• 한국의료질향상학회지
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• 제21권2호
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• pp.40-56
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• 2015

Objectives: To outline overall duties of quality improvement (QI) performers within a health care organization, thus describing their key tasks, including task element-related frequency, importance and difficulty in enough detail. Methods: A DACUM (Developing A CurriculUM) workshop took place to outline overall job activities of QI performers. To examine the scope of their duty and task, we performed a questionnaire survey of 338 QI performers from 111 hospitals. Results: The results of our survey showed that for the task assigned to each QI performer, there were 10 duties, 31 tasks and 119 task elements. Respondents cited a project planning as the most frequent/important duty, and a research was the highest level of difficulty in their duty. They also said that the most frequent task was index management, the most important task was a business plan, and the highest level of difficulty was a practical application of QI research. QI performers added that the most frequent task element was receipt of patient safety reporting in patient safety system, the most important task element was an analysis for patient safety and its improvement, and the highest level of difficulty was a regional influence analysis related to the patient safety and its improvement. Conclusion: To ensure that QI performers play a pivotal role as a manager to better improve patient safety and the quality of health care services, proper training program for them should be developed by reflecting the results of our study.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.166-179
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• 2008

Purpose: This study was conducted to understand the situation of general hospital worker's health management and health promotion. Methods: To investigate the current situation of health management in the hospital, structured questionnaires were sent to 122 occupational health providers by post. About 79% hospitals returned questionnaires. The data were analyzed using descriptive analysis, ${\chi}^2$-test by SPSS 12.0 program. Results: A quarter hospitals responded set up separated health care office for workers, 87.5% provided health educations, and 56.5% operated health promotion projects. In the contents of health promotion program embraced both health behavior practice and disease prevention, musculoskeletal disease control, infection control, smoking cessation, and exercise program were most commonly provided to the workers in order. Occupational health care provider chose the item such as budget limitation, manager's apathy, lack of employee's participation, cooperation provider, and so on as the reason of difficulty to run health promotion program in the hospital setting. Conclusion: Hospital managers need to construct infra to manage and promote worker's health. For example, establishing Industrial safety and health committee in hospital and arranging nurses who being fully responsible to worker's health. And occupational health care provider should advertise health promotion projects both managers and workers actively.

• 지역사회간호학회지
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• 제33권3호
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• pp.340-355
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• 2022

Purpose: This study aimed to examine the effects of non-pharmacological sleep intervention programs in improving sleep quality among older adults in long-term care facilities. Methods: A literature search and selection was performed on nine different databases using the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Overall, 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, the effect size was estimated using the random-effects model in Review Manager (RevMan) desktop version 5.4 of the Cochrane Library. Results: The meta-analysis of overall non-pharmacological interventions obtained a total effect size of 1.0 (standardized mean difference [SMD]=1.0, 95% confidence interval [CI]: 0.64~1.35), which was statistically significant (Z=5.55, p<.001). The most frequently studied non-pharmacological intervention was aroma therapy, with an effect size of 0.61 (SMD=0.61, 95% CI: 0.14~1.08), which was statistically significant (Z=2.55, p=.010). In the subgroup analysis, group-based interventions, interventions for >4 weeks, and untreated control studies were more effective. Conclusion: This study confirms that non-pharmacological interventions are effective in improving sleep quality among older adults in long-term care facilities. However, the sample size was small and the risk of bias in assessing the interventions of individual studies was unclear or high, thereby limiting the generalizability of the results. Further reviews that evaluate randomized control trials, evidence-based interventions that consider older adult participants' physical activity levels, different intervention methods and durations, and different control group intervention types are needed to obtain more conclusive evidence.

