계, 피드백과 의사소통, 비처벌적 대응에서 유의한 결과를 나타냈다. 결론적으로, 의사들의 병동 및 병원 환자안전문화 수준을 높이고 의료사고보고체계를 충실하게 하기 위해서는 적절한 직원배치와 근무시간을 바탕으로 병동 내 조직적 학습을 통한 팀워크을 활성화 시키고, 부서간 팀원간의 개방적 의사소통과 사고에 대한 피드백을 제공하여 환자 안전에 대한 병원경영진의 적극적인 지원과 진료과별 협조체계 구축이 필요하다.

• 보존과학회지
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• 제32권3호
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• pp.299-312
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• 2016

사적 제248호 대한의원은 서울대학교병원의 전신으로 대한제국시기에 만들어진 초대형 의료기관이다. 대한의원 동1병동의 건축은 1908년 초축 이후 두 차례(1935년, 1954년)의 증축과정을 거쳐 크게 세 시기로 구분된다. 콘크리트 기초에 대한 재료학적 분석 결과, 모든 시기의 기초부는 모르타르와 암석 골재로 이루어져 있으나, 시기별로 골재의 특징과 비율이 다른 것으로 나타났다. 건축시기별 콘크리트의 배합비를 산출하고 초음파 속도와 반발경도를 이용하여 물성을 산정하였다. 이 결과, 모르타르와 골재의 비율은 1954년의 기초부에서 1:35로 가장 높은 골재 비율을 보였으며, 초음파 속도와 일축압축강도는 1954년 기초부에서 각각 평균 450 m/s와 18.92 MPa로 가장 낮게 나타났다. 이와 같은 시기별 물성 차이는 골재의 배합특성과 공극률에 따라 발생한 것으로 해석된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권3호
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• pp.41-49
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• 2012

Most large-sized and tall-risen general hospitals of today fairly depend on in-patient wards in designing hospital styles. The core planning for the efficient movements of various people in the words should take into account the sustainable connections between/among the floors, as well as hospital structures and mechanical functions. This study sampled for the study 19 hospital in-patient wards and investigated their flat-core styles. It was found out that hospital structures are changing from symmetrical styles of triangles, quadrangles and rectangles through bending, configuring, transforming to efficient new styles. Symmetrically quadrangled flat-styles are made of multi-cores spread with main an sub-cores. In contrast, symmetrically triangled flat-styles place the open place in the middle in order to prevent from its deepening, and widened the depth line through changing the outdoor top point. Non-symmetrical rectangles minimized the depth value to maintain the recent styles used in the wards, and tended to prefer the transformed styles of quadrangles. The double-corridors easily transshaped from mono corridors reveals the triangled, W-shaped, or Y-shaped figures. The site area ratio of the cores is 11.95% in average. The number of beds which one elevator covers is 66.51 beds in average, and the size of site area which one elevator covers 216.68m. Most cores on the base floor clustered around the average value, with more than 1000 beds shoes 12.83%, does 12.93%, does 14.64%, does 14.58%, which says that the core ratio increases according to hospital beds.

• 한국컴퓨터정보학회논문지
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• 제28권11호
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• pp.169-180
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• 2023

본 연구의 목적은 간호간병통합서비스 병동에 근무하는 간호사의 역할모호성, 직무소진과 조직유효성 간의 관계를 확인하고, 역할모호성과 조직유효성의 관계에서 직무소진의 매개효과를 파악하는데 있다. 대상자는 10개 종합병원에 근무 중인 149명의 간호사이다. 데이터는 자기보고식 설문지를 사용하여 수집하고 IBM SPSS Statistics 25.0 program과 PROCESS macro Program의 model 4를 이용하여 분석하였다. 분석 결과, 조직유효성은 역할모호성, 직무소진과 유의한 부(-)의 관계가 있는 것으로 나타났으며 직무소진은 역할모호성이 조직유효성에 미치는 영향을 완전매개 하는 것으로 확인되었다. 연구결과에 기초하여 직무소진을 관리하고 조직유효성을 제고하기 위한 방안을 제안하였다.

