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일개 종합병원 수술실 의료인의 혈액 및 체액 노출 실태조사 (Exposure to Blood and Body Fluid in Operating Room Personnel in One Acute Care General Hospital)

  • 신영란;박광옥;정재심;김경미
    • 임상간호연구
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    • 제15권2호
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    • pp.115-126
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    • 2009
  • Purpose: The purpose of this study was to assess the frequency and characteristics of occupational blood and body fluid exposure for operating room personnel during surgical procedures and identify risk factors. Methods: A self-report questionnaire was used to survey 519 operating room personnel who participated in 132 surgeries in an acute care hospital in Seoul between April 12 and 20, 2006. Results: The response rate was 82% (530/646) and analyzed total 519 except for improper 11 questionnaires. Exposure rate was 45.5% (60/132) during operations and 20.4% (106/519) for operating room personnel. By job categories, the exposure rate was as follows; anesthesiologists and nurses 31.2% (44/141), operators and assistants 22.1% (32/145), circulating nurses 12.0% (11/92), scrub nurses 11.4% (14/123). The mucous membrane-eye exposure with a high risk of transmitting infection was 6.6% (7/106) and the most frequent route of exposure was blood and body fluid touching unprotected skin. In multivariate analysis, the risk factors of exposure were services, duration of operation, a patient who had a peripheral arterial catheter line, and job category. Conclusion: Educational programs and appropriate use of personal protective equipment are necessary to prevent operating room personnel from being exposed to blood and body fluid.

병원에 종사하는 의료기사 직종의 전문직업성과 조직성과 (The Medical Professionalism and Organizational Performance of Medical Technician in Hospital)

  • 임정도
    • 한국콘텐츠학회논문지
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    • 제13권12호
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    • pp.910-920
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    • 2013
  • 본 연구는 35개 병원급 이상 의료기관에 종사하는 물리치료사, 방사선사, 임상병리사, 작업치료사 437명을 대상으로 전문직업성이 조직성과에 어떠한 영향을 미치는지 살펴보고자 하였다. 분석결과 첫째, 의료기사 직종 종사자들의 전문직업성은 직업에 대한 가치 구성변수 중 직무수행능력과 직무의미성 보수의 적절성 직무자율성이 성별과 연령대에 따라 유의한 차이가 있었고, 직무에 대한 영향력은 연령에 따라서만 유의한 차이가 있었다. 둘째, 조직성과 측정변수인 직장에 대한 애착에 가장 큰 영향력을 미치는 변수는 직업에 대한 가치 변수중 보수의 적절성이었다. 셋째, 직무특성 중 현 병원 근무년수가 높을수록 직장에 대한 애착이 높다는 것을 알 수 있었다. 넷째, 직종별로 살펴본 결과, 의료기사 직종의 조직성과(직장에 대한 애착)에 영향을 미치는 전문직업성 변수들은 의료기사 직종에 따라 차이가 있었다.

한국 인터넷신문 뉴스 분야 독자 선호도 조사 연구 (Study on the Preference of Readers as to Korean Internet Newspaper Sector)

  • 박생규;조성제
    • 한국정보전자통신기술학회논문지
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    • 제6권2호
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    • pp.105-112
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    • 2013
  • 본 연구는 전국 인터넷신문 독자를 대상으로 뉴스 선호도 차이를 파악하는데 목적을 두고 있다. 연구방법은 전국에 있는 독자 146명을 무작위로 선정해 2012년 10월 17일 부터 18일까지 설문조사를 실시하였다. 자료분석은 직업군 분석, 성별 분석, 연령별 분석 등으로 하였다. 분석결과 인터넷신문을 학생들이 가장 많이 보는 것으로 나타났다. 성별과 연령에 따라 직업의 차이는 유의미한 것으로 나타났다. 성별이 남성은 학생, 회사원, 전문직 순 이었으며, 여성은 학생, 회사원, 무직, 주부 순으로 나타났다. 연구결과 인터넷신문 독자들은 우리 주변에서 일어나는 실시간 뉴스를 시간과 장소에 구애받지 않고 편리하게 보는 것으로 확인됐다. 본 연구의 시사점은 유가지인 종이신문 구독자들이 쉽게 볼 수 있는 휴대폰을 이용해 무료인 인터넷신문으로 전환하고 있는 분석결과가 언론정책에 활용할 수 있는 이론적 근거를 제시하였다는 것이다.

