• Journal of The Korea Institute of Healthcare Architecture
• /
• v.5 no.9
• /
• pp.97-106
• /
• 1999

Korean society is facing the situation in which it has to dramatically increase the supply of healthcare facilities for the elderly in the near future. Recently many nursing homes and geriatric hospitals have been supplied all over the country. But the data for planning and design of the facilities are very insufficient in Korea. So this paper aims to present the basic data for planning and design of skilled nursing homes. To do this we surveyed and analyzed 10 skilled nursing home facilities, and then present the compiled data from this analyses.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.11 no.2
• /
• pp.27-36
• /
• 2005

A ward is a place where the patients are living and staying for 80% of the all those days in the hospital. So the Ward's conditions are very important to them. We group a ward's conditions in two classes, one in the physical condition ; area, noise, temperature etc. and the others is the physical condition ; privacy, field. According to the analysis, the patients had beed under a mental stress and they did negative action, by the ward's environmental conditions. This study find influence of the ward's environmental conditions with violate each patients privacy using multi-bedroom's restroom. So we suggest that the ideal multi-bedroom's restroom, solve the they got the problems.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.6 no.10
• /
• pp.59-65
• /
• 2000

Wards are the biggest part in hospital buildings and the flow of medical personnels and materials is an important factor in the ward design. The evaluation method of the wards and is esscential for the optimum design considering function, environment, patient psychology, etc. This study attempts to classify ward pattern and analyse architectural characteristics, survey the wards in Korea. The purpose of this study is to get the design guideline of the wards To achieve this goal, ward type by using corridor form were introduced and then each type was systematically analyzed. A evaluation method are developed from studied factors and are applied to existing wards to check the reliability.

• Journal of Digital Convergence
• /
• v.18 no.6
• /
• pp.401-409
• /
• 2020

The purpose of this study is to develop a convergence inpatient medical service patient experience management model(IMSPEMM) that can help in the management strategy of a medical institution to create a patient-centered medical culture. Using the original data from the 2018 Medical Service Experience Survey, 593 people with medical services inpatient(MSI) over the age of 15 were analyzed. By using the decision tree model, we developed a prediction model for overall satisfaction(OS) with the inpatient medical service experience(IMSE) and the intention to recommend patient experience(RI), and were classified into 4 and 7 types. The accuracy of the model was 68.9% and 78.3%. The OS level of IMSE was the nurse area and the hospital room noise management area, and the RI decision factor was the nurse area. It is significant that the IMSPEMM for MSI was presented and confirmed that the nurse area and the noise management area of the hospital room are important factors for the inpatient experience. It is considered that further research is needed to generalize the IMSPEMM.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.6 no.10
• /
• pp.67-76
• /
• 2000

Hospital architecture is in a transitional period and faces a great change. Furthermore, patients' demand on medical service has been changing. It is said that the importance of public space for people as well as that of private space for patients, doctors and nurses becomes more important than ever. For example, corridor space becomes pathway, waiting room and rest area of patients. Accordingly, the importance of corridor space of public space in general hospitals is increasing. This study aims to present standard data for hospital planning by analyzing space allocation and floor area of corridor space in general hospitals.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.22 no.4
• /
• pp.67-77
• /
• 2016

Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.4
• /
• pp.374-382
• /
• 2018

This study aimed to identify the mediating effect of nurse's communication on the relationship between nursing needs and nursing satisfaction in hospital patients. After IRB approval, this study was performed by administering questionnaires to 180 university hospital patients between April and June, 2017. Collected data were analyzed with SPSS 22.0. The average score of nurse's communication, nursing needs, and nursing satisfaction were $3.88{\pm}0.52$, $3.96{\pm}0.55$, and $3.74{\pm}0.59$ out of 5, respectively. There were significant differences in educational and therapeutic needs versus satisfaction. As for nurse's communication and nursing satisfaction, there were significant differences by patient's room. There were positive correlations among nurse's communication and nursing needs (r=.286, p<.001) as well as nurse's communication and nursing satisfaction (r=.524, p<.001), In addition, there were positive correlations between nursing needs and satisfaction (r=.488, p<.001). Nursing communication had a partial mediating effect between nursing needs and satisfaction, which showed significance in Sobel's test (Z=2.450, p=.014). Therefore, it is suggested that a continuous program for strengthening communication of hospital nurses is needed.