• 디지털융복합연구
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• 제11권12호
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• pp.665-672
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• 2013

영상의학과에는 다양한 질병을 가진 환자들이 검사를 받는 곳으로 병원감염의 교차 오염이 될 가능성이 큰 부서이다. 특히 자기공명영상(MRI)검사는 다른 검사에 비해 검사시간이 오래 걸려 교차오염에 더욱더 노출이 될 수 있다. 이에 본 연구는 MRI검사장비의 소독실태를 파악하고, 환자와 접촉이 가장 많은 Head coil, 환자 고정용 Block, 밀폐된 공간인 Bore에서의 세균분포도를 파악 하였다. MRI 검사장비의 소독실태는 MRI실 근무자 150명을 대상으로 설문을 실시하였으며, 세균분포의 파악은 10 곳의 의료기관에서 측정하였다. MRI 장비의 세균 분포도결과 Staphylococcus, 등의 다양한 세균들이 발견되었다. MRI실 소독실태 파악결과 Head coil, Block, Bore의 소독은 잘 시행되는 것으로 나타났으며, 소독의 시기는 아침에 1회 소독을 가장 많이 시행 하는 것으로 나타났다. 또한 감염관리자에 따른 소독의 유, 무와 소독의 시기에서는 MRI실 검사자가 감염관리 할 때 잘 시행되는 것으로 나타났다. 환자를 검사한 후 교차오염을 방지하기 위하여 바로 적절한 소독제로 소독을 실시하여 교차오염을 방지하여야 할 것이다.

• 간호행정학회지
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• 제5권3호
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• pp.513-524
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• 1999

The shortage of nursing personnel was become one of the most serious problems in operating pediatric oncology nursing unit which was the first pediatric oncology nursing unit in Korea. The purpose of this study was to estimate the optimal number of nursing personnel by calculating nursing care hours. The subjects were 13 staff nurses and inpatients of pediatric oncology nursing unit at Seoul National University Hospital during the period of May 20, 1996, to June 2, 1996. The number of nurses' duty was 132, the number of patients treated was 1288 for these 2 weeks. The tools used for this study were pediatric patient classification indexes and direct & indirect care indexes. Each nurse measured the time that they spent for their activities by self record under the supervision of their nurse manager. The method used to calculate the number of nursing personnel was multiplication of the average number of nursing care hours per patient per day with the number of patients. Percentage, average, t-test, F-test were used for data analysis. The results of this study were as follows : 1) The distribution of patient class : Class I & II none, Class III 86.8%. Class IV 12.9% 2) Direct nursing care hours for a patient per shift according to patient classification: Class III : 27.64 minutes, Class IV : 54.64 minutes The average direct nursing service hours for a patient per shift(3 shift) was 31.54 minutes(94.62 m/day). The average indirect nursing service hours for each patient per duty(3 shift) is 21.3 minutes (63. 91 m/day). 3) The average nursing hours for a patient per duty was 52.80 minutes(2.64h/day). 4) The group of administering medications in direct care activities showed the highest percentage (38.9%). Checking vital signs among observation took the most time am.ong each direct care activity (6.88 minutes for a patient per duty). 5) Charting took the most time of each indirect care activity(52.53 minutes/ duty/nurse). 6) The average personal time per duty is 29.40 minutes, which 'was below 30 minutes of this hospital regulations. 7) The average nursing hours that a nurse provided for a duty was 8.60 hours, which meant that a nurse worked 1.10 hours overtime. 8) Standardizing to a 33 bed to a unit, 17 nurses were needed at the present nursing level.

• 한국지능시스템학회논문지
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• 제23권3호
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• pp.232-237
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• 2013

본 연구는 장기요양시설(입소시설)에서 근무하는 시설장 또는 관리자가 인식하고 있는 요양서비스 질 결정모형을 사회시스템의 구조화에 이용되고 있는 FSM을 이용하여 구조화하는데 목적이 있으며 주요 연구결과는 다음과 같다. 최상층의 서비스 질은 중간층의 직무몰입, 조직몰입, 경력, 요양기술, 노인에 대한 지식, 연수 및 교육과 연결되어 있는 것으로 나타났다. 둘째, 중간층(직무몰입, 조직몰입, 경력, 요양기술, 노인에 대한 지식, 연수 및 교육)은 하위층의 고용형태, 직무만족, 리더쉽, 이용자 관계, 직장 내 인간관계와 연결되어 있거나, 중간층에 위치한 요인 간에 연결되어 있는 구조로 나타났으며 구체적 결과는 다음과 같다. 직무몰입에는 직무만족과 이용자 관계, 조직몰입에는 리더쉽과 직장 내 인간관계, 경력에는 고용형태와 직무만족이 연결되어 있는 것으로 나타났다. 한편, 요양기술에는 직무만족, 경력, 노인에 대한 지식, 연수 및 교육, 노인에 대한 지식에는 직무몰입, 경력, 연수 및 교육, 연수 및 교육에는 직무몰입이 연결되어 있는 것으로 나타났다. 이러한 결과를 통해 다음과 같은 사실을 확인할 수 있었다. 첫째, 요양보호사의 업무전문성을 나타내는 요양기술 및 노인에 대한 지식은 경력을 바탕으로 해서 서비스 질에 연결되는 구조를 보였다. 둘째, 중간층의 직무몰입은 최상위층의 서비스 질에 연결되어 있으면서 같은 중간층에 위치한 요양기술, 노인에 대한 지식, 연수 및 교육 등 다양한 요인에 영향을 미치는 것으로 나타나 서비스 질을 결정하는 데 중요한 요인임을 알 수 있었다. 마지막으로 리더십과 관련하여 의미있는 결과를 확인할 수 있었다. 즉, 시설장의 리더십이 조직몰입에 연결되고 조직몰입이 서비스 질에 연결되는 구조를 통해 서비스 질 향상을 위해 시설장이 수행할 역할을 확인할 수 있었다.

