• 한국치위생학회지
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• 제15권3호
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• pp.363-369
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• 2015

Objectives: The purpose of this study is to investigate the cognition and practice of infection control in the dental hygienists. Methods: A self-reported questionnaire was completed by 220 dental hygienists in Busan and Gyeongnam from August 1 to 31, 2014. The questionnaire was adapted from Nam. The questionnaire consisted of four questions of the general characteristics of the subjects, two questions of infection control factors, four questions of clinic environment, 50 questions of awareness of infection control, and 50 questions of infection control practice. Cronbach's alpha in the awareness of infection control was 0.958 and that in infection control practice was 0.950. Results: The dental hygienists in the large scale hospitals tended to have higher score of cognition and practice of infection control thatn those in the small scale hospitals(p<0.001). Small scale hospitals tended to have lower infection rate than the large scale hospitals. The education for the infection control guideline reduced the infection prevalence rate. Conclusions: In order to reduce the infection prevalence rate, it is necessary to educate the dental hygienists continuously and to provide the infection control guideline to the dental clinics.

• 한국응급구조학회지
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• 제20권2호
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• pp.81-97
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• 2016

Purpose: This study aimed to investigate the awareness and direction of paramedics work and image in hospitals. Methods: From April 16 to May 5, 2015, data were collected through structured questionnaires from 45 paramedics and 81 nurses working in emergency medical institutions. The data were analyzed using SPSS version 18.0. Results: The work of paramedics is evaluated to be highly worthy at the in-hospital level rather than at the injury first-aid treatment level. It appears that paramedics are often forced to do what their hospitals tell them to do concerning matters related to conflicts with them and nurses. Paramedics stated that they experienced greater mental stress than those engaging in other professions, a finding similar to those of other studies. There was no statistically significant difference in opinions between the two groups about a desirable direction for the development of first-aid services at hospitals. More than two thirds of the respondents said that paramedics should be given the right to enter acting check for patients. Conclusion: Paramedics work is shown to differ in the opinions of paramedics themselves and nurses. Paramedics need for reform is associated with expanding the work of the law.

• 한국콘텐츠학회논문지
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• 제17권12호
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• pp.127-137
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• 2017

본 연구는 중소병원에 근무하는 의료기사의 병원감염관리에 대한 인식과 수행정도를 확인하기 위한 연구이다. 의료기사(임상병리사, 방사선사, 물리치료사) 235명을 대상으로 하였으며 통계적 처리는 SPSS Ver.23.0으로 평균과 표준편차, 분산분석, 회귀분석을 실시하였다. 연구결과, 감염관리가 제대로 수행되지 않는 주원인은 전문가 부재($3.17{\pm}1.18$)이며, 감염관리에 대한 인지도보다 수행도가 통계적으로 유의하게 낮았다. 감염사고 후 아무런 조치를 하지 않았다40.0%(94명)가 가장 높았으며, 소독 검사 예방접종 후 부서장에게 보고는 표준화회귀계수 베타가 -0.265, p=0.025로 유의한 음(-)의 영향을 미쳤다. 감염관리 수준은 교육여부 및 감염관리지침여부와 유의한 양의 상관관계를 보였다. 따라서 중소병원 의료기사들의 감염관리에 대한 전문인력, 교육, 감염관리지침 등의 필요성을 확인하였으며 이를 통해서 더욱더 효율적인 감염관리가 가능해질 것으로 사료된다.

• 대한간호학회지
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• 제46권1호
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• pp.118-127
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• 2016

Purpose: The study purposes were to construct and test structural equation modeling on the causal relationship of community residents' perceived quality of care, image, and role performance with satisfaction, intention to (re)visit and intention to recommend hospital. Methods: A cross-sectional survey was conducted with 3,900 community residents from 39 district public hospitals. The questionnaire was designed to collected information on personal characteristics and community awareness of public hospitals. Community awareness consisted of 6 factors and 18 items. The data were collected utilizing call-interview by a survey company. Research data were collected via questionnaires and analyzed using SPSS version 20.0 and AMOS version 20.0. Results: Model fit indices for the hypothetical model were suitable for the recommended level: ${\chi}^2=796.40$ (df=79, p<.001), GFI=.93, AGFI=.90, RMSR=.08, NFI=.94. Quality of care, image, and role performance explained 68.1% of variance in community awareness. Total effect of quality of care process factors on satisfaction (path coefficients=3.67), intention to (re)visit (path coefficients=2.67) and intention to recommend hospital (coefficients=2.45) were higher than other factors. Conclusion: Findings show that public hospitals have to make an effort to improve community image through the provision of quality care, and excellent role performance. Support for these activities is available from both Central and Local Governments.

• 한국치위생학회지
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• 제22권4호
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• pp.273-280
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• 2022

Objectives: This study aimed to investigate the perception of dental infection-control coordinator (DICC) among dental hygienist and determine whether there is a difference in perception depending on the type of work. Methods: Dental hygienists working at the dentistry were conveniently extracted and distributed to 351 patients, and the data of 320 patients were finally analyzed. The chi-square test was conducted to determine the difference in perception of the DICC according to the type of work, and the one-way ANOVA was performed to determine the difference in the perception of DICC tasks. A p-value of <0.05 was statistically significant. Results: General hospitals and university hospitals (100%), dental hospitals (95.8%), and dental clinics (86.6%) showed the highest awareness of the need for DICC. The dental clinics had the lowest level of awareness regarding the duties of the DICC, and dental hospitals and clinics were in different areas with different levels of awareness regarding infection control-related administrative support areas (3.98-4.21 and 3.79-4.12 of 5). Conclusions: Because of a difference in perception regarding the work of DICC according to the type of work, dental organizations should establish the tasks of DICC and develop an education program for a person in charge based on this.

