• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3131-3137
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• 2013

Background: Visual inspection of cervix with acetic acid (VIA) is offered at 252 centers in 64 districts of Bangladesh. VIA+ve women are managed at colposcopy clinics of Bangabandhu Sheikh Mujib Medical University (BSMMU) and 14 Medical College Hospitals (MCHs). This research work has been supported by 'UICC Cancer Prevention Campaign' programme. Objectives: This study explored the role of print materials and electronic media to improve cervical cancer screening in the present socio-cultural context of Bangladesh. Methods: This study was performed from January to August 2011 at two upazilas of Bangladesh (Singair with screening facility and Sonargaon without screening facility). Data were collected by focus group discussion (FGD) with women, husbands and community people before and after intervention. Information on cervical cancer screening and VIA camps was disseminated using advertisement through local cable line of the television, microphone announcement, service providers and leaflet throughout the week prior to a VIA camp. Three-day VIA camps were organized at the upazila health complex (UHC) of both upazilas. Quantitative data was gathered from women at the camps on source of information on VIA and the best method of awareness creation. Results: The population was aware of "cancer" and a notable number knew about cervical cancer. Baseline awareness on prevention and VIA was low and it was negligible where screening services were unavailable. Awareness was increased fourfold in both upazilas after interventions and half of the women and the majority of the community people became aware of screening and available facilities. Cable line advertisement (25.5%), microphone announcement (21.4%), and discussion sessions (20.4%) were effective for awareness creation on VIA. Television was mentioned as the best method (37.4%) of awareness creation. Conclusion: Television should be used for nation-wide awareness creation. For local awareness creation, cable line advertisement, microphone announcements and health education at Uthan Baithaks/ EPI sessions can easily be adopted by the government.

• 한국방사선학회논문지
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• 제16권2호
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• pp.77-85
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• 2022

본 연구는 설문조사를 통해 혈관조영검사실 종사자의 감염관리 실태를 조사하여 그에 따른 인식도와 수행도를 알아보고자 하였다. P지역에 소재한 종합병원급 이상 10개 병원의 혈관조영검사실에 근무하는 종사자 126명을 대상으로 2022년 1월 3일부터 1월 28일까지 설문조사를 실시하였으며 내용으로는 대상자의 일반적 특성 10문항과 혈관조영검사실의 감염관리의 주요 항목인 4개 영역 즉, 의료기관 내 감염관리체계, 개인위생, 혈관조영검사실 환경, 혈관조영검사실 장비로 구분한 총 56문항을 Likert 5점 척도로 측정하였다. 자료 분석은 SPSS for WindowTM release 25.0을 이용하여 통계 처리를 하였다. 일반적 특성에 따른 각 영역의 인식도와 수행도의 분석은 t-test, one-way ANOVA로 하였고 변수들 간의 관계는 Pearson 상관관계분석을 시행하였다. 결과로는 모든 영역에서 인식도가 수행도보다 높게 나타나 인식의 수준에 비하여 수행력이 낮음을 알 수 있었다. 또한 인식도와 수행도가 양의 상관관계를 보이고 있어 종사자의 인식 정도가 수행력에 유의한 영향을 미치는 감염관리의 중요한 변수임을 알 수 있었다. 따라서 효과적이고 체계적인 감염관리를 위해서 혈관조영검사실의 종사자는 감염관리의 수행도를 반드시 높여야 할 것이며 그러기 위해선 감염관리 교육이 필요할 것으로 생각되며 앞으로 혈관조영검사실 감염관리 지침이 체계화되어야 할 것으로 판단된다.

• 문화기술의 융합
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• 제9권6호
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• pp.355-363
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• 2023

본 연구는 의료종사자의 노인에 대한 지식, 소진, 직무만족도와 노인학대 인식 간의 관계를 확인하기 위해 시도되었고 1개 특별시, 3개 광역시에 위치한 8개 보건소, 15개 요양병원, 30개 대학병원 기관에서 근무하는 의사, 간호사, 간호조무사 371명을 대상으로 하였다. 본 연구 결과 노인에 대한 지식은 노인학대 인식과 유의한 양의 상관관계가 있는 것으로 나타났고(r=.14, p<.01), 소진은 직무만족도(r=-.55, p<.01)와 노인학대 인식(r=-.10, p<.05)과 관계에서 유의한 음의 상관관계가 있는 것으로 나타났다. 직무만족도는 노인학대 인식(r=.13, p<.01)과의 관계에서 유의한 양의 상관관계가 있는 것으로 나타났다. 노인학대 인식은 노인에 대한 지식(r=.14, p<.01), 직무만족도(r=.13, p<.01)와 유의한 양의 상관관계가 있는 것으로 나타났고, 소진과 유의한 음의 상관관계가 있는 것으로 나타났다(r=-.10, p<.05).본 연구 결과 의료종사자의 소진을 줄이고 직무만족도 향상을 통해 노인에 대한 긍정적인 인식과 태도를 함양 할 수 있을 것으로 본다.

