• 문화기술의 융합
• /
• 제9권5호
• /
• pp.941-949
• /
• 2023

본 연구는 간호대학생 4학년의 코로나 19 감염병 상황에서 임상실습 의사소통 경험을 탐색하기 위한 질적연구이다. 자료수집은 2022년 12월 19일부터 2023년 2월 10일까지 임상실습에 참여한 간호대학생 4학년 87명의 참여자로부터 실습을 하고 난 후 자신의 경험을 서술식으로 자유롭게 작성하도록 한 성찰일지를 수집하였다. 성찰일지의 분석은 Braun과 Clarke 의 주제 분석 방법을 적용하였다. 연구 결과 코로나 19 감염병 상황에서 간호대학생의 임상실습에서의 의사소통 경험은 142개의 의미 있는 진술, 30개의 잠정적 주제, 9개의 하위 주제, 4개의 중심주제가 도출되었다. 4개의 중심 주제는 '언어장벽이 되어버린 마스크', '반쪽이 되어버린 의사소통', '간호의 질이 떨어지지 않을까 두려움', '어려움을 극복한 몸과 마음'으로 나타났다. 결론적으로 본 연구 결과는 코로나 19 감염병 상황에서 간호대 학생이 임상실습에서 경험하는 의사소통에 대한 이해를 가능하게 하였으며, 다양한 감염병 상황에서 착용해야 하는 의료장비로 인한 비효과적인 의사소통 개선과 더불어 감염병 상황에서의 간호대학생의 실습교육 전략의 기초자료로 활용 될 수 있을 것이다.

• 대한예방한의학회지
• /
• 제27권1호
• /
• pp.89-98
• /
• 2023

Objectives : This study collected sleep information by wearable device in the Korean medicine Daejeon citizen cohort (KDCC). It was measured based on the sleep record information measured by wearing a Fitbit, and the possibility of clinical use was examined for compliance with objective sleep collection. Based on compliance, the possibility of clinical use was examined. Methods : After surveying personal information and PSQI(Pittsburgh Sleep Quality Index), sleep information was collected by Fitbit for 14 days. Compliance was measured based on sleep record information by Fitbit. Compliance was analyzed by sex, age, BMI(Body Mass Index), and sleep group(deep/poor). Results : The number of participants was 730, and the compliance was 94.3%, and the compliance group was 675(92.5%). The age of the participants varied from 30 to 60 years old, and the average age was 46±6.7 years. There were 218 males and 512 females. Young people have high compliance. Males are more compliance than females. As the BMI score decreased in the 30s, the compliance was higher. The underweight group in all age groups had 100 compliance. The underweight group was all female. The low compliance groups were that 30 years males (obesity level2), 50 years females (overweight group), and 50 years females (obesity level2). There was no significant difference in compliance between deep sleep group and poor sleep group. In deep sleep group, females showed higher compliance. In poor sleep group, males showed higher compliance. The average duration of Fitbit usage among participants was 20.1 days. The compliant group wore the device for an average of 21.3 days, while the non-compliant group wore it for only 5.2 days. Of the compliant group, 86.9% (73.8% of all participants) continued to wear the Fitbit after the recommended 14-day period, and 50.8% wore it for more than 20 days. Conclusions : This study showed the possibility of adaptation for wearing a Fitbit for collecting objective sleep information. It is judged that the compliance is high because it was worn for more than 13.2 days out of the 14 days required. It is considered meaningful because the compliance was measured based on the sleep information by Fitbit, not the questionnaire. As the data on objective sleep time is collected automatically, we believe that the burden on participants after the study period is not significant for a certain period. Compliance may be even higher for cohorts related to illnesses and with doctor's orders, rather than for the general population.

• 대한한의학회지
• /
• 제45권1호
• /
• pp.17-43
• /
• 2024

Objectives: Underpinned by the context of a Korean traditional medicine cohort study on healthy aging, this research primarily aims to guide the selection of Clinical Outcome Assessments (COAs) for elderly healthy aging patient registry research, offering insights into the selection process; and secondly, to streamline the resource-intensive process of obtaining permissions for validated COAs, benefiting future traditional Korean medicine clinical researchers. Methods : In this study, we identified outcomes through a review of previous studies, followed by a process involving expert consultations to select the final outcomes. Subsequently, for the selected outcomes that were Clinical Outcome Assessments (COAs) developed tools, we searched in commercial databases to confirm the availability of Korean versions and the necessity of obtaining permissions. Finally, we obtained permissions for their utilization and, when needed, acquired the original instrument questionnaire through payment. Results: Through a literature review of existing observational studies, a total of 57 outcomes were selected, with 19 of them identified as COA instruments. Upon verifying usage permissions for these 19 instruments, it was found that 17 required author-specific permissions, and among these, 2 needed a purchase as they were commercially available. Conclusion: This study provides a detailed overview of outcome selection and permission acquisition for elderly patient registry research. It underscores the importance of Clinical Outcome Assessment (COA) tools and the rigorous approval process, aiming to enhance research reliability. Continuous verification of COA information is essential, and future research should explore Core Outcome Set (COS) development through consensus-building approaches like Delphi studies.

