• Journal of The Korea Institute of Healthcare Architecture
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• v.6 no.10
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• pp.15-21
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• 2000

Most of the existing studies of hospital ward were concentrated on the bed room and there was no study on the day place and corridor space for the inpatient. According to the existing study, 50% inpatients move here and there freely and they want to have a rest in the day place or corridor of the general hospital. So the purpose of this study is to find out the reason why the inpatients prefer to rest in the day place, to survey the inpatients' behavior there and to stress the importance of exterior environment except the bed room in the public space of hospital.

• Journal of The Korea Institute of Healthcare Architecture
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• v.30 no.3
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• pp.25-33
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• 2024

Purpose: As infectious diseases spread, hospitals have converted general wards into negative pressure isolation wards through remodeling. During the conversion process, there were limitations in converting the existing ward into an effective isolation ward due to its existing structure and mechanical system. To minimize these problems, this study proposes some general ward planning methods taking into account effective conversion to an infectious disease ward. Methods: Seven rapid conversion isolation wards have been analyzed in order to check their appropriateness as a negative pressured isolation unit. Then, general ward design planning methods that can minimize problems in rapidly converted negative pressured wards have been derived. Results: If general wards can be efficiently converted into negative pressure isolation wards, many isolation facilities can be secured effectively in a short period of time during a pandemic.

• Journal of Nutrition and Health
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• v.51 no.2
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• pp.132-139
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• 2018

Purpose: The aim of this study was to determine the effects of nutritional intervention focused on a Nutrition Support Team (NST) in patients receiving enteral nutrition (EN) in general hospital wards. Methods: The electronic medical records of 95 adult patients admitted in C university hospital and received EN supply for more than 3 days at a general ward were analyzed retrospectively. The subjects were classified into the intervention group (n = 40) and non-intervention group (n = 55). Results: The calorie support rate (%) and protein support rate (%) increased significantly only in the intervention group after 2 weeks compared to the rate upon admission. The serum albumin levels increased in the intervention group after 2 weeks compared to the levels at admission, but decreased in the non-intervention group. The glucose levels decreased only in the intervention group compared to that at admission. Conclusion: The nutritional status of the patients was improved by the proper planning of nutrition management from the beginning of hospitalization and systematically managing the nutrition intervention of the NST.

• Journal of Hospice and Palliative Care
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• v.10 no.2
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• pp.74-77
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• 2007

Purpose: We evaluated how many patients received radiotherapy and how many those of them could not complete radiation therapy in Hospice Ward. Methods: We retrospectively reviewed the general characteristics in 33 patients who began to receive palliative radiation therapy, and radiation dose and reasons of not-completing radiation therapy in Hospice Ward of St. Vincent's Hospital. Results: Thirty three (8.2%) among 404 patients who had been admitted from November 2003 and October 2005 received palliative radiation therapy. The main indications of radiation therapy included brain metastasis, painful bone metastasis, painful tumor mass, and obstructive shortness of breath. Forty five percent of these patients could not complete. And 20% could receive less than 1/3 of planned radiation dose. They failed to complete the treatment often due to poor general rendition. Conclusion: Although palliative radiation therapy had been used frequently for patients with advanced cancer in Hospice Ward of St. Vincent's Hospital, but it was often not completed. With appropriate selection criteria of patients and shorter modification of radiation treatment period, more patients would be benefited with palliative radiation therapy in Hospice Ward.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.212-223
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• 2019

The purpose of this study was to investigate how attitude, subjective norm, and perceived behavioral control affect nurses' pressure ulcer (PU) prevention behavior among general hospital nurses based on the theory of planned behavior. A total of 111 nurses in four general hospitals in Korea participated in this study and replied to a survey on attitude, subjective norm, perceived behavioral control, and behavior regarding PU prevention. Data were analyzed with multiple regressions by all participants, education level, working department, and hospital size group. In all participants, the more positive attitude and the higher subjective norm, the more PU prevention behavior. However, in the group of 'more than bachelor degree' and 'tertiary hospital', the more clinical experience, the more behavior. In the group of 'surgical ward & intensive care unit', the higher attitude, the more behavior. In the group of 'more than bachelor degree', the higher subjective norm, the more behavior. Therefore, personalized and tailored intervention for nurses may be provided depending on nurses' education level, work department, and hospital size to enhance PU prevention behavior by means of improving nurses' attitude, subjective norm toward PU prevention.

