Journal of Korean Academic Society of Home Health Care Nursing
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v.7
no.1
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pp.73-82
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2000
Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.
The purpose of this study was to find out the 119 rescue and first aid's satisfaction level for their occupations, understand the influential factors of the satisfaction level and also analyze the level of each working districts. Therefore to provide basic information of policy decisions to increase the satisfaction level. Date were collected from 400 national the 119 rescue and first aids by questionnaire and using the tools, which has developed by Slavitt, from August 2 to September 30, 2002. The data were analyzed by percentage, mean t-test and ANOVA. Divided 39 items into 7 provinces to find out the satisfaction level of each province, follow as the influential factors of the satisfaction level. 1. The most of the 119 rescue and first aids were satisfying about their occupations as they got 3.02 marks out of 5, which is the full mark. 2. As the results after analyzed the relation ship between the satisfaction level and the general characteristics of analyzed the relation ship between the satisfaction level and the general characteristics of the 119 rescue and first aids, there were not statistically significant differences of sex distinction, age, scholarship, not married and has or have married, grade and qualification. There were statistically significant differences follow as working period, applying motive, moving, seeking a job, working place, an adviser, work overtime and compensation follow as work overtime. 3. It appeared that all the 119 rescue and first aids were satisfying enough about duty itself but were dissatisfying about working condition. As the results; job itself got 4.00, reciprocal action got 3.74, business demand got 3.28, autonomy got 3.06, organization demand got 2.96, pay got 2.43 and working condition got 1.72, each out of 5 full marks. As you see the results, most of the 119 rescue and first aids are satisfying about a job itself but they are dissatisfying about their working condition. Therefore we should formulate a plan that can increase the satisfaction level by improving duty system for 24 working hours per week.
Objectives : The aim of this study was to determine the relationship between the core properties of professional socialization and social status satisfaction, economic reward satisfaction, and subjective class identification. Methods : Medical knowledge and skill, autonomy, and professional value factors were used as essential properties of professional socialization to determine the association with job satisfaction and subjective class identification. The authors used a self-administered questionnaire survey and collected nationwide data between July and August 2003, with 211 responses used for final analysis. Results : 'Age' and 'trust and respect' were positively associated with social status satisfaction, and 'occupation' was negatively associated. 'Income' and 'trust and respect' were positively related to economic reward satisfaction, and 'practicing for oneself', and 'a sense of duty and attendance' were negatively related. 'Practicing for oneself', 'not believing explanations', and 'a sense of duty and attendance' had a positive relationship with subjective class identification. 'Income', 'knowledge system', 'medical mistakes', 'treating like goods', 'meaning and joy', and 'trust and respect' had a negative relationship. Conclusions : The core property variables of professional socialization had a different relationship with social status satisfaction, economic reward satisfaction and subjective class identification. In particular, many core property variables were associated with subjective class identification positively or negatively. The development of professional socialization would help promote job satisfaction and subjective class identification.
It is the so-called Shinchon Severance Hospital Case brought to an end by the decision of the Supreme Court that opened the real discourse of withholding or withdrawing of LST (Life-Sustaining Treatment) in the legal profession as well as medical profession in Korea. Everyone has sympathy with the validity and necessity of legal regulation on withdrawing-including withholding-of LST save the requirements & procedure of withdrawing of LST. In this situation, the legislative bill of amendment to the Korean Civil Law introducing of adult guardianship was pre-announced by the Ministry of Justice on September 18th 2009. The adult guardianship is a guardianship system that supports an mentally handicapped adult to deal with his affairs by support of a guardian. The object of adult guardianship includes affairs of body or well-being as well as property of adult wards. In particular, affairs of medical matters are of importance in the duty and authority of adult guardians. So, the introduction of adult guardianship is of much importance de lege lata as well as de lege ferena in the discussion of withdrawing of LST as a medical treatment. Since the legislation on withdrawing of LST intents to protect the right of death with dignity on the basis of patients' autonomy, the ratio legis of withdrawing of LST is variant from that of adult guardianship. In this context, it seems reasonable to legislate the withdrawing of LST separately from the adultguardianship. In the meantime, the adult guardianship of the legislative bill of amendment to the Korean Civil Law is related to the withdrawing of LST, since the main purpose of adult guardianship is to protect patients' quality of lives and to regulate guardianship contracts based on patients' autonomy. In that context, it seems reasonable to incorporate the legislation of withdrawing of LST into the adult guardianship system. In the latter case, it is not easy to adopt the withdrawing of LST into the legislative bill of the Korean Civil Law for the bill is pre-announced already as previously stated. However, the legislation of withdrawing of LST is not inferior to the legislation of adult guardianship as a matter of urgency. Moreover, it is likely that the legislative bill of Amendment to the Korean Civil Law generates discrepancies in interpretation of the requirements & procedure of withdrawing of LST as the amended German Civil Law did. In short, it is desirable for the legislator to revise the legislative bill despite delay.
