• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.39-49
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• 2019

Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses' perceptions of life-sustaining treatment decisions and "a good death" affect attitudes toward terminal care. Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program). Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of "a good death") were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (${\beta}=.20$, p =.035), a sense of closeness(${\beta}=.19$, p =.041), and the perception of a life-sustaining treatment decision (${\beta}=.22$, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj $R^2=.140$). Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of "a good death" and perceptions of life-sustaining treatment decisions.

• Journal of Digital Convergence
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• v.18 no.12
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• pp.285-292
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• 2020

The purpose of this study is a descriptive investigation study to find out the knowledge, awareness and performance of the nurse's standards precaution(SP) and to identify the factors affecting the performance of them. The research method was collected through a questionnaire from nurses at two general hospitals in B city and analyzed with technical statistics, t-test, ANOVA, Person's correlation coefficient and Multiple regression using the SPSS program. As a result of the average level of knowledge of the SP 22.55/25, recognition 3.68/4, and performance 3.77/4. The recognition of SP and implementation of SP(r=.250, p=.003) had a significant amount of correlation. The influence factor on the implementation of the SP was recognition of the SP(β=-.582, p=.001). Therefore, in order to improve the performance of SP and to respond well to new respiratory infections, accurate awareness of the SP of nurses and opportunities for systematic education and participation in education are needed by medical institutions.

• Journal of Appropriate Technology
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• v.6 no.1
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• pp.37-44
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• 2020

Medical waste is any kind of waste that contains infectious material and recommended not to be transferred for infection control. As a means of disposal, incineration has better points than dumping or landfill in the quantity reduction, odorless and nonhazardous. However, open burning and incineration of health care wastes under bad circumstances, can result in the emission of environmental pollutants to air. A burial of biological waste brings pollution of soil and water. Most of sub divisional hospitals in Fiji transfer their medical wastes to divisional hospitals for incineration. In 2011, 62,518 kg of medical waste was incinerated in the three divisional hospitals. However, some medical wastes are considered as general waste and burnt or sent to landfill site, some are buried on site in some sub-divisional hospitals. In this regards, urgent education is necessary for awareness promotion to relevant personnel in medical waste treatment. On site incineration using small scale incinerator is more recommended than transportation of medical wastes treatment in Fiji. Moreover, remotely controllable and fixable small scale of incinerator is more desirable in sub-divisional hospitals. It is recommended that Fiji government to set up a legal framework for medical waste management (MWM), to develop specific guidelines for MWM, to set up a training system for MWM to ensure that all relevant personnel are trained, to develop a monitoring and supervision system for MWM, to clarify the future financing of MWM activities, and to improve the MWM infrastructure.

• Journal of Industrial Convergence
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• v.20 no.11
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• pp.149-155
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• 2022

This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥²-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.6
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• pp.2607-2616
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• 2012

This study was designed to figure out patient safety culture of medical institutions and try to utilize the study results as basic data for analyzing doctor's awareness of patient safety culture. To this end, questionnaire survey was conducted from August 1st to September 5th, 2011, targeting doctors working at senior general hospitals located in G city, and 194 questionnaires were utilized for final analysis. The research results are as follows. First, there was a difference in awareness of deployment of staffs depending on gender, age, term of service in the hospital, contact with patients and working hours per week in relationship between subjects, wards and hospital safety culture, and organizational learning and teamwork in the ward turned out to be significant in accordance with working hours per week, and all sub-areas of the ward safety culture by departments. Second, feedback about the malpractice, communication, report on malpractice frequency and overall safety awareness were found to be significant by departments in relationship of subjects, medical incident reporting system, patient safety evaluation and overall level of consciousness, and the overall safety awareness showed significant results according to contact with patients and working hours per week. Third, there was a positive corelation in sub-areas of the ward and hospital safety culture awareness, overall recognition and patient safety evaluation, and a positive corelation with medical incident reporting system was found in all areas except for attitude of managers/immediate supervisors and that of hospital executives. Fourth, sub-areas of patient safety culture which has a effect on patient safety showed significant results in organizational learning, openness of communication, overall safety awareness, systematic cooperation between departments, feedback/communication and non-punitive response. In conclusion, to increase the level of the ward and hospital patient safety culture of doctors and implement medical incident reporting system faithfully, it is necessary to activate teamwork through organizational learning in the ward based on the adequate staffing and working hours, promote open communication between departments and provide feedback on medical malpractice, thereby establishing a cooperative system by departments and active support of hospital executives for patient safet.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.563-572
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• 2016

