• Journal of Digital Convergence
• /
• v.19 no.4
• /
• pp.467-475
• /
• 2021

Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.6
• /
• pp.226-236
• /
• 2021

The purpose of this study was to investigate the effect of social support on suicidal ideation among the elderly at welfare centers through the mediating effect of avoidance coping style. This is a descriptive research survey of 392 elderly people at four elderly welfare centers located in G city. Data were collected from October 21 to November 8, 2019, and analyzed using the IBM SPSS/win 26.0 program by t-test, ANOVA, and the Pearson's correlation coefficient. The mediating effect was analyzed by multiple regression analysis according to Baron and Kenny's 3-step analysis procedure. Social support of the subjects was found to be high with an average score of 5.73±1.23, avoidance coping style with 12.53±3.47 points, and suicidal ideations with 6.21±2.06 points. In the correlation between the variables, suicidal ideations were negatively correlated with social support (r=-.146, p=.004) and avoidance coping style (r=.315, p<.001), and these correlations were statistically significant. There was a positive correlation. The avoidance coping style of the elderly using the welfare centers was found to partially mediate the relationship between social support and suicidal ideation (Z=-.270, p<.001). Therefore, to prevent negative emotions such as suicidal ideations in the elderly, various policies and support programs at the local and government level should be continuously implemented.

• Journal of Digital Convergence
• /
• v.18 no.12
• /
• pp.377-387
• /
• 2020

The purpose of this study is a descriptive research study to identify the emotional labor, ethical climate, job satisfaction, and retention intention of nurses in general hospitals, and to identify the relationship between variables and factors influencing the retention intention. The study subjects were 198 nurses working in four general hospitals, and data were collected from September 18 to September 30, 2019 using a structured questionnaire. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS WIN 25.0. As a result of the study, there was a positive correlation between ethical climate(r=.345, p<.001) and job satisfaction(r=.388, p<.001), but emotional labor (r=-.153, p=.031) showed negative correlation. Factors influencing the retention intention of general hospital nurses are job satisfaction(β=.27, p=.001), age(β=.27, p<001), ethical climate(β=.16, p=044), and the explanatory power of the variable was 24.2%. In order to increase the retention intention of general hospital nurses, it is necessary to increase job satisfaction and create a sound ethical climate, and to develop an intervention program that can increase the retention intention by age.

• Journal of Digital Convergence
• /
• v.18 no.12
• /
• pp.435-444
• /
• 2020

This study is a descriptive research to grasp the effects of nurse practice environment on organizational commitment and to confirm the mediating effect of resilience. The subjects of this study were 150 nurses who agreed to participate in this study among clinical nurses working in university hospital and General hospital located in City J and City J and the data were collected through survey. The collected data were analyzed by SPSS 25.0 program. Mean scores were organizational commitment 3.38, nurse practice environment 2.62, and resilience index 3.45. There were significant differences on the organizational commitment index for : age, marriage, clinical experience, job satisfaction and a positive correlation between nurse practice environment and organizational commitment, between nurse practice environment and resilience index and between organizational commitment and resilience index. As a result of research, resilience partially mediated the relationship between nurse practice environment and organizational commitment. The findings suggest that in order to improve the organizational commitment of nurse, converged organizational commitment arbitration program strategies are needed to improve the nurse practice environment and resilience of nurses.

• Informatization Policy
• /
• v.27 no.4
• /
• pp.85-100
• /
• 2020

The purpose of this study is to investigate how level of digital information usage of the middle-aged or elderly people affects life satisfaction and whether social capital mediates the relationship between level of digital information usage and life satisfaction. In this study, we analyzed data of 1,661 people aged 55 or older from the 「2018 Survey on Digital divide」 by the National Information Society Agency. The SPSS 25.0 statistical package was used for the mutiple regression analysis and Baron and Kenny(1986)'s steps for mediation. The statistical significance of the mediated effects of social capital was verified by the Sobel Test. As a result of the analysis, the aged people have a higher life satisfaction when they are women and older, do not live alone, have higher levels of digital informatization usage and social capital. In addition, social capital also revealed to have a mediating role between level of digital information usage and life satisfaction. This shows that social capital needs to be considered along with the level of digital information usage as a way to improve life satisfaction of the middle-aged or the elderly people.

