• Title/Summary/Keyword: Environment of care

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Development and Validation of a Korean Nursing Work Environment Scale for Critical Care Nurses (한국형 중환자실 간호근무환경 측정도구 개발 및 평가)

  • Lee, Hyo Jin;Moon, Ji Hyun;Kim, Se Ra;Shim, Mi Young;Kim, Jung Yeon;Lee, Mi Aie
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.279-293
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    • 2021
  • Purpose: The purpose of this study was to develop a Korean nursing work environment scale for critical care nurses (KNWES-CCN) and verify its validity and reliability. Methods: A total of 46 preliminary items were selected using content validity analysis of experts on 64 candidate items derived through literature reviews and in-depth interviews with critical care nurses. 535 critical care nurses from 21 hospitals responded to the preliminary questionnaire from February to March 2021. The collected data were analysed using construct, convergent and discriminant validities, and internal consistency and test-retest reliability. Results: The 23 items in 4 factors accounted for 55.6% of the total variance were identified through item analysis and exploratory factor analysis (EFA). EFA was performed with maximum likelihood method including direct oblimin method. In the confirmatory factor analysis, KNWES-CCN consisted of 21 items in 4 factors by deleting the items that were not meet the condition that the factor loading over .50 or the squared multiple correlation over .30. This model was considered to be suitable because it satisfied the fit index and acceptable criteria of the model [𝒳2=440.47 (p<.001), CMIN/DF=2.41, GFI=.86, SRMR=.06, RMSEA=.07, TLI=.90, CFI=.91]. The item total correlation values ranged form .32 to .73 and its internal consistency was Cronbach's α=.92. The reliability of the test-retest correlation coefficient was .72 and the intra-class correlation coefficient was .83. Conclusion: The KNWES-CCN showed good validity and reliability. Therefore, it is expected that the use of this scale would measure and improve nursing work environment for critical care nurses in Korea.

A Study on the Perception Level and Proper Management of Indoor Air Quality Recognition in Elderly Care Hospital Workers

  • Choi, Mi-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.11
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    • pp.171-178
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    • 2019
  • In this paper, we proposed a plan for a indoor air quality management in elderly care hospital by measuring the indoor air quality level of elderly care hospital and conducting a survey the workers' awareness of indoor air quality. The measurement items were Temperature, Humidity, CO2, CO, PM10, VOC and were taken on April 26, 2019. The survey found that the lower the satisfaction level with indoor air quality, the better outdoor air quality and odor items were analyzed to be the lowest among the indoor environmental factors. When the satisfaction level of indoor air quality is high, the satisfaction level of indoor environment factor is high. The result of the multiple response analysis was "lack of ventilation" and the regression analysis was the lower the "relevance of indoor air quality" category. To provide the best indoor air quality environment for elderly care hospital workers the installation of additional ventilation equipment to remove odors, the increase in the number of natural ventilation and the designation of regular ventilation personnel will be necessary. By establishing such a plan, it is possible to provide indoor air quality environment to provide the best services for elderly care hospital workers.

Ethical Review of Development and Service with Care Assistance Robot: Focusing on Transfer, Repositioning, Feeding, and Toileting Care Assistance Robot (돌봄보조 로봇의 개발과 서비스에 대한 윤리적 고찰: 이승, 자세변환, 식사, 배설 돌봄보조 로봇을 중심으로)

  • Bae, Young-Hyeon
    • The Journal of Korea Robotics Society
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    • v.17 no.2
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    • pp.103-109
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    • 2022
  • The purpose of this study is to ethical review on the development and service with care assistance robot. An integrative review concept analysis method was used. We analyzed the classification and role of service robots, the concept of the robot ethic and the care ethic. And there were derived the development and service about care assistance robot in ethical viewpoint. For improving current care problem, government had support to developing four types care assistance robots. But there were provided carefully care service due to the limitations of robot technology and lack of overall social awareness with care robot. In addition, in order to be successfully application in the field, care assistance robots were developed to provide high-quality care service that can consider to personal culture and living environment with the development of artificial intelligence and robot technology, as well as ethical care service.

