• Title/Summary/Keyword: 수술실

Search Result 427, Processing Time 0.027 seconds

The Validity and Reliability of Safety Competency Tool for Perioperative Nurses (수술실 간호사 안전역량 도구의 타당도 및 신뢰도 검증)

  • Song, Mi-Ok;Jang, Keum Seong
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.10
    • /
    • pp.345-356
    • /
    • 2016
  • The purpose of this study was to develop a scale to evaluate the safety competency of perioperative nurses and to examine its validity and reliability. The research process included the development of preliminary items through literature reviews and the construct validity examination of the conceptual framework for the preliminary scale. The content validity of the identified items was evaluated by experts, resulting in 30 preliminary items. The participants involved in testing the validity and reliability of the preliminary scale were 377 perioperative nurses. The data were analyzed using exploratory factor analysis, parallel analysis, confirmatory factor analysis, and internal consistency. To verify the construction factor of the preliminary scale, exploratory factor analysis and parallel analysis were performed, resulting in 3 factors and 27 items. The internal structure of the scale was schematized using confirmatory factor analysis and the goodness of fit of the final research model was very appropriate, as shown by the values of TLI=.90, CFI=.91, RMSEA=.07, and SRMR=.07. The final scale consisted of 27 items and 3 factors including knowledge (6 items), skill (13 items), and attitude (8 items). Cronbach' ${\alpha}$ for the final scale was .94, showing good internal consistency. This safety competency scale can be used for assessing the competency of perioperative nurses regarding patient safety, for developing patient safety studies and for the career development of perioperative nurses.

자신감으로 진정한 아름다움을 찾아야 - 성형수술과 정신건강

  • 이한선
    • 가정의 벗
    • /
    • v.37 no.4 s.428
    • /
    • pp.12-13
    • /
    • 2004
  • 성형수술을 한번쯤 생각해보지 않은 여성이 없을 정도로 성형수술이 범람하고 있다. 강남의 어떤 거리는 한집 건너 성형외과, 피부과가 있다고 한다. 이들은 모두 의학을 미용에 응용한 것으로 병원이라기보다는 의사 미용실이라고 보는 것이 본질상 맞는 이름일 것이다. 성형보다는 자신감으로 진정한 아름다움을 찾도록 도와주는것이 무엇보다 필요하다.

  • PDF

Fontan Operation in a Case of Single Functional Pulmonary Artery (심한 좌폐동맥 형성부전을 동반한 단심실 환아의 폰탄 수술 증례)

  • Kim Joon Bum;Park Jeong-Jun;Park In Sook;Seo Dong Man
    • Journal of Chest Surgery
    • /
    • v.38 no.4 s.249
    • /
    • pp.308-311
    • /
    • 2005
  • The status of pulmonary circulation is regarded with utmost importance for the successful Fontan operation. The absence of unilateral pulmonary artery leads to decreased pulmonary vascular bed and elevated pulmonary vascular resistance which are the risk factors for Fontan operation. A 9-year-8-month-old female patient diagnosed as tricuspid atresia, pulmonary atresia with absent left pulmonary artery flow, received extracardiac conduit Fontan operation using 18 mm Gore-Tex graft. She was discharged on twenty sixth postoperative day with arterial $O_2$ saturation of $70\%$ on room air. On last follow up at 14 months after the operation, she was clinically well with $O_2$ saturation of $91\%$.

Effects of a Web-based Learning Contents in Operating Room Nursing for Nursing Students (간호학생을 위한 웹기반 수술간호 학습콘텐츠의 효과)

  • Park, Eun-Hee;Hwang, Seon-Young
    • The Journal of the Korea Contents Association
    • /
    • v.11 no.9
    • /
    • pp.384-394
    • /
    • 2011
  • This study was conducted to develop a web-based learning contents that assists nursing students' clinical practice on operating room nursing and to examine its learning effects. Based on contents and need analysis, 6 learning modules were developed regarding nursing care in surgical operation and operating equipments. In order to verify the effects of the program, this study employed a quasi-experimental pretest-posttest control group design. Knowledge was significantly higher in experimental group that was enhanced by the web-based learning contents than that of the control group (p<.001). However, there was no significant difference between the two groups in self-directed learning. Experimental group had significantly higher motivation toward learning, which was examined posttest only, compared to control group (p<.001). These results support that the implementation of an web-based learning contents need to be continued as an effective educational material but we need more research to establish how this can be effectively implemented in a students' practicum.