• 대한영양사협회학술지
• /
• 제6권2호
• /
• pp.136-147
• /
• 2000

The aim of this research was to examine the management practices related to foodservice.clinical nutrition service provided by hospital foodservice operations. A survey of 30 hospital food nutrition service departments was undertaken and detailed information was collected from each, including surveys of 176 dietitians and 30 foodservice managers. Statistical data analysis was completed using the SAS/win 6.11 package for descriptive analysis and t-test. The results of this study can be summarized as follows : Out of 30 hospitals, 73.3%(22) were directly operated and 26.7%(8) were under contract foodservice management. Licensed number of beds were 768.7, with an average length of 11.4 days. The general characteristics of the dietitians were that 49.4% were aged between 25-29, and 60.8% were ordinary dietitians. 76.7% had bachelor's degree, 15.9% with master's degree and 7.4% were college graduates. Most hospital dietitians had internship training and 35.2% took a training course of 6 to 12 months. The average space of kitchen was 452.52 $m^2$, with 133.63$m^2$ for modified diet space and 18.13$m^2$ for nutrition counselling room space. The total number of normal meals was 1,255.47, with 502.93 of modified meals. The average calorie of normal meals was 2,145.04kcal, with 91.9g of protein contained in normal meal. The total food waste was 351.40kg. An average monthly cost for disposing food waste was 745,171.67 won. 83.3% of the kitchens were on the 1st basement and only 66.7%(20) of 30 hospitals had its own nutrition counselling room. 80% used dishwashers and 66.7% had an exclusive elevator for delivering meals. 80.0% of hospitals used centralized delivery service. 90% had established an area for hygiene division, 70% used dry zone within the dishwashers for sterilization, 66.7% provided spoon and chopstick, and 100% used dish cover. As means of food waste treatment, most hospitals(56.7%) used animal feed by contracters, followed by means of collection by contracters(30%) and in-house high speed fermentation machines(13.3%). It was found that only 33.3% hospitals regularly checked temperatures of the meals given to patients. Total productivity index was 3.72(meals/hour) in average, with an average productivity index for normal diet of 5.41. Average productivity index for modified diet was 4.62. Productivity indices for patient meals and clinical nutrition were 5.01(meals/hour) and 1.12(cases/hour) respectively and hospitals under self-operated foodservice management received higher points on clinical nutrition productivity index(P<0.01) than hospitals under contract foodservice management.

• 대한간호학회지
• /
• 제38권2호
• /
• pp.248-257
• /
• 2008

Purpose: This study was designed to search for nursing intervention strategies centering around the meaning structure of the nurse's turnover experience by applying phenomenological methods. Methods: The participants were 6 nurses in small and medium sized hospitals who had experienced at least 1 turnover. Data were collected used MP3 records. The data analysis was done by Giorgi (1985) method. Results: The results were divided into the following categories: 1) Careless decision: wrong decisions, imprudent desire, insufficient patience, unclear future, 2) Inappropriate working environment: irregular working hours, high workload, poor working environment, insufficient understanding of related divisions, lack of opinion collection, low salary, 3) Interpersonal relations problems: discord with colleagues, difficulty in relationships with others, difficulty in daily lives, 4) Lack of specialization: feeling of inertia, lack of role identification, lack of self identification, 5) Inappropriate coping: regret with clinical challenges, difficulty with a new environment, repentance, expectation, relative humility, 6) New self-dignity: expectation, new challenge, relaxing lives, decisions based on future-oriented confidence. Conclusion: The finding of this study will offer profound information on the nurse's turnover experience and provide basic raw materials for improving the quality of nursing performance and contribute to the development of hospital organization.

• 대한한의학원전학회지
• /
• 제35권3호
• /
• pp.1-20
• /
• 2022

Objectives : Translations of Korean Medical Classical texts were analyzed quantitatively to verify their trend. Based on findings, accumulated problems and their solutions were discussed. Methods : A list of translated Classical texts in the field of Korean Medicine from the National Central Library collection was organized. Afterwards, the publication date, field, author information and content of the translated version were analyzed. Results : Of Chinese Medical texts, those from the Ming and Qing periods were most translated, while major texts pre-dating the Song period were left out. In addition, while texts in the fields of Shanghan-Jingui, comprehensive medical texts, scriptures, medical theories that were high in demand in educational and clinical sectors were actively translated, those in secondary fields were insufficiently translated. Of medical texts of Korea, those from the Joseon period were mostly translated, including major texts such as the Donguibogam and various kinds of texts reflecting research demands. Conclusions : In the future, texts that have not been translated need to be prioritized while basic elements need to be identified for better quality translation. To enable quantitative and qualitative expansion of Korean Medical Classical Texts translation, institutional and academic support is crucial.