The effects of the quality of dental care service by factors on the patient satisfaction and service value (요인별 치과 의료서비스 질이 환자만족과 서비스 가치에 미치는 영향)

  • Kim, Jung-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.1
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    • pp.25-35
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    • 2006
  • The purpose of this study is to forecast patient satisfaction and service value through the staged regression analysis of the relation between each factor and its satisfaction and service value, following the measurement of the quality of dental care service that patients recognize. And a self-administered survey was used for this study. The subjects of this survey were 394 outpatients of dental clinics located in K city in the period from Dec. 5, 2004 to Feb. 19, 2005, the questionnaire was composed of a total of 31 questions to measure the quality of overall dental care service(22 questions), the patient satisfaction(6 questions) and the service value(3 questions). The 7 points Likert scale ranging from "very poor"(1-point) to "very high"(7-point) was used for these questions The results of study could be summarized as follows: 1. The most useful index to predict patient satisfaction turned out to be "internal environment", followed by "treatment process and waiting time", "dentist", "external environment", and "dental hygienist". 2. The service value had a significant effect on the "internal environment", "dentist", "treatment process and waiting time". 3. The most useful index to predict the service value turned out to be "treatment process and waiting time", followed by "internal environment" and "dentist". Today, the quality of dental care service is becoming a prime concern since it is directly connected to a matter of survival of medical service organizations. Dental clinics desperately need patient-oriented marketing strategies in order to actively cope with changing medical environment. They also need to thoroughly examine possible measures to maximize the service value by establishing a variety of service strategies which can promote service quality that patients recognize.

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The Effect of Care-workers Work Environment on Organizational Commitment: The Mediation Effects of Job Satisfaction (요양보호사의 직무환경이 조직몰입에 미치는 영향: 직무만족의 매개효과 검증)

  • Hong, Seo-Joon;Kim, Jin-Woo
    • Journal of Industrial Convergence
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    • v.20 no.7
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    • pp.107-113
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    • 2022
  • The purpose of this study is to identify the effect of the job environment of nursing care workers on organizational commitment and to verify the mediating effect of job satisfaction based on this. Data collection was conducted on 340 nursing care workers, centering on elderly care facilities in Gyeonggi-do, and the uncollected questionnaires and abnormalities were removed and the final 267 were selected as the subjects of the study. Data analysis results were derived through SPSS WIN 2.0 and PROCESS Macro V3.5, and Hayes (2013)'s Macro Model Number 4 was applied to verify the mediating effect of job satisfaction. As a result of the analysis, the partial mediating effect of the job satisfaction was confirmed in the effect of the job environment of the caregiver on organizational commitment. Based on the analysis results, practical and policy suggestions for improving the job environment and increasing job satisfaction of nursing caregivers, and follow-up studies were proposed to overcome the limitations of this study.

A Study on Influential Determinants of Health in Adult of Korea Using Lalonde Health Field Model (Lalonde Health Field Model을 이용한 성인의 건강결정요인에 관한 분석)

  • Choi, Ryoung;Moon, Hyun-Ju
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.77-89
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    • 2011
  • This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to know factors affecting determinants of health using Lalonde model for the adults aged over 19 years living in Korea. The survey was conducted in 2009 and it evaluated finally 5,867 cases by excluding cases with no answer or a wrong answer. This study model adopted two categories of instrument measure health were objective (Average remaining lifetime) and subjective(EQ-5D) health status. The health determinants included in this study could be divided in to four categories, which were human biology, environment, lifestyle, and health care organization. The results were as follows. In the factors affecting average remaining lifetime, human biology were sex, ages, BMI, showed statistically significant difference, environment category were merry status, education showed statistically significant difference, lifestyle category were exercise, drunks showed statistically significant difference and health care organization category were vaccination, health screening showed statistically significant difference. In the factors affecting EQ-5D, human biology category and health care organization category showed with same average remaining lifetime, environment category were merry status, education, income showed statistically significant difference and lifestyle category were exercise, drunks, stress showed statistically significant difference. The results demonstrated that the best powerful factor was life style category and environment category, the least factor was health care organization category. So lifestyle style and environment category should be considered for the future health plan, budget allocation and the priority in the health care.

Nursing Need and Satisfaction of Families with their Hospitalized Children (입원환아 가족의 간호요구도와 만족도)