In Mash & Murrell, Diplock J said that "there is an implied warranty not merely that they shall be merchantable at the time they are put on the vessel, but that they shall be in such a state that they can endure the normal journey and be in a merchantable condition upon arrival." But in The Mercini Lady, Field J said that "the goods would be of satisfactory quality not only when the goods were delivered on to the vessel but also for a reasonable time thereafter." and "The proposed conditions were not excluded by clause 18. ${\cdots}$ clause 18 was not to be construed as extending to conditions ${\cdots}$". In relation to the problems on validity of the goods conformity clauses in FOB contracts, when considering Lord Wright's comments ("${\cdots}$ hence apt and precise words must be used to exclude it: the words guarantee or warranty are not sufficiently clear.") in Cammell Laird & Co Ltd v Manganese Bronze and Brass, FOB contracts are fundamentally one that seller's duty to deliver the goods is completing at the port of shipment and "principle of party autonomy" in Contract Law, I do not think that the terms implied by section 14 of the SGA and Common Law cannot absolutely excluded by the goods conformity clauses in sale contracts. Therefore, in order to exclude the implied terms, the parties must very clearly spell out this in the relevant clauses.
Purpose: The study was done to develop a shared decision-making scale for end-of-life patients in Korea. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 388 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, or Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from July to October 2011. Results: Thirty-four items were selected for the final scale, and categorized into 7 factors explaining 61.9% of the total variance. The factors were labeled as sharing information (9 items), constructing system (7 items), explanation as a duty (5 items), autonomy (4 items), capturing time (3 items), participation of family (3 items), and human respect (3 items). The scores for the scale were significantly correlated among shared decision-making scale, terminating life support scale, and dignified dying scale. Cronbach's alpha coefficient for the 34 items was .94. Conclusion: The above findings indicate that the shared decision-making scale has a good validity and reliability when used for end-of-life patients in Korea.
Objectives: This study was conducted to provide a basic set of data on the correlation relationship between the internal external satisfaction and organizational commitment of dental hygienist. Methods: The research subjects were a total 264 numbers of dental hygienists in Busan and Gyeongnam. The study was conducted from July 1 to August 30, 2016. Structured questionnaires were used for analysis. The collected data was analyzed using IBM SPSS. Statistics 20.0. Results: Job satisfaction according to general characteristics showed high internal satisfaction and external satisfaction in age and prime duty, and internal satisfaction in career. The factors affecting organizational commitment were sub-factors of job satisfaction, external satisfaction and internal satisfaction. Conclusions: The atmosphere composition must be to improve that in the dental clinic, the dental hygienist's scope of work, autonomy, and sense of accomplishment through job the organizational commitment of the dental hygienists. This should be supported by the effective management of human resources, salary structure and the improvement of the system.
In order to investigate the complaint rates of subjective fatigue symptoms and the degree of job-satisfaction among dental hygienists based on their socio-demographic and job characteristics and to find out the factors related with subjective fatigue symptoms and job satisfaction. The study subjects were recruited from 274 dental hygienists who worked at dental hospitals and clinics in Daejon city and South Chungcheong Province during the period between Jan. 5 and Feb. 11, 2008. They were asked to complete the self-administered questionnaires asking about their socio-demographic characteristics. job characteristics. daily life styles, job satisfaction and subjective fatigue symptoms, and the major finding of the results were as follows : 1. The mean scores of job satisfaction were 3.12V0.47 of the total full scores(5.00). and the highest scores were in the sub-domain of interpersonal relationship. and the lowest scores were pay. The scores of job satisfaction by socio-demographic characteristics and daily life styles were not significantly differences, but in job characteristics, significantly increased with those feeling satisfied with their job. those with appropriate amount of duty amount, those free of jop autonomy, those feeling satisfied with their monthly income. satisfactory personal relations at work. 2. The mean scores of subjective fatigue symptoms were 27.6V10.9 of the total full scores(60.0), and the highest scores were in the sub-group of bodily projection of fatigue(Group III), and they were followed by difficulty in concentration(Group II). dullness and sleepness(Group I) in their decreasing order of magnitude. The scores of job satisfaction by socio-demographic characteristics and daily life styles were significantly increased with the group of lower age, the group of irregularly breakfast habit and the worse subjective health status. Based on job characteristics. the score of subjective fatigue symptoms were significantly increased with those group of lower clinical career and monthly income, those feeling unsatisfied with their job, those with inappropriate amount of duty amount. those satisfactory personal relations at work 3. The correlation of subjective fatigue symptoms with job satisfaction showed a negative correlation with rM-0.198(pM0.000), and job satisfaction were higher according to the lower subjective fatigue symptoms. The correlation among the scores of sub-domain of job satisfaction and the sub-group of subjective fatigue symptoms were significantly positive correlation. 4. The affecting factors of significance on job satisfaction included clinical career, duty amount salary satisfaction, with the explanatory power of 32.9%. Those on subjective fatigue symptoms included the eucation and the subjective health statuts, with the explanatory power of 20.8%. When considering these results, the job-satisfaction and the subjective fatigue symptoms were significantly correlated with the job related factors than factors of socio-demographic characteristics and daily life styles. In addition. if job environments of dental hygienist can improved. their job-satisfaction and subjective fatigue symptoms are suggested to be betters.