• 중환자간호학회지
• /
• 제13권3호
• /
• pp.24-40
• /
• 2020

Purpose : This study aims to develop the Forensic Nursing Competency Scale suitable to South Korea. Methods : The initial items were generated through literature review and interviews. Items were evaluated by experts for content and face validity. By conducting a pilot test, 74 measurement items were developed. In total, 333 copies of the questionnaire were analyzed regarding the validity and reliability of the study. Data were analyzed using SPSS 23.0 program and AMOS 18.0 program. Results : The study selected 53 questions after testing the content, face, and construct validity of the scale. The final 53 questions were composed of 15 sub-components in eight domains. These eight domains encompassed nursing practice, communication, critical thinking, human caring and relationships, evidence management, active information collection, professional development, and knowledge integration. Conclusions : In order to verify the effectiveness of the scale, future studies need to compare the forensic nursing competency in two groups to assess differences in these competency. Moreover, it is necessary to develop a forensic nursing educational program and validate its effectiveness by using this scale.

• 한국산학기술학회논문지
• /
• 제12권9호
• /
• pp.4061-4067
• /
• 2011

본 연구는 기관지내시경 검사 시 사전정보제공과 진정제 투여가 환자의 불안 감소와 생리적 변수에 미치는 영향을 확인하기 위하여 2007년 6월 4일부터 12월 28일까지 기관지내시경 검사를 받는 환자 102명을 대상으로 시행되었다. 불안척도는 Spielberger의 STAI를 이용하였고, 사전정보제공소책자를 제작하여 사용하였다. 수집된 자료는 SPSS 14.0을 이용하여 분석하였다. 그 결과, 기관지내시경 검사에 대한 사전정보제공군, 진정제 투여군, 사전정보제공과 진정제를 함께 적용한 세 실험군은 대조군에 비해 수축기(p=.062), 이완기 혈압(p=.189) 변화에 영향을 주지 못하였으나, 환자의 불안(p=.005)과 맥박(p=.033), 호흡(p=.006)의 변화에는 효과적이었으므로 임상에서 적용할 가치가 있을 것으로 본다.

• Journal of Korean Biological Nursing Science
• /
• 제12권3호
• /
• pp.166-174
• /
• 2010

Purpose: The purpose of this study was to compare the cardiac knowledge and symptoms recognition between men and women with acute coronary syndrome (ACS). Methods: Cross-sectional survey research design and convenience sampling were used in this study. 64 men and 42 women from a university medical center were participated in this study. Data collection were used with self reported questionnaires and medical records. Results: There was no difference in cardiac knowledge by gender. Women marked the higher score in symptoms recognition than men. Significant gender differences were observed in the reports of several symptoms (headache, nausea, palpitation, hand paresthesia, and leg numbness) and with ACS. There was significant correlation between cardiac knowledge and symptom recognition on both men and women. Conclusion: These findings suggest that health care professionals should pay attention to the differences in clinical symptoms between women and men. Furthermore, tailored information about possible symptoms of coronary artery disease according to the patient's gender is needed.

• 한국임상약학회지
• /
• 제25권3호
• /
• pp.145-150
• /
• 2015

Objective: Pain is very common in the elderly, so there is a high prevalence of analgesic use among this population. The purpose of this study was to assess patterns of analgesic use and evaluate factors associated with analgesic use in elderly patients. Method: The subjects of this study were patients over 65 years old hospitalized in a teaching hospital located in Chuncheon-si, Korea between January 1, 2014 and March 31, 2014. Data collection regarding analgesic prescriptions and baseline characteristics was conducted using computerized hospital database by medical information team. Logistic regression analysis was used to identify factors related to analgesic use. Results: A total of 2,394 patients were finally included. Among these patients, 700 (29.2%) took analgesics; 521 (74.4%) out of these 700 patients were received opioid analgesics and 179 (25.6%) were received only non-opioid analgesics. The most frequently prescribed opioid analgesic was pethidine (45.7%), and the most frequently prescribed non-opioid analgesic was acetaminophen (44.1%). Fracture was associated with increased odds of opioid analgesic prescriptions (OR = 2.766, 95% CI = 2.019-3.790, p < 0.001) and any analgesic prescriptions (OR = 2.394, 95% CI = 1.766-3.244, p < 0.001). Stroke or cerebral infarction was associated with decreased odds of opioid analgesic prescriptions (OR = 0.636, 95% CI = 0.471-0.858, p = 0.003). Conclusion: A significant proportion of hospitalized elderly patients use analgesics. Health care professionals should consider factors associated with analgesic use in this population to improve pain management.