The purpose of this study was to identify blood and body fluids exposure, and factors influencing compliance with standard precautions among nurses. Participants consisted of 144 nurses in three general hospitals located in C province. Data were collected using a questionnaire that consisted of awareness, compliance, safety environment and attitude toward standard precautions. A total of 40.3% of participants had been injured by syringes or sharp tools that had already been used for patients within the last 1 year 1.01 times. Moreover, 22.9% of participants had been exposed to blood and body fluid of patients 1.06 times within the last 1 year. The mean score for compliance with standard precautions was lower than its awareness. There was a significant correlation between compliance and awareness and a safe environment. Multiple regression revealed an adjusted $R^2$ of 0.166 with the awareness score serving as the major predictor variable for compliance of standard precautions. Therefore, it is necessary to develop strategies to apply to systemic and continuous education regarding standard precautions and to foster a safe environment to enhance nurses' compliance with standard precautions.

• 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.

• The Journal of the Convergence on Culture Technology
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• v.4 no.4
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• pp.123-133
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• 2018

This study aimed to suggest basic data required to improve the awareness of physical therapy and examine physical therapists' awareness of the independent establishment of physical therapy clinics. To do so, 175 physical therapists in Gyeongnam areas were surveyed. Their general characteristics were statistically analyzed using SPSS 10.0, and their current workplace, working conditions and job satisfaction were analyzed using chi square distributions. The awareness of independent establishment was analyzed using the Excel program. The statistical significance (a) in this study was set at 0.05. Their interest in physical therapy was surveyed by gender, and 52.2% of males showed interest, higher than that of females. The satisfaction level of those who work in general hospitals with self-development was 32.8%, higher than that of those who work in clinics. To the question about independent establishment, 83.4% agreed to independent establishment, and 57.5% answered that the first thing to do before independent establishment is acquiring professional theoretical knowledge and clinical treatment skills. In terms of the areas of establishment, 45.2% answered physical therapy for the musculoskeletal system, and 39.7% answered that the awareness of doctors is the biggest obstacle to independent establishment. It will be necessary to ensure physical therapists acquire professional theoretical knowledge and clinical treatment skills and to improve awareness between physical therapists and doctors. In addition, it is considered that departments related to physical therapy need to be unified as a four-year course, and the independent establishment of physical therapy clinics is required to be legalized.

• Journal of the Korean Applied Science and Technology
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• v.36 no.3
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• pp.975-984
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• 2019

The purpose of this study was to investigate the good death awareness, spiritual well-being, and elderly nursing performance of geriatric hospital nursing providers, and the factors affecting the elderly nursing performance. The subjects were collected from 176 nursing providers in 5 Geriatric hospitals located in D, S, and C provinces. Collected data were analyzed by means, standard deviation, t-test, ANOVA, pearson correlation, and multiple regression analysis using spss 22.0. The result showed that good death awareness was 3.15 out of 4 points, spiritual well-being was 4.11 out of 6 points, and 4.15 out of 5 points for elderly nursing performance. There was a positive correlation between the elderly care performance and good death awareness (r=.19, p=.011) and spiritual well-being (r=.23, p=.002). The factors affecting the performance of elderly nursing were good death perception(${\beta}=.18$, p=.015) and spiritual well-being(${\beta}=.18$, p=.013). Based on the results of this study, it is necessary to develop an intervention program that considers good death and spiritual well-being in order to improve the elderly nursing care performance of geriatric hospital Nursing providers.

• Convergence Security Journal
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• v.17 no.5
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• pp.121-132
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• 2017

This study is a narrative research study to understand the degree of awareness and practice of nursing college students' patients' health information protection and to grasp the relationship between them.. The subjects of this study were 122 nursing college students who experienced clinical practice in two nursing colleges in GwangJu city. Data collection was done from October 13 to 28, 2017. Using SPSS/WIN 21.0 Program, descriptive statistics, t-test, one-way ANOVA and Pearson correlation analysis were performed. As a result of the study, the degree of awareness and practicability of patient' health information protection were 4.44(SD=0.44) and 4.28(SD=0.62), respectively. There was a difference in the awareness of health information protection when they were educated about patients' health information protection at school (t=5.094, p<.001) and hospital (t=2.028, p=.045) in the case of having experience in patients' health information protection in hospitals(t=2.551, p=.012). There was a significant positive(+)correlation between patient's health information protection perception and practicing degree, and the degree of health information protection practitioner's communication domain (r=.420, p<.001). There was a significant positive correlation with the domain (r=.368, p<.001) and the referral domain (r=.304, p=.001). Based on these results, we sought to protect the personal information of patients and to provide necessary basic data to develop for standardized education program.