• Title/Summary/Keyword: 통합병원

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The Influence of Compassion Fatigue, Compassion Satisfaction and Nursing Organizational Culture on Burnout in Integrated Nursing Care Units Nurses (간호·간병 통합서비스 병동 간호사의 공감피로, 공감만족 및 간호조직문화가 소진에 미치는 영향)

  • Kim, Mi-Soo;Shin, Dong-Soo;Choi, Yong-jun;Lee, Jongeun;Lee, Youn-Jung
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.684-695
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    • 2021
  • The purpose of this study was to identify the influence of compassion fatigue, compassion satisfaction and nursing organizational culture on burnout in integrated nursing care units nurses. The participants were 170 nurses working in integrated nursing care units of three general hospitals located in Seoul and Gyeonggi-do. Data were analyzed using independent t-test, ANOVA, Scheffé, Pearson's correlation and stepwise multiple regression analysis. Burnout was significantly different according to turnover intention, job satisfaction, health status. Burnout showed a positive correlation with compassion fatigue and a negative correlation with compassion satisfaction and relation oriented culture. Regression analysis revealed that compassion fatigue, compassion satisfaction, relation oriented culture and age were significant variables affecting the burnout, and the lower the age, the higher the burnout. Therefore, strategies to decrease compassion fatigue and to enhance compassion satisfaction and positive aspects of relation oriented culture for lower age nurses group are needed.

BIO 정보 통합 활용을 위한 웹 서비스 기반 멀티 에이전트 플렛폼

  • 김일곤
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2002.06a
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    • pp.123-137
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    • 2002
  • 생물정보공학을 위한 학문적/실용적 접근은 전산학, 생물학, 유전공학, 수학/통계학등이 유기적으로 통합되어 이루어져야 한다. 그러나 각계의 전문가가 서로의 특정 지식을 활용하기 위한 물리적인 기반이 갖추어져 있지 않은 상태에서는 각 분야의 전문적 지식 활용이 용이하지 않다. 현재의 의료 서비스 제공자/병원이 가진 방대한 의료 데이터를 생물정보공학 령역에서 활용할 수 있도록 해야 하고, 진료 데이터에 근거한 유전적 정보 분석을 위해 생물학 전문가들이 생성하는 인간 질병에 관한 유전적 분석, 연구 결과를 다시 의료 서비스 제공자에게 돌려주는 순환적 사이클이 필요하고, 이러한 순환적 사이클 지원자는 정보 기술이라고 생각한다. 인간 질병 극복과 좀 더 나은 진료, 예방책을 제공할 수 있도록 생물정보공학, 의료정보학, 컴퓨터과학의 통합 활용 목표를 설정할 수 있다. 각계의 전문가가 지식을 공유할 수 있고 기존의 병원 시스템 및 유전 연구소 등의 시스템을 통합하여 유기적으로 엮음으로써 데이터를 의미 있게 해석하고 공유할 수 있도록 지원하는 프레임워크가 절실히 요구된다. 본 세미나에서는 의료정보학과 생물정보공학에서 활용하는 시스템 통합, 전문 지식의 통합적 활용을 위해 각 전문가를 대신하는 에이전트로 구성된 멀티에이전트 플랫폼을 제시하여, 각 분야가 갖는 전문성 확보, 광고, 유기적 연결을 멀티에이전트 시스템에게 위임함으로써 각 영역에서 서비스 할 수 있는 내용과 서비스 제공 주체인 각계의 전문가 집단을 유기적으로 통합하고자 한다. 의료 영역에서 이루어진 의료 영상 통신 시스템 (Picture Archiving and Communication Systems), 의료 정보 표준화를 위한 HL7 (Health Level 7)에 대해서 경북대학교 지능정보 연구실에서 연구, 개발한 내용을 발표한다. 의료 정보 시스템과 생물학 영역의 유전체 정보 데이터베이스 시스템 사이에 의미 있는 데이터 전송, 지식 획득을 위해 정보 기술 분야에서 활용해야 할 영역으로 XML Web Services, Multi-agent Systems, 전문가 컴뮤니티를 위한 그룹웨어 연구 개발에 관해 사례 중심으로 발표한다.

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Job Analysis Depending on Agency Type of Korean Pediatric Occupational Therapists Focused on Sensory Integration (감각통합치료를 하는 아동작업치료사의 기관별 직무 차이)

  • Hong, Eunkyoung;Choi, Jeong-Sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.2
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    • pp.26-35
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    • 2018
  • Objective : The aim of this study was to investigate job tasks of Korean pediatric occupational therapists focusing on sensory integration intervention provided in hospitals, private centers, welfare centers, and to identify job differences depending on the types of agency. Methods : A survey was performed for 122 pediatric occupational therapists focused on sensory integration intervention by utilizing a questionnaire from July to September 2017. The questionnaire was consisted of job description for the pediatric occupational therapists. Results : There were differences in tasks' importances, frequencies, and difficulties according to the three type of agency. Differences were showed total 10 tasks in importance, total 7 tasks in frequency, and total 2 tasks in difficulty depending on the agency type. Conclusion : Occupational therapists need to identify job differences depending on agency type and to develop essential competencies required to perform the job tasks which emphasized at each agency.