The aim of this study is to newly interpretate to T. Hobbes' view of man and commonwealth in his On Man and On Citizen. An established reputation of the Hobbes' view is as follows. The nature of every man is egoistic. Therefor in the state of nature every man struggles against every man to acquire the good for himself. To suppress this egoistic nature of every man commonwealth established through the covenant of every man. And every man is absolutely subject to the common power of commonwealth. By doing so, every man preserves the life of himself. In that opinion, it seems that commonwealth have absolutely superiority over a man, and suppresses the liberty and autonomy of every man. This study different from that opinion speaks as follows. The nature of every man is not egoistic, but the nature of some men is egoistic. Therefor commonwealth dose not suppress the liberty and autonomy of every man, but suppress the aggression of some egoistic men through the common power. By that work, commonwealth gives every man the hope of his safety and peace. If that hope is not preserved, the duty or need that every man is subject to commonwealth will be discharged. In that state, rather the common power of commonwealth is the power of enemy, by the law of nature man struggle against commonwealth as an enemy. Therefor we can know the meaning of 'mortal god' that commonwealth is called by Hobbes.
Purpose: The purpose of this study is to identify the trends of studies on work-related musculoskeletal disorder and to suggest the direction of future research. Method: 144 research thesis for a degree on work-related musculoskeletal disorder were systematic reviewed and published from Jan. 1990 to Mar. 2005. The analyzed using descriptive statistics, an actual number, percentage. Result: As its result the work-related musculoskeletal disorder research which is announced from domestic the doctorate dissertation at the 2004 year 42 the most many 144 dissertation middle most to be 129 in master degree dissertation was 15 in Ph D degree. Dissertation contents character the contents against the result relation that it analyzes especially and a condition and an obstacle was many most at 84. Research plan in most description investigation research 121 the dissertation field to be the especially public health (hygiene, industry and environment) at this 57 most many research object person distribution manufacturing industry in the research object one dissertation was many most at the 40. The tools which are used in each measurement in the question tool which it uses most the question price of land which uses the condition investigation ticket which it made from the NIOSH and the ANSI most many 33, the hazard which analyzes a work attitude in the tool which it uses the RULA was many most at 14. In the stress test tool social psychological healthy measurement PWI (Psychological Wellbeing Index) the dissertation which uses the Job Strain of the Karasek Model to be many most at 19 PWI (Psychological Wellbeing Index) 7 easy use. Work-related musculoskeletal disorder measurement hazard in physiological index and the machinery and tools which it uses there were 9 researches to use an electromyogram most plentifully. With the effect goes to a work-related musculoskeletal disorder they are 33 where the age is many most from general quality. From healthy act with the relation of smoking the year to be many from 16 dissertations. Work of the corpse an attitude (the attitude which is inappropriate) with 5 and the work market the work burglar is many most at 9, the society-support of 36 where the stress is many psychologically most, the stress and service also the most many duty discretion (authority and autonomy) is 6 at the duty demand boat song 9. The service career to be many is 22 of extraordinarily with relation of service. Conclusion: It is recommended the research which it sees being limited in only domestic thesis for a degree the international comparative study to become accomplished. It comes to think with the fact that it will be necessary to make the protocol which it conforms in the civil official guide the test researches for the protocol or arbitration program which is standardized are necessary. Prevention and the civil official of work relation bones and sinews standing total disease hazard scientific base one program is necessary with base.
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