• Korean Institute of Interior Design Journal
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• v.14 no.1
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• pp.109-117
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• 2005

The women's roles In 21s1 century in Korea is increasing as the industry, economy is growing and changing rapidly; thus raising the necessity and importance of early learning. Naturally the importance and needs of children's day-care center is increasing both in quantitative and quality matters, there needs for much improvements. This study selected 8 workshop day-care centers in Seoul area, where most day-care centers are located, and analyzed interior spaces; thus presenting the appropriate model of interior space in child day-care center. Starting with, examining theologically, this study focused on the history of child day-care center and the 8 selected day-care centers in Seoul. By analyzing the operation status, blue prints, and picture, this study focused on improving the interior spaces in day-care centers. The presented improvement in spaces are the fellowing, First, half of day-care centers in workshops had independent buildings and most were multi-storey building. Second, running status vary. The open hours and number of teachers were fine but the budgets ratio of the employer and the worker ratio needed improvements. Third, there is need for detailed more improvement In managing area, educational area, and service area. It recommendable for spaces of day-care centers in workshops to be a single-storey building with managing and service space placed In center with educational rooms on each sides, with single hall way.

• Journal of The Korea Institute of Healthcare Architecture
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• v.14 no.3
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• pp.23-33
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• 2008

The purpose of this study was to propose the Guidelines for the Program and Space of Adult Day Care Center. Recently the Adult Day Care Center is extremely on demand caused by the increasing population of the elderly. In order to provide the affordable and efficient rehabilitation program the architectural setting should be turned to that purpose. In particular, the adult day center program must have the programs for three kinds of the elderly in terms of health status, for example, Altzheimer's disease, paralysis, and sickly elderly. Therefore this study propose the way of planning the program and spaces to give the appropriate care for Adult Day Care Center.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2006.11a
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• pp.170-173
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• 2006

Escalating rate of working women is increasing the necessity for day-care centers. Moreover, insufficient child-care system is known as one of many factors that relate to the seriously low birth-rate of our society. Therefore providing more adequate day-care centers can not be regarded as a mere personal necessity but a social need to be considered at corporate and governmental level. The current study analyzes 'Reggio-emilia teaching method' which is a type of early childhood educational program and its relationship to the built environment. It also examines current interior spaces of Reggio-emilia day-care centers and suggests designs for an day-care center appropriate for educating children in Korea.

• Child Health Nursing Research
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• v.16 no.2
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• pp.93-101
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• 2010

Purpose: The purpose of this study was to provide basic data to develop appropriate sexual education program for children in day care centers. Methods: The data were collected from 361 day care center teachers using self-report questionnaire. Results: 1) The mean score of the degree of sexual education for children was high at the score of 4.18 (${\pm}0.43$). 2) In the mean score of 3 sub-areas, 'living' area was at the highest at the point of 4.32 (${\pm}0.31$), 'social' area was 4.28 (${\pm}0.46$), and 'physical' area was 3.94 (${\pm}0.55$). 3) There was significant difference in the degree of sexual education requirement according to subject's major (t=-2.586, p=.010). Conclusion: It is necessary to include all items of sexual education for early-childhood children in day care center.

• Journal of the Korean Home Economics Association
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• v.40 no.7
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• pp.193-210
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• 2002

The purpose of this study is to identify the characteristics of physical setting of adult day care as a place for the elders and adult and to develop an basic understanding of the architectural program and physical setting for adult day care for the cognitively-impaired in the U.S.A. The data was collected from 13 Adult Day Care Centers(ADCC) from 2001 to 2002 by interview and the documents about those facilities. Physical environment should be viewed as an element in the care of individuals with dementia, and that the principles used to plan and design environment should be consistent with the principles used in providing other aspects of care. The results of the study provided the information about the best condition of physical setting of ADCC for the elderly with dementia. Memory Loss Adult Day Center and St. Ann Center for Intergenerational Care have better architectural program than other facilities. It is the hope of this study to provide guideline for design and care professionals with a first draft of a "sense-making" template and to slow own the progression of the disease by the appropriate physical environment.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.80-92
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• 1999