• 대한간호학회지
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• 제51권6호
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• pp.678-688
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• 2021

Purpose: The purpose of this study was to identify factors influencing nurses' performance of care in COVID-19 wards. Methods: The participants were 132 nurses who worked in COVID-19 wards at three hospitals, and were recruited from April 1 to May 31, 2021. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with SPSS/WIN 24.0 program. Results: Nursing performance was significantly and positively correlated with ethical sensitivity (r = .75, p < .001), nursing professionalism (r = .67, p < .001), and social support (r = .67, p < .001). Nursing professionalism was positively correlated with ethical sensitivity (r = .64, p < .001) and social support (r = .55, p < .001). Multiple regression analysis for nursing performance revealed that the most significant factor was ethical sensitivity (β = .47, p < .001). Ethical sensitivity, nursing professionalism, and social support explained 66.0% of total variance in nursing performance. Conclusion: Ethical sensitiviy, nursing professionalism, and social support significantly influence nurses' performace of care in COVID-19 wards. It suggests that intervention programs should be directed at improving nurses' ethical sensitivity, bolstering social support, and enhancing nursing professionalism.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제1권1호
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• pp.21-32
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• 1995

This thesis aims to establish a criterion to determine the scale of emergency beds and emergency wards equipped in general hospitals in the suburbs of Seoul. A new, large hospital (over 1000 beds) located in the southeast area of Seoul was selected and investigated for the case of this study, and throuh the P.O.E. a few mistakes in the method of determining the scale of the emergency department there came to light. Joining together, the effectiveness of the scale determination method devised by us (Lee's formula) was verified, and finally the optimum scale of the emergency department for this general hospital was proposed.

• 한국임상약학회지
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• 제32권1호
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• pp.20-26
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• 2022

Background and objective: The Seoul National University Bundang Hospital (SNUBH) implemented ward-based clinical pharmacy system with designated pharmacists in 10 general wards. Designated pharmacists conduct inpatient medication review, medication intervention, and medication consultation, and provide drug information for health care providers. This study aimed to evaluate the clinical pharmacy services and to examine the perception and expectations of health care providers on the services provided by the designated pharmacists in general wards. Methods: A survey was constructed to include questions on the health care providers' recognition, satisfaction, and perceived needs of designated pharmacists. We determined the frequency and type of interventions of ward pharmacist and their acceptance rate through a retrospective observational study using electronic medical records. Results: A total of 59 health care providers responded the questionnaire and 79.7% of the respondents reported moderate to high levels of satisfaction. Satisfaction with the services was positively associated with clinical interventions and nutrition support team (81.4%). Of 59 respondents, 88.1% agreed that preventing drug-related problems by designated pharmacists' activities were effective. The most common interventions included inadequate dosage (27.4%), omission and additional prescription (14.6%) and inadequate drug form (9.6%). The acceptance rate of intervention was 91.5%, and 151 potentially serious risks and 523 significant risks were prevented by the intervention. Conclusion: Positive results were confirmed in the awareness, satisfaction, and perceived needs of the health care providers for designated pharmacists. Expansion of the ward-based clinical pharmacy system with designated pharmacists to other wards may be considered.

• 한국지반환경공학회 논문집
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• 제9권3호
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• pp.11-15
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• 2008

대구경 상수도 관로는 제작 및 경제성 요인에 의해 주로 강관을 사용해 오고 있다. 상수도시설기준(건교부, 1992)에 강관두께를 결정하는 기준을 제시하고 있다. 그러나, 이 기준에는 강관 두께를 결정하는 체계적인 기준이 없다. 그래서, 매설관로에는 적용이 부적합한 Stewart 공식을 적용하여 강관두께를 결정해 왔다. 개정된 상수도시설기준(환경부, 1997) 에 부합되도록 지반여건과 각종응력을 고려하여 강관두께를 산정하였다. 그 결과를 기존의 방법에 의해 산정된 결과와 비교 검토한 후 최적 강관두께를 결정하는 방법을 제시하였다.