• Title/Summary/Keyword: 안전 의사소통

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Relationships among personal and organizational communication skills, occupational stress, and patient safety activities of nursing workforce working in the integrated nursing care service ward (간호·간병통합서비스병동 간호사와 간호보조인력의 개인 및 조직 의사소통능력, 직무스트레스와 환자안전활동의 관계)

  • Oh, Danbi;Yi, Yeojin
    • Korea Journal of Hospital Management
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    • v.27 no.3
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    • pp.15-25
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    • 2022
  • Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

Development and Evaluation of a Nursing Handoff Protocol for Intensive Care Units (중환자실 간호 인수인계 프로토콜의 개발 및 평가)

  • Cho, Young Shin;Kwon, Sun Ju;Yun, Mi Young;Lee, Mi Hwa;An, So Hee;Kong, Yu Jeong
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.1-12
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    • 2016
  • Purpose: This study aimed to develop a nursing handoff protocol for intensive care units and test its relevance. Methods: This is a methodological research to develop a protocol. A preliminary protocol was developed by composing items and testing content validity through literature review and experts' review. We revised and complemented the preliminary protocol following practical relevance assessment of 38 intensive care unit nurses at a university hospital to test content validity and to assess practical relevance of the final protocol. Results: On the basis of the content validity test for the final protocol, 40 items were adopted. The scores for the practical relevance of the final protocol increased significantly for items such as accuracy of handoff, reduction of handoff-related errors, convenience in using the protocol, reduction in handoff time, and simplification of handoff. Conclusions: The nursing handoff protocol for intensive care units in this study is expected to improve nursing performance with a standardized handoff in intensive care units, promote patient safety, and improve communication among the medical staff.

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Effectiveness of Patient and Family-Centered Care interventions: A Systematic Review (환자-가족중심 의료서비스의 융합적 성과: 체계적 문헌고찰)

  • Yoo, Ji-Yeon;Ahn, Sung-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.365-379
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    • 2019
  • This review aimed to analyze characteristics and performances of patient and family-centered care interventions and evaluate the convergence effectiveness. Randomized controlled trials were searched, selected, data extracted and quality-assessed using the Risk of Bias in 15 databases. Characteristics suggested from 21 studies were provision of information, education, communication and family and friend participation. There were 89 measurement variables of performances. Patient outcome was measured by mortality, length of hospitalization, etc., indicated as significantly improved in 18 studies. This review has provided evidence that patient and family-centered care improved experience and performance of diverse patients, families and health-care providers. There is need to convergence adopt patient and family-centered care and conduct evidence-based studies for improvement of quality of healthcare and patient safety in the future.

Application of Social Media for Responding to a National Disaster (국가적 재난 대응에 있어서의 소셜 미디어 활용 방안 연구)

  • Kim, Han-Gook
    • Journal of Korea Entertainment Industry Association
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    • v.5 no.4
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    • pp.147-153
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    • 2011
  • On 11 March 2011, earthquake occurred in Japan were left with the significant human and material damage. Among these, social media has emerged as a very useful communication channel by playing a important roles in the process of safety checking and disaster recovery. In fact, however, we have no specific response methods or systems to these occurrence of disaster in Korea. Therefore, we investigate the relevant literature in order to analyze the current status of foreign and domestic utilization of social media, and draw the ideal ways to use social media for responding to unpredictable disasters based on the relevant literature reviews. The results of this study are summarized as follows. First, Institutions such as Meteorological Administration or National Emergency Management Agency are able to utilize social media as the communication systems to public in emergency. Second, social media are able to used for building disaster information systems including location information such as emergency call for help or requests for dissemination materials. Lastly, online donation services via Facebook or Twitter are able to be provided. The findings have significant implications for official responsible for disaster response and academic researchers.