• Proceedings of the Korea Institute of Fire Science and Engineering Conference
• /
• 2010.10a
• /
• pp.190-194
• /
• 2010

화재감지기는 화재시 발생되는 열, 연기, 불꽃, 독성가스등의 다양한 연소생성물을 감시한다. 기술의 발전으로 화재 감지방식과 기능이 다양해지고 있으며, 이에 따라 다양한 방식의 감지기들이 개발되고 있다. 최근 진보된 감지기들은 화재로 발생 이전에서 부터 감지, 비화재보에 대한 방지는 물론 감지기의 상태 오염 감도 등의 다양 정보를 제공함으로써 유사시 신속하고 정확한 대응이 가능하도록 발전되고 있다. 이러한 진보된 감지기는 막대한 피해가 예상되는 장소, 대피하는데 많은 시간이 소요되는 장소에 적용되어 인명 및 재산피해를 절감 시키고 있다. 일산화탄소감지기 또한 진보된 감지기로 화재 초기 가연물이 연소할 때 발생하는 일산화탄소를 감시한다. 일반화재의 경우 화재 초기에 가연물이 서서히 연소시 불완전 연소로 인한 다량의 일산화탄소가 발생되기 때문에 기존 열, 연기, 불꽃감지기에 비해 빠른 반응을 보여 화재를 조기에 감지함으로써 조기 대응으로 인한 피해를 줄일 수 있을 것이다. 본 연구에서는 실물화재시험 자료를 바탕으로 CO감지기의 조기 감시능력을 확인하였다. CO감지기는 화재초기 발생되는 일산화탄소를 감지하므로 대피시간이 많이 필요한 장소(병원 노인요양시설 학교 백화점 등), 침대 폼메트리스 훈소화재 발생장소(호텔침실 기숙사 숙박업소, 병실 등)등에 적응성이 우수할 것으로 분석된다. 최근 설계되는 초고층 건축물 및 주요 시설물 등에서 화재 시뮬레이션과 가상시나리오 유형 분석을 통해 성능위주의 설계가 적용되고 있다. 그만큼 정확하고 신속한 감지가 중요하다 할 수 있다. CO감지기야 말로 그 기대에 가장 부합될 것으로 분석된다.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.28 no.4
• /
• pp.61-69
• /
• 2022

Purpose: In response to the rapid spread of COVID-19 in 2020, the government supported facilities and equipment through the 'Urgent Isolation Ward Expansion Project'. Design and remodeling of efficient negative pressure isolation facilities had to be done in a short period of time, and the performance gap between facilities was very large because the types of hospitals and wards of existing medical facilities were diverse. In order to secure the stability of isolation wards between medical facilities and reduce the facility gap, guidelines for planning isolation wards considering the diversity of each hospital should be appropriately presented. In consideration of these points, this study aims to provide basic data for future remodeling guidelines for each plan type of the negative pressure isolation ward first. Methods: We analyzed the plans before and after the change of 13 case hospitals that performed the urgent care bed expansion project for COVID-19 confirmed patients. Before the remodeling, the current status of the facility was analyzed according to the type of corridor, the location of the nursing station, and the location of the elevator. After remodeling, the flow of medical staff and patients, the flow of entry and exit of clean and contaminated items, and the space of negative pressure and non-negative pressure areas. Results: The ward type was divided into three types according to the corridor type and room arrangement: double loaded corridor type with two side wards, race track type with one side ward, and race track type with two side wards. Based on these three types, the standard floor plan type of the isolation ward was proposed in terms of the location of the elevator bank and Nurse station. Implications: When the existing general ward is converted into a negative pressure isolation ward, this study can be a basic data to present customized guidelines for each ward type.

• Journal of Hospice and Palliative Care
• /
• v.16 no.2
• /
• pp.98-107
• /
• 2013

Purpose: This study was conducted to investigate how home-based hospice care is provided in Korea. Methods: From July 2011 through August 2011, 29 hospice facilities that provide home-based hospice care were surveyed using a questionnaire. Items included in the questionnaire were general characteristics of the organization, staff members, service programs, difficulties. Results: Among the surveyed, hospice care was hospital-based for 11 (37.9%) facilities, hospital-independent center-based care for four (13.8%) and home-based care only for 10 (34.5%). Near half the participants were located in Seoul and Gyeonggi-do. Caregivers included nurses for 62.1% of the participants, volunteers 62.0%, pastors 44.8%, social workers 37.9%, coordinators 31.0% and doctors 31.0%. The facilities offered service programs such as family counseling (96.6%), transfer to other facilities (93.1%), psychological support (89.7%), bereavement support (86.2%), dying care (79.3%), clinical care (75.9%) and spiritual support (75.9%). The major obstacles were financial issues (24.1%), lack of trained staff (20.7%) and staff members' lack of awareness of home-based hospice care (13.8%). Conclusion: In Korea, home-based hospice care is provided by an insufficient number of facilities. Moreover, the service providers are experiencing difficulties such as lack of trained staff, insufficient financial resource and staff's lack of awareness of home-based hospice care. It is necessary to increase the number of home-based hospice care facilities with consideration of even distribution across regions and standard staffing and service programs and develop related insurance policies.