• Journal of Digital Convergence
• /
• v.19 no.7
• /
• pp.263-269
• /
• 2021

It is necessary to investigate the relationship between ego-resiliency, organizational loyalty, organizational commitment, and emotional intelligence of hospital administrative staff and the effect of these factors on emotional intelligence. Therefore, this study investigated the relationship between these factors and emotional intelligence and identified the convergence effect on emotional intelligence in hospital administrative staff. The subjects of the survey were randomly selected 212 administration staffs at 19 hospitals selected from the J area. The data collection was conducted for about a month from May 1 to 31, 2019. The form of the questionnaire used structured anonymous self-administered responses. Emotional intelligence showed a positive correlation between ego-resiliency, organizational loyalty, and organizational commitment. According to the analysis, efforts to enhance ego-resiliency, organizational loyalty, and organizational commitment are needed to increase the emotional intelligence of hospital administration staffs. The findings may be used as basic materials for hospital job management and industrial health education that will raise the emotional intelligence of hospital administration staffs. Future research needs to investigate additional factors related to emotional intelligence and various emotional factors of hospital administrative staff.

• The Journal of the Korea Contents Association
• /
• v.21 no.6
• /
• pp.285-294
• /
• 2021

This study analyzes the factors that determine the attitude toward the electronic wristband(smartband) to check the position of self-quarantine subjects due to COVID-19. Furthermore, I analyze the interaction of class and age among the factors that determine attitudes toward the electronic wristband. In this study, the attitude toward self-quarantine electronic wristband is analyzed as a binary logit model, focusing on class and age. As a result of the analysis, the middle class significantly agreed with the self-quarantine electronic wristband compared to the lower class, and the older the person, the more in favor. On the other hand, the interaction between the class and the age shows that the age weakens the positive effect on the attitude of the self-quarantine electronic wristband in the middle and upper middle classes. The implication of this study is that it is necessary to push for mandatory electronic wristband in areas with high proportion of high-aged people with positive attitude toward self-quarantine electronic wristband and in the same age group, the approval rate is low, so it is necessary to promote mandatory electronic wristband in areas where the vulnerable class is dense.

• Journal of Industrial Convergence
• /
• v.19 no.3
• /
• pp.67-74
• /
• 2021

The purpose of this study is to analyze the research trends of lifelong education workers, based on research articles related to lifelong education workers published in domestic journals from 2001 to 2021, and to provide basic data for future lifelong education workers research. In order to achieve these research objectives, research trends of 40 research articles related to lifelong education workers published in domestic journals were analyzed by research subject and research method, and the detailed research conclusions are as follows. First, as a result of the analysis by characteristics of researches related to lifelong education workers, it has been continuously increasing since 2001 out of a total of 40 articles by year. From 2001 to 2005, there were 2, 8 from 2006 to 2010, 10 from 2011 to 2015, and 20 from 2016 to 2021. By major publication, there were a total of 20 publications, including 8 Lifelong Education Studies, 5 Lifelong Learning Society, 4 Andragogy Today, and 3 HRD Studies, and 20 articles were published in non-mainstream journals. Second, as a result of the analysis of each study subject, there were 20 lifelong education history, 16 lifelong education managers, and 4 others. Third, as a result of analysis by research method, quantitative research was most used, followed by qualitative research, literature research, and mixed research. In future research, many research topics such as analysis of various policies related to lifelong education workers and exploration of development plans should be carried out.

• Journal of Digital Convergence
• /
• v.19 no.6
• /
• pp.419-427
• /
• 2021

The purpose of this study is to identify the recognition and utilization of health information by acquisition channels for preliminary and elderly people. For the survey data of 200 people aged 55 to 64 and 200 seniors aged 65 or older, the chi-square test and Fisher's precision test were performed using MINITAB17. Although the two age groups were similar in obtaining health information through health professionals, preliminary elderly were more likely to obtain health information through mass media and Internet sites. In particular, the collection of health information through internet sites was more than four times higher than that of the elderly. While the preliminary people focused on searching the information on the health care and prevention, older people explored comprehensive information on health, including disease prevention and treatment, through each channel. Both groups showed positive recognition about the acquired health information. The results of this study confirmed that all channels, including internet sites, can be usefully used in the delivery of health-related information to the elderly in the future. In addition, it is suggested to consider age characteristics and health information utilized by each channel in the development of various contents for the improvement of self-health management of the elderly.

• Korean Journal of Psychosomatic Medicine
• /
• v.28 no.2
• /
• pp.168-176
• /
• 2020

Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.