Enhancing Empathic Reasoning of Large Language Models Based on Psychotherapy Models for AI-assisted Social Support (인공지능 기반 사회적 지지를 위한 대형언어모형의 공감적 추론 향상: 심리치료 모형을 중심으로)

  • Yoon Kyung Lee;Inju Lee;Minjung Shin;Seoyeon Bae;Sowon Hahn
    • Korean Journal of Cognitive Science
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    • v.35 no.1
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    • pp.23-48
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    • 2024
  • Building human-aligned artificial intelligence (AI) for social support remains challenging despite the advancement of Large Language Models. We present a novel method, the Chain of Empathy (CoE) prompting, that utilizes insights from psychotherapy to induce LLMs to reason about human emotional states. This method is inspired by various psychotherapy approaches-Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person-Centered Therapy (PCT), and Reality Therapy (RT)-each leading to different patterns of interpreting clients' mental states. LLMs without CoE reasoning generated predominantly exploratory responses. However, when LLMs used CoE reasoning, we found a more comprehensive range of empathic responses aligned with each psychotherapy model's different reasoning patterns. For empathic expression classification, the CBT-based CoE resulted in the most balanced classification of empathic expression labels and the text generation of empathic responses. However, regarding emotion reasoning, other approaches like DBT and PCT showed higher performance in emotion reaction classification. We further conducted qualitative analysis and alignment scoring of each prompt-generated output. The findings underscore the importance of understanding the emotional context and how it affects human-AI communication. Our research contributes to understanding how psychotherapy models can be incorporated into LLMs, facilitating the development of context-aware, safe, and empathically responsive AI.

Analysis and the Standardization Plan of the Terms Used by Seafarers on Small Vessel (소형선박 종사자 사용용어 실태 분석 및 표준화 방안)

  • Kang, Suk-Young;Ryu, Won;Bae, Chang-Won;Kim, Jong-Kwan
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.7
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    • pp.867-873
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    • 2019
  • As of August 2019, there were 3,823 vessels under 30 tons that could be included in the category of small vessels; these account for 42.5 % of the 9,001 registered vessels in Korea. The problem is that many small vessel seafarers face many problems such as an board communication disconnection, difficulties in communication in maritime license interviews, or education related to maritime training using a large number of nonstandard terms, which are derived from foreign languages; this is leading to a decline the job skills of small vessel seafarers. Therefore, in this study, we closely analyzed the terminology of small vessel seafarers and proposed a standardization plan. In the terminology analysis, the preliminary terms of the maritime license interview and the high-frequency terms of the small vessel educational textbook were identified and the corresponding nonstandard terms were examined. Based on a survey, an expert meeting was held and incorrect Japanese notation, English notation, and the standard language for key terms were presented to analyze which questionnaire was most familiar. The ratio of the use of standard words is relatively high in the case of nautical terms, however, the wrong Japanese notation is used more for engine terms; the analysis results by age and tonnage also generally use the Japanese notation and the use frequency of English notation was determined to be low. Based on this, short- and long-term plans for the use of standard words by small vessel seafarers were proposed, including the production of a standard language dictionary for terms used by these seafarers, a promotion of the importance of using standard terms, active education through educational institutions, and the systematic preparation and implementation of Korean-language education for foreign sailors.

Convergence Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital (일개 종합병원 의료종사자들의 환자안전과 관련된 의료과오보고 인식에 영향을 미치는 융합요인)

  • Kang, Jung-Mi;Kwon, Jeong-Ok
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.61-70
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    • 2018
  • The purpose of this study was to identify the of patient safety related to perception of Hospital environment, Organizational culture, Reporting system and Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital. Healthcare Workers in a General Hospital in B City who signed on the written consent participated in this study between February 12 and 28, 2017. A total of 244 copies were collected and were analyzed using the SPSS 22.0 program. The result mean score perception of Hospital environment was 3.26(${\pm}0.31$)point on a scale of 0 to 5, and Organizational culture 3.74(${\pm}0.54$)point, Reporting system 3.64(${\pm}0.57$)point. Factors influencing on perception of medical errors report is sex(${\beta}=.137$, p=.023), Type of occupation(${\beta}=289$, p=.001), Department of Nursing(${\beta}=-.196$, p=.023), Hospital environment(${\beta}=.327$, p=<.001), Organizational culture(${\beta}=.288$, p=<.001). Therefore management and hospital management efforts should be made to establish a system that enables healthcare workers to report without fear of medical errors reporting, and appropriate staffing and open communication.