A Study on the Design of DICOM Integration Engine in the Ubiquitous Computing Environments (유비쿼터스 컴퓨팅 환경에서의 DICOM 설계에 대한 연구)

  • Im, In-Chul;Ha, An-Rye;Kim, Chang-Soo;Hwang, In-Chul;Ok, Chi-Sang
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.307-315
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    • 2005
  • In the ubiquitous computing environments, ICT industries of current society are developed in enormous growth. Medicine or patients with mobile devices can access at any time, any place. The medical procedures at the patient bedside are out of the scope of current systems, which means that patient record and image data access during the medical visit or the execution, recording and confirmation of the medicine prescriptions, still do not enjoy computerized support. Today, the exchange of medical images and clinical information is well defined by DICOM and HL7 standards. The DICOM independent terminal equipment image access system was developed in which a DICOM Engine acts as the gateway between a PACS DB and user's terminal. Implementation system is compatible with most currently available Integration system models. This paper presents a software technology where the medical and nursing staff will be equipped with any device connected by wire and wireless to a central server that provides access to the electronic patient records and that will actively inform about tasks pending distribution. The prototype described in this article implements a medical images and structured reports server that makes the search and recovery of data stored in the DICOM standard possible.

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A Comparative Study on the Nurses Job Satisfaction and Quality of Life in Integrated Nursing Care Service and General Wards in a Tertiary Hospital (상급종합병원 간호·간병통합서비스병동과 일반병동 간호사의 시점별 직무만족도 및 삶의 질 비교연구)

  • Ha, Yu-Mi;Ha, Eun-Ho;Kim, Ji-Hee;Kim, Hyo-Ju
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.56-66
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    • 2022
  • The purpose of this study was to investigate the job satisfaction and quality of life of nurses in a integrated nursing care service ward (INCSW) and a general ward (GW). A total of 88 nurses working in INCSW and GW were invited and followed up for 6 months over 3 times. There was no significant difference in job satisfaction between INCSW and GW for 6 months, while there was a difference in quality of life: overall quality of life (1st p=.033, 2nd p=.030), and overall general health (1st p=.049). Comparison of two groups by period in job satisfaction, there were statistically significant differences of the item 'recognition from the organization and professional achievement' (2nd versus 3rd, p=.037) and 'interpersonal interaction with respect and recognition' (1st versus 3rd, p=.005; 2nd versus 3rd, p=.006) in the INCSW. Comparison of two groups by period in quality of life, there was a statistically significant difference of the item 'overall quality of life' (1st versus 3rd, p=.025; 2nd versus 3rd, p=.010) in the INCSW. Development of various nursing strategies (such as manpower arrangement that reflects the nursing skill levels, patient needs, job training and organizational culture before placement) can be helpful for improving nurses job satisfaction and quality of life in INCSW and GW.

통합병원정보시스팀(Integrated Computerised Hospital Information System;ICHIS) 개발

  • 대한병원협회
    • Journal of the Korean hospital association
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    • v.17 no.1.2 s.151
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    • pp.51-55
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    • 1988
  • 현재 우리나라의 모든 산업계에서는 컴퓨터시스팀을 도입하여 사무자동화(O.A;Office Automation)와 공장자동화(F.A;Factory Automation)등을 통하여 생력화는 물론 이에 관련된 제반 정보를 축적, 활용하여 경영의사결정에 이용되고 있다. 병원의 경우, 아무리 규모가 작더라도 타산업에 비할 수 없을 정도의 많은 정보가 생산되고 있으며 이렇게 생산된 정보를 사장시키지 않고 축적, 활용하기 위해서는 전산시스팀의 도입이 불가피하다. 그러나 실제로 시스팀 도입하기까지에는 기술적, 행정적으로 많은 문제점이 따르며 따라서 시스팀도입의 성공여부는 그 접근방법에 좌우된다고 할 수 있다. 다음은 1987년 3월호 'Hospital and Heathl Services Revew'지에 실린 영 Hammer smith and Queen Charlotte's SHA*의 사례로서 시스팀의 도입, 운영, 기타사항들을 소개하기로 한다.