• 동서간호학연구지
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• 제26권2호
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• pp.185-195
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• 2020

Purpose: This study examines the factors affecting patient-centered nursing among regional public hospital nurses, with a focus on communications, professionalism, organizational culture, and teamwork. Methods: We included 162 nurses working at five regional public hospitals in G province. Data were collected from October 7 through October 19, 2019 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis using SPSS (Version 24.0). Results: The factors affecting patient-centered nursing included an innovation-oriented culture, working in an intensive care unit, hierarchy-oriented culture, and nursing professionalism. These variables explained 43% of patient-centered nursing. Conclusions: These results suggest that enhancing an innovation-oriented culture is necessary for patient-centered nursing and to improve nurses' awareness about the importance of patient-centered nursing. Moreover, organizational efforts are required to increase nurses' professionalism through suitable educational programs in regional public hospitals.

• 재활복지공학회논문지
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• 제11권4호
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• pp.299-306
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• 2017

국산 의료기기 산업에 대한 다양한 투자와 신기술 도입에 따라 국내의료기기 산업은 비약적인 증가를 하고 있으나 국내 대형의료기관의 국산의료기기 사용률은 여전히 저조한 것으로 조사되고 있다. 본 논문에서는 국내 대형병원에서의 국산 의료기기 사용률과 사용자 및 관리자의 인식조사를 수행하여 국산의료기기의 개선점을 제시하였다. 이를 위해 국내 4곳의 국립대학교병원을 대상으로 전체 의료기기의 종류와 국산 의료기기 사용률에 대한 조사를 진행하고 이를 바탕으로 의료기기 중 중점조사 대상 의료기기를 선정하였다. 중점조사대상 의료기를 대상으로 고장통계와 사용자 인식조사를 수행하였으며 이를 통해 중점조사대상 의료기기의 개선사항을 제시하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권2호
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• pp.59-66
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• 2009

The purpose of this study is to define the concept of sustainability, to understand the traditional belief system, to comprehend user-focused healing environment, to understand the current status of Korean Hospitals, to analyze the selected case studies, and to point the way toward enhanced architectural solutions for healing environment in hospitals. The research results indicate that the design of healthcare facilities with healing effects depend on the considerations of 5 senses of patients. In other words, the sustainable design approach to create a healthy healing environment is very important, and architects must be aware of diverse sensory needs of the patients. In addition, the following factors affection healthcare facilities must be considered to create healing environment for users: - "Emphasis on sustainable Design" for harmony among nature, man, and building. - Creation of user Focused Healing Environment reflecting the suers' senses. - Search for New Hospital Forms through various design experiments to create the most suitable healing environment. - "Perception of Paradigm Shift" form a focus on sickness-oriented to wellness-oriented healthcare facility design. - "Awareness of Creating User-Friendly Environment" covering the entire age group form youth to elderly.

• 한국의료질향상학회지
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• 제27권1호
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• Journal of Hospice and Palliative Care
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• 제25권4호
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• pp.139-149
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• 2022

Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.

• 동서간호학연구지
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• 제30권1호
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• pp.22-30
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• 2024

Purpose: This study aimed to examine the occupational injuries experienced by operating room nurses and investigate the relationship between these injuries and safety climate. Methods: The study involved 198 operating room nurses working in general and tertiary hospitals with more than 300 beds. Results: Among the four sub-factors of occupational injuries experienced by operating room nurses, risks due to ergonomic hazards were the most prevalent and those due to physical hazards were the least. The scores related to occupational injury showed a significantly negative correlation with the safety climate. Conclusions: The findings indicate that higher operating room nurses' awareness of the safety climate is associated with lower rates of occupational injury. Therefore, organizational efforts and interventions are imperative to improve the safety climate within hospitals. Additionally, in order to investigate the safety of operating room nurses more in-depth, it is necessary to expand not only the sample size but also the geographic scope.

• 디지털융복합연구
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• 제11권1호
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• pp.349-359
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• 2013

본 연구는 중소병원의 간호사의 환자안전인식 및 안전간호활동을 조사하고 안전간호활동에 영향을 미치는 요인들을 분석함으로써 보다 안전한 의료서비스 제공의 기초자료로 삼고자 시행 되었다. 대상자는 2012년부터 4월 1개월 동안 3개의 중소병원 간호사 344명을 대상으로 실시하였다. 미국의 AHRQ에서 개발한 Hospital survey of patient safety culture라는 설문지와 의료기관인증문항 중 안전보장활동을 사용하였다. 자료분석은 SPSS 18.0 통계 패키지를 사용하여 기술통계 t-test 및 ANOVA와 Scheffe 사후 분석, Pearson's correlation coefficents, stepwise multiple regression으로 분석하였다. 환자안전인식 수준은 간호사의 경력, 근무시간, 근무부서에 따라 차이가 있었고, 안전간호활동은 간호사의 나이, 직위, 결혼, 간호사 경력, 근무시간에 따라 차이가 있었으며, 간호사의 안전인식수준이 높을수록 안전간호활동 수준이 높았다. 병원에서 환자안전인식 및 안전간호활동 수준을 개선하기 위해서 환자안전정책 및 근무환경개선제도가 요구된다. 근무조건 개선을 위해서 근무시간, 환자대 간호사의 비율을 정규화하는 정책 등이 요구된다.