안동시 문화산업진흥지구 특화발전 방향에 관한 연구 (Study on the Direction of Specialized Development for Andong City Cultural Industry Promotion District)

  • 배수빈;권기창
    • 지역과문화
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    • 제4권1호
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    • pp.1-26
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    • 2017
  • 21세기는 문화의 시대로 불릴 만큼 문화를 고부가가치 전략산업으로 인식하고 있으며 문화산업은 다양한 파급효과로 인해 타 산업의 부가가치를 높여줌으로써 지역경제발전에 견인차 역할을 하고 있다. 이와 같은 문화산업을 발전시키기 위한 제도적 장치로 문화산업진흥기본법이 제정되었고 이를 근거로 2010년 중앙정부로부터 안동시 중구동과 서구동 일원을 문화산업진흥지구로 지정받았으나 2017년 현재까지 활성화되지 않고 있다. 이에 본 연구에서는 안동시 문화산업진흥지구의 현황 및 문제점을 파악해 보고 발전방향성을 논의해 보고자 한다. 연구방법은 문화산업 관련 전문가와 실무자를 대상으로 AHP 분석법을 활용한 설문조사를 실시하여 분석하였다. 설문의 타당성과 신뢰성 검증은 SPSS 23을 사용했으며 AHP 분석에서 가중치와 일관성지수 산출은 VBA를 활용하였다. 분석 결과 안동시 문화산업진흥지구를 활성화시키기 위한 상위계층의 3가지 요소(경제성, 공공성, 사회성)중에서 경제성이 가장 중요한 요소로 조사되었다. 중위계층의 경우 경제성 항목에서는 일자리 창출이, 공공성 항목에는 문화산업 정착 환경조성이, 사회성 항목에서는 도심문화 활동 활성화가 중요한 요소로 분석되었다. 이와 같은 요소를 중심으로 안동시 문화산업진흥지구 활성화 추진방향을 종합적으로 분석한 결과 공연 관련 산업을 집중 육성해야 한다는 결론이 도출되었다.

국제물품매매계약(國際物品賣買契約)에 관한 유엔협약(協約)'의 적용범위(適用範圍) (The Sphere of Applicability of the CISG)

  • 한규식
    • 무역상무연구
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    • 제13권
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    • pp.193-213
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    • 2000
  • The CISG has been legislated for playing roles as uniform rules which govern international sale of goods. The job of getting unification of the diverse domestic legal systems required almost half century of work. In the process of making the Convention some rules resulted from compromises of nation's relevant interests. The Convention, however, promoted both the legal certainty and harmonization in international trade in that the uniform rules suggest the appropriate resolution to the legal problems in the course of concluding a contract as well as in remedies for breach of contract. This paper focuses systematically on the scope of applicability of the CISG. The Convention deals with contracts for the international sale of goods. However, it does not apply to all kinds of the international sale of goods. The CISG confines the sphere of applicability to a certain type of sales. First of all, the CISG is limited to those contracts having been concluded between a particular group of persons, which is called a personal aspect of applicability. Secondly, the CISG covers a specific category of sales, which is called a material aspect of applicability. Thirdly, the CISG are concluded within a particular period of time, which is called a temporal aspect of applicability. Lastly, the CISG is limited to contracts falling within a given territorial sphere, which is called a territorial aspect of applicability.