• 한국융합학회논문지
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• 제11권10호
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• pp.307-315
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• 2020

본 연구는 중소병원간호사의 환자안전관리활동에 영향을 미치는 요인을 파악함으로써 중소병원 내 환자안전에 대한 기초자료를 제시하고 환자안전관리활동 강화 프로그램 개발에 필요한 자료를 제공하고자 수행되었다. 연구대상자는 100-300명 미만 중소병원 5곳에 근무하는 총 191명의 간호사이며 자가보고식 설문지를 이용하여 자료를 수집하였다. 자료분석은 기술통계, t-test, ANOVA, 상관분석과 다중회귀분석을 시행하였다. 본 연구 결과, 환자안전문화인식, 환자안전태도 및 자기효능감은 중소병원간호사의 환자안전관리활동과 유의한 양적 상관관계를 나타내었다. 회귀분석결과, 중소병원간호사의 환자안전관리활동에 영향을 미치는 요인은 환자안전태도(β=.39, p<.001), 자기효능감(β=.25, p<.001), 및 환자안전문화인식(β=.17, p=.006)으로 나타났으며, 이 변수들의 설명력은 41.8%였다. 따라서, 중소병원간호사의 환자안전관리활동 증진을 위해 환자안전태도, 자기효능감 및 환자안전문화인식을 향상시킬 수 있는 교육프로그램 개발할 것을 제안한다.

• 기본간호학회지
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• 제26권3호
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• pp.197-209
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• 2019

Purpose: This study was done to examine good death awareness, attitudes toward advance directives (ADs), and preference for care near the end-of-life (PCEOL) of hospitalized elders in long-term care hospitals. Relevant characteristics were investigated as well as correlation of the variables. Methods: This descriptive research study involved 161 hospitalized elderly patients in long-term care hospitals. A self-report questionnaire was used to measure Good Death Scale, ADs Survey, PCEOL Scale, and general characteristics. Collected data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation with SPSS/WIN 23.0. Results: In terms of good death awareness, a significant difference was observed; in according to age (F=3.35, p=.037), payer of treatment costs (F=3.98, p=.021), mobility (F=3.97, p=.021), heard discussion about ADs (t=-3.89, p<.001), and willing to complete ADs (t=2.12, p=.036). As far as attitudes toward ADs, the participants presented significant difference depending on religion (t=2.38, p=.018), average monthly income (F=3.91, p=.022), duration of hospital admission (F=5.33, p=.006), person to discuss ADs (t=-2.76, p=.006). On PCEOL, there was a significant difference, depending on religion (t=-3.59, p<.001) and perceived health status (F=3.93, p=.022). Finally, as for how the variables were related to each other, good death awareness and attitudes toward ADs had a weak positive correlation with PCEOL. Conclusion: To help seniors staying in nursing homes face a good death and enjoy autonomy, there should be educational and support systems that reflect each individual's sociodemographic characteristics so that the seniors can choose what kind of care they want to receive near the end-of-life.

• 치위생과학회지
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• 제23권4호
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• pp.396-407
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• 2023

Background: This study investigated the awareness and utilization of maternity protection and work-family balance support policies among dental hygienists in dental hospitals and clinics. Methods: We surveyed 200 dental hygienists. Twenty-two who did not meet the inclusion criteria were excluded, leaving 178 participants for analysis. The self-administered 48-item questionnaire gathered information on demographics, workplace details, policy awareness, government knowledge, and suggestions for improvement. Results: Awareness of maternity and family support programs significantly differed with age, marital status, number of children, and clinical experience. Dental hygienists in general hospitals and university hospitals reported greater ease of utilizing these policies compared to those in dental clinics. Among the participants, 27.7% took pre- and post-maternity leave, 26.6% took parental leave, 16.9% had reduced working hours during pregnancy, 15.8% had reduced working hours during childhood,and 8.5% during family leave. To promote program uptake, participants suggested mandatory implementation across workplaces (68.4%), expanded support for substitute workers (48.6%), and increased education and promotion of government support (42.4%). Conclusion: While most dental hygienists were aware of the Maternity Protection and Work-Family Balance Assistance Policy, utilizing it proved challenging due to several factors. Organizational policies or practices may not fully implement this policy, while workplace culture could discourage its use. Unfair treatment and the lack of available substitutes further hindered access. To prevent career interruptions for dental hygienists due to pregnancy, childbirth, childcare, and family care, and to maintain career continuity, the dental community and government should establish a multifaceted social support system. This system should prioritize several key areas: strengthening policy promotion, fostering a family-friendly atmosphere, improving management and supervision of policy implementation and developing a robust support system for substitute personnel.

• 한국병원경영학회지
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• 제15권3호
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• pp.1-16
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• 2010

As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses' awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses' performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses' awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses' job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.425-435
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• 2019

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.