• 성인간호학회지
• /
• 제19권5호
• /
• pp.56-69
• /
• 2007

Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

• 한국병원경영학회지
• /
• 제18권4호
• /
• pp.97-112
• /
• 2013

This study is a proposal of quality scale and measurement for the Mobile Hospital Information System Usability used to the Chungnam National University Hospital in Daejeon Korea. This study is to provide decision- making guideline for hospital managers and to provide feedback for the users' information needs in Mobile Hospital Information System. The target people of the study were medical doctors in Chungnam National University Hospital. The service contexts of usability were request of medical Care, Vital sign check of Patient, Care Agreement of Patient, Blood management, Check of care state, Sign of choice doctors, Query of doctor order and patient measurement result. The Usability factors were the efficiency, effectiveness and satisfaction of quality model ISO9241-11. This study shows that the Mobile HIS is used for the communication and education between doctor and patients. Especially, The Care Agreement of Patient is a part of the most utilized in the Mobile HIS.

• 한국학교ㆍ지역보건교육학회지
• /
• 제20권2호
• /
• pp.53-67
• /
• 2019

Objectives: The purpose of this study is to obtain the basic data for the development of maternal health care by analyzing the status and needs of service target persons in Timor-Leste. Methods: The subjects were selected through the non-probability sampling method applying the FGI. Researchers interviewed 3 maternal health service managers, 6 midwives at Gleno and Railaco Health Centers and 2 women between 15 and 45 years of age. Results: In the results of on-site visit of the delivery facility and the FGI, we found poor sanitation in delivery room, lack of medical equipment related to antenatal consultation and delivery. In the case of the health center manager, the public health center provides various maternity health services, but the lack of the staff has difficulty in providing the service and managing the subjects. Midwives asked for regular maintenance education. Women in child bearing age living in mountainous areas had poor access to delivery facilities and lack of awareness of delivery services. Conclusions: It is necessary to increase the maternity management rate through regular maternity and maternal health check service and application to maternal management database, to improve the sanitation of the maternity clinic in the public health center, to strengthen the midwife competency program.

• 농촌의학ㆍ지역보건
• /
• 제33권2호
• /
• pp.232-242
• /
• 2008

- Abstract - Objectives: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. Methods: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. Results: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. Conclusions: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2011년도 제42회 하계학술대회
• /
• pp.2144-2145
• /
• 2011

We carry out a demonstration project to verify performance of a Home- Smart Cabinet Panel(H-SCP) at the child care facility. It is difficult to prevent an electrical disaster using a existing cabinet panel because electrical events are invisible and unforeseeable. So we construct a integrated information system with a Home-Smart Cabinet Panel(H-SCP) for management of low-voltage customers. The integrated information system with the H-SCP maintain the transmitted data from H-SCP, alert a electrical event to a administrator and show a state of customer health in real time respectively. A manager of electrical safety can prevent electrical disaster to maintain electrical facilities after analysis on the integrated information system.

• 임상간호연구
• /
• 제23권3호
• /
• pp.376-387
• /
• 2017

Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.

• 사회복지연구
• /
• 제40권2호
• /
• pp.89-122
• /
• 2009

본 연구는 사회복지실천현장의 사례관리자들의 직무세계를 분석하기 위해서 그들이 수행하는 사례관리 직무의 빈도, 가장 중요하다고 생각하는 직무군의 유형과 그 이유, 가장 어렵게 생각하는 직무의 유형과 그 이유를 질적사례연구방법을 통해 살펴보았다. 사례관리 직무범주는 데이컴 방법으로 도출했으며 도출된 9개의 직무영역을 사례관리 수행빈도, 중요도, 난이도로 분석하였다. 연구참여자는 사례관리를 주 업무로 하는 3년 이상의 사회복지사 10명이 세평적사례선택을 통해 선택되었으며 자료분석은 매몰된 분석(embedded analysis) 유형을 따라 이루어졌다. 연구결과에 대한 함의에서 연구자들은 본 연구 참여자들의 사례관리실천 경험을 "이용자 중심의 서비스와 제도적 압력 사이에서 긴장을 유지하며 균형점을 찾는 과정"으로 기술했다. 연구결과를 근거로 지역사회복지네트워크 구성, 사례관리자들의 직무권한을 보장하는 제도적 장치 마련, 균형과 상향평준화를 위한 표준매뉴얼의 개발을 제안했다.

• 한국보건간호학회지
• /
• 제28권3호
• /
• pp.619-632
• /
• 2014

Purpose: This study was conducted in order to analyze the job of school health teacher in Korea. Methods: School health teachers' roles were analyzed by DACUM job analysis. Guide of DACUM methods and workshop were directed by a DACUM job analyst. The DACUM committee identified tasks associated with each duty and completed the DACUM chart. Results: Through DACUM job analysis, the roles of school health teachers were defined; one who manages health of students and staff, and conducts health education; 11 duties and 95 tasks were identified. The committee listed required knowledge and skills, working attitude, and future trends. Emergency and common disease care were the best critical duties, followed by health education, counseling, and self-development. Conclusion: School health teacher plays the roles of nurse and health care manager, and teacher. According to the expansion of health care needs and health education, school health teachers are placed in more essential and critical areas. Their duties and tasks are various and have changed significantly, thus the School Health Act should be changed practically. The results of this study can be used in development of training programs or evaluation of the job performance of school health teachers.

• 중환자간호학회지
• /
• 제6권1호
• /
• pp.44-56
• /
• 2013

Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

• 가족자원경영과 정책
• /
• 제19권3호
• /
• pp.17-40
• /
• 2015

The purpose of this study was to analyze the in-home child care support service experience of twenty child rearing families. In order to conduct this study, grounded theory method was employed. The central phenomenon of the service experience digged out from this study was 'difficulty' (i. e. insecurity and a feeling of helplessness). The causal conditions which brought about the central phenomenon were 'defect of system' and 'service characteristics' The intervening conditions included 'alternative resources' 'working conditions' and 'service institute manager discretion'. The contextual conditions consisted of 'maternal ideology' 'the public nanny's personality awareness'. The action/interaction strategies on the central phenomenon were 'inaction' 'insecurity decrease strategy' and 'dissonance decrease strategy. The final outcome was 'rearing gap fillup "the method of nanny managing" dissatisfaction accumulation' ''system improvement demand'. The families were classified as four types: 'management/subject' 'adaptation/dependent' 'patience/acceptant' 'supplementation/overcoming'. Based on these results, this study provided a few political and practice suggestions to improve this system.