  • Seo Ji-Young
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.195-203
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    • 2002
  • This study was done to evaluate the need and satisfaction for nursing care of the families with their hospitalized children. The data were collected through the questionnaire from March 15, 2002 to April 7. Subjects were the 103 families caring for their hospitalized children at pediatric ward in two university hospitals in Daegu. The nursing need instrument was developed by Seo(1999) and modified by the researcher of this study based on the classification of nursing care area(nursing assessment, direct nursing, education and counseling, and facilities and environment). The nursing satisfaction instrument was developed by Wandelt & Ager(1974) and modified by Park(1994) based on classification of nursing care area (psychosocial care, physical care, general care, professional care, and communicative care). The data were analyzed for mean, percent, t-test, ANOVA, and Pearson correlation coefficient using SAS program. The results are summarized as follows: 1. The scores in the nursing need showed in the Direct nursing(3.41±.42), Facilities and Environment(3.38±.46), Education and Counseling (3.35±.40), and Nursing Assessment(3.14±.41) area in order. 2.The scores in the nursing satisfaction showed in the Psychosocial care(3.70±.74), Commu- nicative care(3.60±.72), General care(3.42±.76), Professional care(3.38±.82), and Physical care(3.32±.70) area in order. 3.General characteristics of families which influence on the satisfaction showed a significant difference according to their educational(F=5.63, p=.001) and economical level(F=4.47, p=.006), and hospitalized experience(t=2.30, p=0.02). 4. There was no correlation between the nursing need and the nursing satisfaction.

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A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities (장기요양시설노인의 좋은 서비스 경험에 관한 개념도 연구)

  • Choi, Hyoungshim
    • Korean Journal of Adult Nursing
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    • v.28 no.6
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    • pp.669-679
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    • 2016
  • Purpose: The purpose of this study was to explore the reported good service experiences from the perspective of elderly residents of long-term care facilities. Methods: Of those residents who are 65 years old or older, 14 residents whose length of stay were one month or longer and scores of the K-Mini Mental State Examination were 15 or higher were interviewed. The interview data formed the basis for the empirical statements about the reported nature of patients' experiences as residents of long-term care facilities. These data were used in concept mapping. Results: Through multidimensional scaling analysis and hierarchical cluster analysis, 62 core statements, two dimensions, and six clusters of good service experiences were derived. The two dimensions were classified as 'care centered-participation centered services' and as 'physical-emotional services.' Six cluster themes emerged as good service experiences: 'safety of care and treatment', 'responsible and supportive staff', 'comfort of living environment', 'mental well-being', and 'respect and communication'. Conclusion: The result of the study provides information about what experiences are important to older adults with cognitive impairment. The concept map can be used to develop a patient experience index for the elderly residents of long-term care facilities.

Relationship between Hospital Nurses' Perceived Patient Safety Culture and Their Safety Care Activities (병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계)

  • Choi, Jeong-Hwa;Lee, Kyung-Mi;Lee, Mi-Aie
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.64-72
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    • 2010
  • Purpose: This study was performed to measure hospital nurses' perceived patient safety culture and their safety care activities, and to investigate the relationship between these two factors. Method: This study was a cross-sectional survey. The participants were 301 nurses working at 4 general hospitals, and data collection was done from June 22 to June 30, 2009 by self-administrated questionnaires. Results: With a possible score of 5 points, the average score for nurses' perceived patient safety culture was 3.34, and for their safety care activities, 4.25. There were perceived differences in patient safety culture and safety care activities according to age, position, length of work experience and number of patient safety education sessions attended. All sub-factors in patient safety culture had a positive relationship with safety care activities. Factors influencing nurses' safety care activities were number of patient safety education sessions attended, hospital environment, and supervisor/manager. These factors explained 58.2% of the variance. Conclusion: The findings indicate that patient safety education is very important to improve nurses' safety care activity. So nursing supervisors/ managers should develop strategies encourage patient safety education, and make nurses' working environment safer.

Effect of Supervising Infectious Medical Waste and Eco-Friendly Health Care Service Orientation as Perception of the Environment Problem of Hospital Nurse (병원간호사의 환경문제인식이 감염성폐기물 관리 실천 및 친환경의료서비스 지향성에 미치는 영향)

  • Yoo, Meong-Sook;Seo, Young-Sook;Son, Yu-Lim
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.39-47
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    • 2013
  • Purpose. To examine the orientation of the eco-friendly Health care service on korean Hospital nurses Methods. Between October 2012 and November 2012, two hundred eighty five nurses (mean age, $25{\pm}17$ years; age range, 22~42yrears) were enrolled in this study. They performed a questionnaire which related to environmental problem, hospital infectious wastes manage and eco-friendly care service orientation. Results. Within the results, There were statistically significant correlation between "Hospital infectious wastes management" and "environmental problem awareness"(r=0.45, p<.001), "eco-friendly care service orientation"and "environmental problem awareness" (r=0.48, p<.001), and "eco-friendly Health care service orientaton" and "Hospital infectious wastes management"(r=0.50, p<.001). Conclusions. In current study, these results express that it is necessary to promote environmental problem awareness and hospital infectious wastes management practice for the "orientation of the eco-friendly Health care service on korean hospital nuurses.

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