• Journal of Korean Academy of Nursing
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• v.51 no.1
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• pp.27-39
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• 2021

Purpose: This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses' burnout, job satisfaction, turnover intentions, and medical errors. Methods: A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program. Results: The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12, p = .021) and nursing care left undone (β = .18, p < .001) led to an increase in nurses' burnout (F = 6.26, p < .001). As nursing care left undone (β = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15). Conclusion: Non-nursing tasks and nursing care left undone are positively associated with nurses' burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.

• Korea Journal of Hospital Management
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• v.27 no.2
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• pp.34-43
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• 2022

Objective: Telemedicine service is gaining importance in remote military areas. This study aimed to explore the mediating effect of user satisfaction on the association between military telemedicine service's quality and customer loyalty. Methods: The research data comprised the results of a satisfaction survey on 1,116 military telemedicine satisfaction surveys conducted from November 1 to November 31, 2021. T-tests and ANOVA were analyzed to confirm the difference in satisfaction and loyalty according to the general characteristics of the study subjects. User satisfaction, customer loyalty, and mediating effects were analyzed using multiple linear regression analysis. Results: Among the study subjects, 458 were affiliated with the Army, 68 with the Navy, and 36 with the Air Force. Among the quality of telemedicine service, tangibility, reliability, and empathy affected user satisfaction while reliability and empathy affected customer loyalty. Since the standardized coefficient beta of empathy was 0.150 (P=0.018), it was confirmed that it significantly affected customer loyalty by mediating user satisfaction. Conclusion: The telemedicine service's quality affects users' satisfaction and customer loyalty. Moreover, there was the mediating effect of user satisfaction on the association between telemedicine service and customer loyalty. Therefore, the reliability and reliability of the current telemedicine service can be improved through the replacement of outdated equipment and performance improvement, expansion of medicines in telemedicine units, and improvement of medical services through periodic CS education to increase the customers' satisfaction and loyalty.

• Journal of the Health Care and Life Science
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• v.11 no.2
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• pp.361-374
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• 2023

This study was conducted using data from the '2020 National Survey of Older Koreans' to investigate the sociodemographic characteristics, health status, health management practices, and caregiving needs that influence cognitive impairment in early and late-stage elderly individuals. The research targeted 9,885 individuals aged 65 and above. Statistical analyses included descriptive statistics, Chi-square, t-tests, and logistic regression. The study found that cognitive decline in elderly individuals was influenced by age, education, income, location, health status, and depressive symptoms. Those with cognitive decline showed lower health management practices, functional status, and overall health and social satisfaction. There was a high demand for home residency services and assistance with daily activities among cognitively impaired individuals, indicating the need for diverse support and policies within local communities for safe caregiving in the future.

• Journal of Hospice and Palliative Care
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• v.2 no.1
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• pp.36-45
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• 1999

Purpose : Cancer, one of the major causes of death in Korea, tends to become chronic due to the rapid development of diagnostic and therapeutic methods. As a result, the number of home-based cancer patients is in the increasing trend. However, on account of the insufficiency of continuous and comprehensive cancer patient management system, a number of cancer patients are left in a defenseless state. This study was designed for need assessment of home-based cancer patient to establish the community-based health care system for the comprehensive and continuous health care service to improve the quality of life of cancer patients and reduce rare burdens of their families. Methods : Through making a survey for needs assessment toward the health care service, the 455 respondents among home-based cancer patients answered the given enquetes to analyze the management status and problems of home-based cancer patients Results : 1) Unsatisfaction rates of pain control is 25.5 percent for mild cases, 46.5 percent for severe cases. 2) According to the needs assessment of home-based cancer patients, most of the respondents want to receive economical support, alleviation for the pain and symptoms, and the information of health care and consultation. So these needs account for the main contents of the home-based cancer patient management plan. 3) In the aspect of the satisfaction rate for basic care need, most items account for $20{\sim}30%$ of satisfaction. And the proportion of need for special case is under 5%, satisfaction rate for special care need is about 50% of satisfaction. So the home-based cancer patients are not being cared sufficiently. Conclusion : According to the result of need assessment, many home-based cancer patients received inadequate pain and symptom management. And Satisfaction rate for basic and special care need is low. So development of comprehensive and continuous health care service to improve the quality of life of cancer patients and reduce care burdens of their families is very necessary.

• Journal of agricultural medicine and community health
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• v.28 no.1
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• pp.39-51
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• 2003

Objectives: The oriental medical care has been getting popular in community health centers because of uniqueness, changing of disease patterns, and increasing of elderly population. From 1998, oriental medical doctors has been working in several rural community health centers for their military obligations. At this point of time, it is necessary to evaluate the oriental public health doctors system. This study was performed to investigate the utilization patterns, the degree of satisfactions, needs of oriental medical care service provided by community health center in a designated Gun area. This study focused on the need for extending over Myun area of community health center's oriental medical care services. Methods: Person-to-person interview survey method through a structured questionnaire was done by a personnel at a oriental medical care service room in a Gun community health center. The major statistical method used for the analysis were the t-test, ANOVA, and logistic analysis. Results: The total number of responded subjects in this study was 163 residents. Among these 65.0% were aged 61 or over, and only 13.5% recognized themselves were healthy. 73.7% of the respondents demanded establishment of more oriental medical care services provided by community health center to other Myun area. Factors affecting the need for enlargement of oriental medical care service room were education level, subjective awareness of access to community health center, and cost satisfaction of oriental medical service provided by community health center. Thus, a resident who had graduation of middle school achievement or above(OR=3.35), had a long way to center(OR=2.47), satisfied with oriental medical service cost(OR=2.78) had demonstrated increased chance of need by logistic regression analysis.