A Study on the Management of Foreign Crew in Domestic Merchant Vessel (내항상선 승선 외국인선원의 관리에 관한 연구)

  • Kim, Young-Mo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.18 no.2
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    • pp.123-129
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    • 2012
  • Cabotage means transportation of cargoes or passengers between two points within same country by vessel or aircraft which registered to foreign country. Cabotage regulation has justified by the protectionism in economic aspect and by national security in the defence of a country, thus most world's major countries including United States of America, Japan and European Union(outside EU) are executing cabotage. Even though Korean's controlled fleet ranked to 5th in the world, shortage and ageing of Korean domestic seafarers came to the restricted factor in the Korean domestic shipping. Resultingly Korean government permitted 530 Myanmarese and Indonesian seafarers to come on board in domestic vessel. In regarding to the Korean law, there are no direct relationship between boarding foreign crew in domestic vessel. However the baxic concept of cabotage will be spoiled by boarding foreign crew under the regulation of cabotage, so special treatment should be needed to cover the problems in coastal shipping arose form them. To minimize the problems derived from foreign crew, following actions are recommended; first, management skills of foreign crew are needed to overcome differences of communication and culture; second foreign crew supporting center should be established to counsel their difficulties; third, high level of manning companies should be promoted; forth, stabilized crew supply should be guaranteed by improving employment condition; finally, memorandum of understanding should be concluded between two countries to prevent seceders.

Investigation on Users' Perception and Certification Status and Donning of Smoke Masks (방연마스크에 대한 사용자 인식, 인증 현황 및 착용성 조사)

  • Hyunwoo Son;Yeongeun Park;Eungwoo Lee;Eunji Kim;Youngbo Choi
    • Korean Chemical Engineering Research
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    • v.61 no.1
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    • pp.68-73
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    • 2023
  • Smoke masks have attracted great interests and have been supplied widely for the improvement of the safety during fire evacuation. However, there is not sufficient research on the practical utility, certification status and easy-donning about commercial smoke masks, therefore it is difficult to determine the actual usefulness of the smoke masks. In this study, we conducted a survey on users' perceptions and experiences about the smoke masks, and investigated the status of certification of 54 commercial smoke masks. We also performed donning tests and examined degrees of discomfort for 4 types of the smoke masks. Although 22% of 235 respondents had experienced the smoke masks before the test, and 23% of the respondents did not know the smoke masks, 93% of the respondents expected that the smoke masks could protect users from fire smokes and toxic gases. It was found that 41% of the commercial smoke masks did not certify according to domestic or overseas performance standards. Most certification standards have not effectively regulated maximum wearing time for the smoke masks. Only ASTM E 2952 and KFIS 024 had specific standards for the maximum wearing time of 30 s. As a result of donning tests for 4 types of smoke masks, the wearing time of the hood-type mask and self-contained smoke mask exceeded 30 s, therefore these types of smoke masks might increase the required safe evacuation time. On the other hand, it was also found that short education about the donning could reduce the wearing time by 19% and numbers of improper wearing by 89%.

Study on Improving Maritime English Proficiency Through the Use of a Maritime English Platform (해사영어 플랫폼을 활용한 표준해사영어 실력 향상에 관한 연구)

  • Jin Ki Seor;Young-soo Park;Dongsu Shin;Dae Won Kim
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.7
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    • pp.930-938
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    • 2023
  • Maritime English is a specialized language system designed for ship operations, maritime safety, and external and internal communication onboard. According to the International Maritime Organization's (IMO) International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW), it is imperative that navigational officers engaged in international voyages have a thorough understanding of Maritime English including the use of Standard Marine Communication Phrases (SMCP). This study measured students' proficiency in Maritime English using a learning and testing platform that includes voice recognition, translation, and word entry tasks to evaluate the resulting improvement in Maritime English exam scores. Furthermore, the study aimed to investigate the level of platform use needed for cadets to qualify as junior navigators. The experiment began by examining the correlation between students' overall English skills and their proficiency in SMCP through an initial test, followed by the evaluation of improvements in their scores and changes in exam duration during the mid-term and final exams. The initial test revealed a significant dif erence in Maritime English test scores among groups based on individual factors, such as TOEIC scores and self-assessment of English ability, and both the mid-term and final tests confirmed substantial score improvements for the group using the platform. This study confirmed the efficacy of a learning platform that could be extensively applied in maritime education and potentially expanded beyond the scope of Maritime English education in the future.