• Journal of Hospice and Palliative Care
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• v.22 no.4
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• pp.198-206
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• 2019

Purpose: The Act on Hospice and Palliative Care and Decisions on Life-sustaining Treatment for Patients at the End of Life was enacted in 2016 and has taken effect since 2018 February. The content of this act was based on Physician Orders for Life-Sustaining Treatment (POLST) in the United States and we modified it for terminal cancer patients registering hospice. The object of this study is to investigate preference and implementation rate for modified Korean POLST (MMK-POLST) items in hospice ward. Methods: From February 1, 2017 to April 30, 2019, medical records regarding MMK-POLST were retrospectively analyzed for all patients hospitalized in the hospice ward of Gyeongsang National University Hospital. Results: Of the eligible 387 total cohorts, 295 patients filled out MK-POLST. MK-POLST has been completed in 133 cases (44.1%) by the patient themselves, 84 cases (28.5%) by the spouse, and 75 cases (25.4%) by their children, respectively. While only 13 (4.4%) out of 295 MK-POLST completed patients refused the parenteral nutrition and 5 patients (1.7%) for palliative sedation, the absolute majority of 288 (97.6%) patients did not want cardiopulmonary resuscitation (CPR) and ventilators and 226 people (76.9%) for pressor medications. Kappa values for the matched strength of MK-POLST implementation were poor for all items except CPR, ventilators and palliative sedation. Conclusion: Hospice patients refused to conduct cardiopulmonary resuscitation, ventilators and pressor agents. In contrast, antibiotics, parenteral nutrition and palliative sedation were favored in the majority of patients.

• Korean Institute of Interior Design Journal
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• v.25 no.4
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• pp.105-112
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• 2016

Nurses in a children's hospital have to meet a special condition with their younger patients who need continuous supervision and cares. The planning of the ward where the nurse as well as the patient and his/her caregivers stay all day long should cover all the users need. This study focused on the nurse's need for the ward in children's hospital. The nurse stay longer than any users in hospital and their treatment have to be based on deep understanding of their patients. The survey research followed the literature review on the children's hospital and the nurses' task and behavior. 119 nurses answered the structural questionnaire and their answers were analyzed using the statistical process such as basic descriptive statistics, ANOVA, and actor analysis. Results and conclusions are as follows. (1) The subjects least satisfied with the accessibility for the children and the nature-and child-friendly design features among physical environment design factors of the hospital. (2) The Subject regarded the patients' room to a private place of the patients and their caregivers not to the work places. (3) The design factors of the nursing station were classified into four: the functionality-, the privacy-, the supervision-and the restfulness-factor. The functionality and supervision factor were highly required as a workplace, the privacy factor between the patients, their caregivers and subject were also represented high score, but the restfulness factor were least required.

• Journal of The Korea Institute of Healthcare Architecture
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• v.22 no.4
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• pp.87-95
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• 2016

Purpose: Recently an experience in the MERS crisis focused on the importance of infection control in hospitals. According to Korean National healthcare-associated Infection Surveillance System (KONIS) of the KSICP, a great number of 498 people, 841 people, and 1021 people were infected by pneumonia, urinary tract infection, and bacteremia respectively from 94 hospital ICUs during the year of 2014. Therefore, the purpose of this study is to investigate the configuration and design guidelines for the ICU rooms to minimize the nosocominal infections. Methods: Based on the several infection control guidelines and revised Medical Law, consequent analyses which classified the planning and operational behavior in the ICUs of seven hospitals, were performed to reduce the cross-infection. Results: The results of this study are offering a space, configuration and design guidelines for effective infection control in the intensive care units through the unit-bed area, the bed-to-bed distance, the isolation room, etc. Implications: It is expected that this study propose the direction of architectural planning and guideline for the ICU room in order to realize the intension of revised Medical Law.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.1
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• pp.27-34
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• 2014

Purpose: The purpose of this study was to identify the role of the physical environment in task interruptions in the healthcare settings. Many dangerous events such as airplane crash and medical errors are the result of human errors and, these errors are often the result of interruptions during a critical task of professional workers. In fact, the physical environment that determines accessibility and visibility among people affects interruptions significantly, but architectural studies have given little attention to the management of interruptions. Methods: Therefore, the researcher reviewed research literature in other fields to find out how the physical environment affected interruptions. Many studies were from management, human factors, and health care, but few from architecture. First the author examined the impact of interruptions, second described the social context of interruptions and the role of the physical environment. Results: Findings included that description of the physical environment was not very clear in studies from management and human factors, while little work had been done on interruptions in architecture. The author proposed study design that compensated shortcomings of each field by combining approaches from management, human factors, and architecture. Implications: Unit design strategies such as distributed nurse stations can affect interruptions and layout analysis such as space syntax analysis can evaluate visibility and accessibility of floor plans in the preliminary design phase.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.287-298
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• 2013

To develop a technique classifying patients based on computerized clinical data followed by validity verification by comparing with nurse's examination. Class scores were determined by nurses for a day on 348 resident patients in 7 wards of a general hospital according to KPCS-1. The class scores were simultaneously evaluated by reviewing the computerized clinical data acquired from the hospital management information system. These two class scores were both significantly different among different departments as well as disease patterns. Intraclass correlation analysis resulted a very high correlation coefficient of 0.96(p<0.01) between the two scoring methods, but the clinical data scores were somewhat higher. An automated patient classification system seemed possible to be developed in future with further enhancement of the present results based on computerized clinical data without manual scoring, which can be applied for performance evaluation as well as workforce planning.