A Medical Staff Identification System by Using of Beacon, Iris Recognition and Blockchain (비콘과 홍채인식, 블록체인 기반의 의료진 신분확인 시스템 제안)

  • Lim, Se Jin;Kwon, Hyeok Dong;Seo, Hwa Jeong
    • KIPS Transactions on Computer and Communication Systems
    • /
    • v.10 no.1
    • /
    • pp.1-6
    • /
    • 2021
  • Recently, incidents such as proxy surgery (unlicensed medical practice) have been reported in the media that threaten the safety of patients. Alternatives such as the introduction of operating room surveillance camera devices to prevent proxy surgery are emerging, but there are practical difficulties in implementing them due to strong opposition from the medical community. However, the social credibility of doctors is falling as incidents such as proxy surgery occur frequently. In this paper, we propose a medical staff identification system combining Beacon and iris recognition. The system adds reliability by operating on the blockchain network. The system performs primary identification by performing user authentication through iris recognition and proves that the medical staff is in the operating room through beacons. It also ensures patient trust in the surgeon by receiving beacon signals in the background and performing iris authentication at random intervals to prevent medical staff from leaving the operating room after only performing initial certification.

Case of Anterior Segment Ischemia after Two Vertical Rectus Muscles Surgery (두 개의 수직근수술 후 발생한 전안부허혈 1예)

  • Ahn, Jayoung;Kim, Gyu Nam;Kim, Seong Jae;Chung, In Young;Seo, Seong Wook;Yoo, Ji Myong
    • Journal of The Korean Ophthalmological Society
    • /
    • v.59 no.12
    • /
    • pp.1195-1200
    • /
    • 2018
  • Purpose: To report a case of anterior segment ischemia after superior and inferior rectus muscle surgery in a patient with superior rectus muscle enlargement. This is the first report in the Republic of Korea of anterior segment ischemia after two rectus muscles surgery. Case summary: An 80-year-old male was referred to our clinic with a 3 years history of diplopia. The patient had 30 prism diopters right eye hypertropia in the primary position and downgaze limitation. The orbital computed tomography scan revealed enlargement of the right superior rectus muscle. He underwent right superior rectus recession and inferior rectus resection. On postoperative day 2, slit lamp examination revealed diffuse corneal edema, Descemet's membrane folding, an aqueous flare and a dilated pupil. Treatment with 45 mg oral steroid was initiated, and 1% prednisolone acetate and 0.5% Levofloxacin eye drops were administered. At postoperative 1 month, the patient was orthophoric in the primary position, and there was no corneal edema, pupil abnormality or aqueous flare. Conclusions: Base on the present case, the possibility of anterior segment ischemia should be considered after even two muscles surgery, and older patients with vertical muscle surgery should be considered more carefully.

Papillary Fibroelastoma of the Aortic Valve: Discovered by Chance with Intraoperative Transesophageal Echocardiography - A case report - (수술실 내 경식도 심장초음파검사에서 우연히 발견된 유두상 섬유탄력종 - 1예 보고 -)

  • Kim, Jeong-Won;Jung, Jong-Pil;Park, Soon-Eun;Kim, Young-Min;Park, Chang-Ryul;Shin, Je-Kyoun
    • Journal of Chest Surgery
    • /
    • v.40 no.9
    • /
    • pp.637-640
    • /
    • 2007
  • Papillary fibroelastoma is a rare benign cardiac tumor with an elevated risk for embolization and most papillary fibroelastomas do not cause symptoms. In this report, we describe a case of previous undiagnosed masses of the aortic valve that were incidentally found on intraoperative transesophageal echocardiography during coronary artery bypass surgery. Upon surgery, masses were found on the left and right aortic cusps and the pathological findings were consistent with a papillary fibroelastoma.