The purpose of this study was to survey appropriateness of admission and days of care for the cerebral ischemia patients as a basis to provide an effectiveness of hospitalization. The authors retrospectively reviewed the medical records of cerebral ischemia patients in two hospitals from November 1997 to February 1998. Of 194 medical records reviewed, there were 2108 medical days. I t is used a 'Appropriateness Evaluation Protocol' previously developed by Gertman and Restuccia (1981) and translated by Department of Health Management, Seoul National University and Korea Institute for Health Services Management (1993), It was found that the 'Appropriateness Evaluation Protocol' had a high inter-rater reliability(k=.92), Statistical significant was tested by using the percentage, mean, and logistic regression by SAS 6.12. The results were as follows; 1. The appropriate admissions were 87.6%, days of care 63.4%, and the average length of stay $10.9{\pm}6.7$ days. 2. The reasons of inappropriate admissions were for work-up(75.0%) and conservative care (25.0%). Major reasons of inappropriate days of care were 'cases in which the medical purpose of hospitalization has been accomplish or can be addressed in a less setting(45.0%)', and 'cases in which there is a delay in performing the work-up or treatment which required patients is hospitalized (44.4%)'. 3. Appropriate days of care were higher as ageing. Appropriate days of care were higher in patients with lower accademic back ground than those of upper college graduates, and in the patients who enter a hospital via emergency room than out-patients department. Appropriate days of care were higher in the patient with MCA infarction, and lower in the patient with cerebellar infarction than the patient with lacunar infarction. Appropriate days of care were higher in attack first than attack above second, in nomortension patients than hypertensive, and lower in groups who engaged in semi-private room and public room than private room in hospital. Appropriate days of care were higher in shorter length of stay than longer length of stay. 4. Diagnosis, admission path, and appropriate days of care explained appropriate admissions. Diagnosis, appropriate admissions, hypertension explained appropriate days of care. According to the above results, author confirms the substantial amount of inappropriate hospital bed utilization. To reduce inappropriateness, it is necessary to develop some alternative services such as home care services or nursing home with which can be replaced inpatient services and to introduce policy such as case management which includes Critical Pathway for consistent management. And, it should be followed the further study for the effectiveness.

• Journal of the Korean Home Economics Association
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• v.48 no.3
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• pp.87-97
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• 2010

The purpose of this study was to investigate the basic materials for enhancing the professionalism of 51 infant/toddler teachers through in-depth interview about the actual condition of child care centers. The results were as follows: First, the infant/toddler teachers got less credits of young child care and education subjects than day care teachers did. The current criteria for qualification of infant/toddler teachers was not appropriate for providing the child care services. An efficient and substantial curriculum must be designed to facilitate the day care services for infant/toddler teachers. Second, the infant/toddler teachers recognized that their roles were similar to child care teachers. The curriculum and practice must encourage and nurture the characters, beliefs, and dispositions of infant/toddler teachers. Third, it is necessary to review the various problems to enhance the professionalism of infant/toddler teachers. Several suggestions for enhancing the professionalism are discussed.

• Journal of Korean Critical Care Nursing
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• v.1 no.1
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• pp.47-57
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• 2008

Purpose: Providing oral care is one of the most important nursing interventions in ICU. Good oral health prevents various complications including pneumonia and improves patients' well-being as well. The purpose of this study was to indentify the ICU nurses’awareness and performance on oral care. Methods: Using a convenient sampling, 170 ICU nurses from 5 university hospitals in two metropolitan cities were selected. Results: Of the 170 nurses in this study, 95.9% were aware of the importance of oral care. Subjects responded that providing oral care three times or more a day was appropriate to prevent ventilator associate pneumonia. 43.5% of the subjects acknowledged that they didn’t know what the most effective oral care solution was. In oral care performance, 61.8% of subjects provided oral care once a day for patients with intubation, and 74.7% used oral solutions without knowing the exact pharmacological effects of them. Conclusion: As the results of this study, most ICU nurses realized the importance on oral care for ICU patients, but the frequency of performance was low. To improve oral care performance in the ICU, structured education should be provided to ICU nurses and evidence based oral care protocols need to be developed.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• Journal of Korean Critical Care Nursing
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• v.10 no.1
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• pp.1-12
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• 2017

Purpose: This study aimed to estimate the appropriate nurse staffing ratio in intensive care units (ICUs) by measuring nursing workload based on patient's severity and needs, using the Korean Patient Classification System for critical care nurses. Methods: The data were collected from January 18 to February 29, 2016 using a standardized checklist by observation or self-report. During the study period, 723 patients were included to be categorized from I to IV using the patient classification system. Measurement of total nursing workload on a shift was calculated in terms of hours based on the time and motion method by using tools for surveying nursing activities. The nursing activities were categorized as direct nursing care, indirect nursing care, and personal time. Total of 127 cases were included in measuring direct nursing time and 18 nurses participated in measuring indirect and personal time. Data were analyzed using descriptive statistics. Results: Two patients were classified into Class I (11.1%), 5 into Class II (27.8%), 9 into Class III (50%), and two into Class IV (11.1%). The amount of direct nursing care required for Class IV (513.7 min) was significantly more than that required for Class I (135.4 min). Direct and indirect nursing care was provided more often during the day shift as compared to the evening or night shifts. These findings provided the rationale for determining the appropriate ratio for nursing staff per shift based on the nursing workload in each shift. Conclusions: An appropriate ratio of nurse staffing should be ensured in ICUs to re-arrange the workload of nurses to help them provide essential direct care for patients.