• Journal of Korean Physical Therapy Science
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• v.15 no.4
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• pp.51-60
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• 2008

Background: The purpose of this study show the degree of physical therapy service and physical therapist according to medical institution by measuring and determining the factor affecting patient satisfaction in the Gimcheon city. Methods: For this study 100 questionnaires were distributed to medical institution, Gimcheon city from Jul 20 to Aug 5, 2008. The consisted of total 28 items. The contents item divided the general characteristics into nine heads, the satisfaction of physical therapy service into nine heads, and the physical therapy into ten heads. Survey data were collected by a written questionnaire. The collected date were analyzed by t-test, ANOVA. Results: There was difference with statistic value in physical therapy according to medical security and handicapped or non-handicapped(p<.05). There was difference with statistic value in physical therapy service and physical therapist according to medical institution. The score of patient satisfaction at welfare facilities was significantly lesser than other medical institution(p<.05). Conclusion: There was difference with statistic value in physical therapy service and physical therapist according to a number of patients of physical therapy a day.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.13 no.3
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• pp.177-181
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• 2013

As smart devices and OS with communication capabilities based latest NFC (Near Field Communication) have been spreaded, many applications with using existing RFID are being replaced to NFC. Smart NFC technology and existing services and devices can be easily combined convergence and advantage of smart phones, such as authentication and billing, medical care, the creation of a new paradigm of Network Communication are to be expected. By developing H/W, S/W of the Smart NFC Security Authenticator(SNSA), satisfying with wireless communication test results within accepted reference value, analyzing and testing the impact of topology, the signal performance of Daisy Chain Topology was much better than Star Topology's.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.485-492
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• 2005

환자에 대한 기록은 일정한 형식을 가지고 환자 내원 초기부터 환자 및 의료진의 요구와 관리목적에 부합한 효과적인 평가, 치료계획, 치료적 중재를 수립할 수 있게 만드는 필수적인 일련의 상호관련학적 의사소통 도구임과 동시에 치료사가 환자관리에 포함된 사고 과정을 분석하는 데 도움을 주며 문제해결에 대한 사고를 체계화하는데 있어 중요한 역할을 한다. 본 연구의 목적은 물리치료사의 일반적 특성과 임상기록의 실태, 임상기록의 중요성을 인식하고 임상활동의 문제점을 개선하며 기록의 체계화를 이루어 임상기록의 활성화와 나아가 물리치료의 질적 향상과 물리치료 서비스에 대한 효율성을 높이는데 있다. 이 연구는 전국 의료기관이나 보건관련기관에서 근무하는 물리치료사를 선정하였다. 2005년 7월1일부터 8월30일 사이에 구조화된 설문지 320매를 직접 전달해 치료사가 작성한 설문지 314매를 직접 수거하였다. 분석 방법으로는 백분율과 빈도, Kuskal-Wallis Test. Pearson Chi-Square, Mann-Whitney U로 검정하였다. 잘못 표기한 응답자 1명을 제외한 응답자 총 313명 중 남자 142명 (45.2%), 여자 171명 (54.5%) 이었으며, 25세 이상 29세 이하 연령층이 119명 (37.9%)으로 가장 많이 분포하였다. 근무처에 따른 근무 개월, 일일 평균 환자수는 통계학적 검정으로 유의한 차이가 있는 것으로 나타났다(p<.05). 근무처에 따른 임상기록 작성에서도 통계학적 검정이 유의하였다(p<.05) 임상기록 작성이 효율적인 치료. 치료사 만족도에도 통계학적으로 유의한 결과가 나타났다(p<.05).

• The Journal of Korean Medicine
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• v.27 no.2 s.66
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• pp.86-95
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• 2006

Purpose : This study was conducted to understand Oriental medical health services and analyze the relationships between the perceived Oriental medical health services and the effect, influencing patient satisfaction as. well as intentions of re-visiting such hospitals. Methods : SPSS 10.0, a statistical processing method, was used to process the study data and frequency and ANOVA analysis were used to analyze the differences. Also, Pearson correlation coefficient was performed to analyze the relationships between work satisfaction and health services quality, as well as patient satisfaction and intentions to re-visit such hospitals. Results : Most patients were satisfied with the service, but it was shown that improvement of facilities and medical equipment was needed. The survey showed higher satisfaction with longer experience of doctors and nurses. Staff recognition of health services quality seemed lower than patient satisfaction, so efforts to improve the health services and relationships between health services quality and patient satisfaction are necessary. Conclusion : Higher quality and satisfaction with Oriental medical health services are going to improve total re-use intention to a significant degree.

• The Korean Journal of Community Living Science
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• v.26 no.1
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• pp.5-18
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• 2015

This descriptive study investigates the need for, satisfaction with, and availability of local healthcare services for elderly individuals. The subjects included 210 individuals aged 65 years over, and data were analyzed using SPSS. The subjects reported the limited availability of local healthcare services but a high level of satisfaction with and a strong need for these services. The subjects used these services mainly for their vaccination and perceived cost-effectiveness as the most important factor motivating their decision to use these services and a lack of publicity as the most important factor discouraging their use. Spouses, jobs, and health conditions showed significant differences in the level of satisfaction and availability, and diseases showed significant differences only in the need. These results suggest that local healthcare centers should provide services that many elderly patients can use through outreach services, connections to local communities, and active publicity instead of expanding service types.