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혈액투석실 간호사의 실무적응과정에 대한 근거이론적 접근 (A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses)

  • 박의정;김영혜
    • 간호행정학회지
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    • 제19권1호
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    • pp.128-134
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    • 2013
  • Purpose: The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses. Methods: Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology. Results: From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth". The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'. Conclusion: The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

임상간호사에서 의료급여관리사로의 역할 전이 과정: '척박한 땅에 뿌리내리기' (Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land)

  • 박은준;김춘미;임승주
    • 대한간호학회지
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    • 제42권2호
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    • pp.149-160
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    • 2012
  • Purpose: The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea. Methods: Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory. Results: 'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families. Conclusion: NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

지방의료원의 성과분석: Data Envelopment Analysis와 패널분석 (The Performance Evaluation of Public Municipal Hospitals: Data Envelopment Analysis and Panel Analysis)

  • 정은영;서영준;이해종
    • 보건행정학회지
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    • 제25권4호
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    • pp.295-306
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    • 2015
  • This study aims to examine the performance of public municipal hospitals through the analysis of data envelopment analysis, efficiency, profitability, and publicness by using panel data during period from 2006 to 2010. The main findings of the study are as follows. First, as a result of efficiency analysis during the period from 2006 to 2010, it was revealed that the number of staff by each job category, labor cost ratio, the number of operating beds need to be decreased. Second, the performance data represented by the indicators of efficiency, profitability and publicness were complementary and showed a tendency of being increased or decreased in same direction. Third, from the result of panel analysis, the efficiency was mainly influenced by the structural factors, while the profitability was influenced by managerial factors, and the publicness by medical environment. In conclusion, in order to enhance the performance of public municipal hospitals in Korea, it is important to harmonize the effort for efficiency, financial and policy support by central and local government, and the continuous participation of community residents.

한 대학병원의 진료과별 업무성과 평가 도구 개발 과정 (Development of Performance Evaluation Protocols for Physicians in a University Hospital)

  • 김창엽;김선민
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.296-310
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    • 1998
  • Background : Performance evaluation of medical care providers has become more important than before in Korea. Especially in university hospitals, job contents of medical staffs are so complicated that evaluation is not easily performed. In addition, in order that the feedback of evaluation be successful, acceptance of staffs to be evaluated is essential. This study is aimed at the development of items for evaluation and weighting of each item in one university hospital, and clustering departments by different weight given by medical staffs. Methods : Through resource group meeting. performance items were listed up by categories of education, research, medical services, and other activities in and out of the hospital. For each item, all the medical staffs were asked how important they thought, compared with publishing one original article. By factor analysis, the items in each category were grouped into a few subgroups. In turn, cluster analysis was done for the purpose of grouping departments by priority the medical staffs gave. Results and Conclusion : Among five major categories, medical staffs regard education, research, and medical services more important than other activities in and out of the hospital. Five categories consisted of two or three components. Departments in hospital were grouped into three. However, characteristics of each group was not clearly delineated. This result suggests that more comprehensive tool should be developed and applied in the process of performance evaluation in university hospitals.

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초등학교 보건교사의 역할적응 과정: 자기자리 만들어 가기 (Role Adaptation Process of Elementary School Health Teachers: Establishing Their Own Positions)

  • 이정희;이병숙
    • 대한간호학회지
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    • 제44권3호
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    • pp.305-316
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    • 2014
  • Purpose: The purpose of this study was to explore and identify patterns from the phenomenon of the role adaptation process in elementary school health teachers and finally, suggest a model to describe the process. Methods: Grounded theory methodology and focus group interviews were used. Data were collected from 24 participants of four focus groups. The questions used were about their experience of role adaptation including situational contexts and interactional coping strategies. Transcribed data and field notes were analyzed with continuous comparative analysis. Results: The core category was 'establishing their own positions', an interactional coping strategy. The phenomenon identified by participants was confusion and wandering in their role performance. Influencing contexts were unclear beliefs for their role as health teachers and non-supportive job environments. The result of the adaptation process was consolidation of their positions. Pride as health teachers and social recognition and supports intervened to produce that result. The process had three stages; entry, growth, and maturity. Conclusion: The role adaptation process of elementary school health teachers can be explained as establishing, strengthening and consolidating their own positions. Results of this study can be used as fundamental information for developing programs to support the role adaptation of health teachers.