• 한국병원경영학회지
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• 제22권1호
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• pp.10-20
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• 2017

Purposes: This study analyzed activities for improvement of quality of care in nursing units to identify group-level success factors of quality improving efforts. Methodology/Approach: Research subjects were 31 general wards of C university hospital, which has 1,200 beds. Data were collected through survey and focus group interview. The mean value of nurses in a ward was converted to unit-level variable value of the ward. The SPSS 24.0 version was used to analyse the data. The units were classified into two groups, high performing and low performing, by the subjective level of quality improvement performance. Findings: The main findings are as follows: 1. The high performing groups participated more in education related to quality improvement and showed more quality improvement cases in progress than that of their counterpart. 2. The high performing group's nurses show more positive perception and attitude on quality improvement activities, and they have positive assessment on the necessity, effect, satisfaction about the quality improvement activities. 3. Middle managers' ability, attitude, motivation, and effective communication across members of the ward played pivotal roles in boosting the quality improvement activities of wards.

• 대한지역사회영양학회지
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• 제11권2호
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• pp.261-270
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• 2006

The purpose of this study was to identify the differences of older adults' perceptions of foodservice quality attributes of current offerings in Continuing Care Retirement Communities (CCRCs) in terms of their lifestyles (length of residency, special diet, housing option, travel frequency, dine out frequency), dining frequency, and demographics in the dining room of CCRCs. The survey was administered to residents in three CCRCs. Data was analyzed for 140 surveys using t-test, ANOVA, and factor analysis. This study found female older adults perceived the following attributes were more important than male ones: presentation of food, color and garnish, texture of vegetables, taste and flavor of food, and respectful attitude of serving staff. Older adults who have a special diet perceived the seasoning and bite sized pieces were more important than those who have a general diet. Also, there were significant differences between frequent visitors and occasional visitors in the dining room of CCRCs. By knowing the differences by residents' demographics and residential characteristics, the foodservice manager can establish strategies to increase the dining frequency of residents in the dining rooms of CCRCs.

• 간호행정학회지
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• 제17권4호
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• pp.413-422
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• 2011

Purpose: This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. Method: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data. Results: The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity. Conclusion: The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

• 보건의료산업학회지
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• 제3권2호
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• pp.17-27
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• 2009

The purpose of this study was to identify the impact of e-commerce system satisfaction on e business success factors. We developed the questionnaire for measuring system satisfaction and success factors and tested internal reliability and construct validity. Cronbach's alphas of all system satisfaction factors were above .79 and that of e business success factors were above .82 except partnership (.66). In the regression models, we tried to identify all possible independent variables such as individual factors, organizational factors, system vendor size, order items in their systems and system satisfactions. Using Partial F-test, the regression model with system satisfaction factors, individual and organizational factors was identified as the optimal model in explaining the dependant variable. In the best model, system readiness and timeliness was significant determinants of e-business success evaluation. After using 7 success evaluations factors as the dependant variables, only three models were significant linear models, which were the models with partnership, CEO willingness to e-commerce and e-commerce support. In those models, system readiness and timeliness showed consistent influences to success factors.