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Effects of Fall Prevention Educational Program for Nurses in Comprehensive Nursing Care Units (간호⋅간병통합서비스병동 간호사를 위한 낙상예방교육프로그램 효과)

  • Jo, Eun-Gyeong;Seong, Mihyeon;Lee, Yoonshin;Sok, Sohyune
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.190-200
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    • 2019
  • This study was to examine the effects of fall prevention educational program on the related knowledge, attitude, and self-efficacy of nurses working in Comprehensive Nursing Care Unit, general hospital. A quasi-experiment with a nonequivalent control group non-synchronized design was used, Participants included a total of 40 nurses as the subjects (Intervention: n=20, Control: n=20) working in Comprehensive Nursing Care Unit, general hospital, Seoul. Data were collected form March through May, 2017. Data were analyzed by using the SPSS/WIN 21.0 program. Intervention group showed significant higher knowledge (F=189.03, p<.001), attitude (F=761.74, p=.003), and self-efficacy (F=188.50, p=.002) scores than them of control group. The fall prevention educational program was an effective intervention for improving the related knowledge, attitude, and self-efficacy of nurses working in Comprehensive Nursing Care Units, general hospital. Therefore, the results show the necessity of developing and applying the systemic nursing intervention to improve preventive behavior on falls.

The Relationships among Awareness of Patient Safety Culture, Critical Thinking Disposition and Patient Safety Nursing Activities of Nurses among Comprehensive Nursing Care Service Ward (간호·간병통합서비스병동간호사의 환자안전문화인식, 비판적 사고성향과 환자안전간호활동의 관계)

  • Cheon, Goun;Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.345-354
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    • 2018
  • This study was conducted to identify the levels of patient safety culture, critical thinking disposition, and patient safety nursing activities and determine the factors affected by patient safety nursing activities among nurses in comprehensive nursing care service wards. Subjects consisted of 150 nurses from general hospitals in B city, Korea, and data were analyzed using the SPSS Win 21.0 program. The mean scores of awareness of patient safety culture, critical thinking disposition, and patient safety nursing activities were $3.32{\pm}0.32$, $3.50{\pm}0.31$, and $4.28{\pm}0.46$, respectively. The awareness of patient safety culture was significantly different by clinical career in the present unit (F=4.79, p=0.001). The critical thinking disposition was significantly different by age (F=3.89, p=0.010) and position (F=6.40, p=0.002). There were differences in the scores of patient safety nursing activities according to position (F=3.19, p=0.044). Additionally, hospital environment (${\beta}=0.25$, p=0.014), supervisor attitude (${\beta}=0.20$, p=0.046), and position (${\beta}=0.14$, p=0.040) accounted for a 44.4% variance in patient safety nursing activities. To promote patient safety nursing activities in comprehensive nursing care service wards, positive awareness of the hospital's safety environment and support from the manager are required.

Reengineering of Hospital Administration Process for Efficient Hospital Management (병원경영의 효율화를 위한 원무프로세스 재설계)

  • Chun, Je-Ran
    • The Journal of the Korea Contents Association
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    • v.7 no.6
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    • pp.169-176
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    • 2007
  • Hospital managements are faced with severe competition and need more complicated information systems for its efficiency than before. Hospital managers have to deal with these environments and provide patients with better services than ever to survive. This thesis analyzes and redesigns the hospital administration processes in terms of patient-oriented view. For that purpose we define the processes of the hospital administration using process design tool like ARIS-Toolset. We also introduce basic concepts of Hospital Information Systems(HIS). We finally reviewed the result of reengineering of hospital management process with AHP methodology.

Effects on Unplanned Extubation, Oral Mucosa, and Facial Skin Integrity of New Method to Secure Endotracheal Tube (새로운 기관튜브 고정기구 적용이 비계획적 발관과 구강·안면 피부 통합성에 미치는 효과)

  • Kim, Jung Sook;Lee, Eun Sook;Park, Jin Hyang
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.49-59
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    • 2009
  • Purpose: Examination was done of the effects on unplanned extubation, oral mucosa, and facial skin integrity in patients with oral intubation secured with a new method using Multifix Endo II. Methods: A prospective quasai-experimental design was used. Data were collected during a 3-week EICU admission period between Jun. 1 and Nov. 30. Two hundreds seventeen (conventional taping group: 105, Multifix Endo II group: 112) orally intubated adults were enrolled in the study at the EICU of the C University Hospital. Results: The incidence of unplanned extubation (${\chi}^2=11.580$, p=0.03) and scores for the facial skin integrity impairment of the Mutifix Endo II group (t=5.28, p=.000) were significantly lower than those of the conventional taping group even though the scores for oral mucosa impairment were not different. The nurse's evaluation of the clinical effectiveness of the two methods including convenience, comfort, safety, and satisfaction were also higher for the new securement method compared to the conventional taping group. Conclusion: The securement method using Mutifix Endo II was more effective than the conventional method in the prevention of unplanned extubation and maintenance facial skin integrity.