• Title/Summary/Keyword: Environment of care

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A Study on the Indoor Plan of the Day Care Centers in Workshop Area (직장보육시설 실내환경계획 방향에 관한 연구)

  • 김정진;장선희
    • Korean Institute of Interior Design Journal
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    • no.18
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    • pp.59-65
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    • 1999
  • As women's economic participation increases, the problems of day care appears seriously in Korea. The government made of nurture law for infants in 1991 and drove more establishment day care center, However, currently only 7.3% of 1.86 million infants, of working mother's infants under age 5, are caring. The employers supporting day are facilities which have many advantages such as enable women's economic participation stability of mental state, but the number of such facilities was recorded as 114 in 1996. therefore, the support for the facilities are demanding in terms of quantity but it is required improvements of in terms of quantity because infants are easily influenced by their environment. This study aims to provide infants of employers more efficient and better interior environment for day care and education facilities. By analyzing actual condition of plans and space utilization of selected facilities were cases and found out the problems in the selected facilities. The study of study identified are explained. 1. The object of study identified are explained. 2. Relevant theories and studies on environmental structure of infant day care. 3. The present conditions of infant day care are investigated and analysed with selected facilities as cases. 4. The concept and basic direction of design was made based on above researches.

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A Study on the Outdoor Space of Child Care Facility for Ecological Education (생태교육을 고려한 영유아보육시설의 외부공간계획에 관한 연구)

  • Lee, Ji-Su;Nam, Hae-Kyeong
    • Journal of the Korean Institute of Rural Architecture
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    • v.22 no.1
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    • pp.21-30
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    • 2020
  • It is a trend to pursue the reinforcement of child-centered, play-oriented ecological education programs that support children's development. Most of these nature friendly and eco education is done in the outdoor space. So outdoor activities in child care facilities are essential. The purpose of this study was to analyze the actual condition of the outdoor space for ecological child education in the child care center. Therefore, in order to provide the basic data for the direction of the improvement and to grasp the current situation and problems, the survey and analysis of the external space composition and utilization status in the child care facilities for nature-friendly ecological child care education has been done. As a result, the half of the cases did not reserve even the minimum size of outdoor space and fall short of the standards of outdoor space quality as accessibility, complexity, articulation and nature friendliness for ecological education. Therefore, in order to establish an ecological education environment, it is necessary to build facilities in natural green or suburban areas. In addition, they need to use the natural environment such as parks, open spaces, and forests.

uCDSS: Development of an Intelligent System for Ubiquitous Healthcare

  • An, Hyeon-Sun;Kim, Gwan-Yu;Lee, Seung-Han;Choe, Si-Myeong;Jo, Man-Jae;Lee, Sang-Gyeong;Kim, Jin-Tae
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2005.11a
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    • pp.425-428
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    • 2005
  • Healthcare is a research field suitable for applying the recent ubiquitous techniques. As a test system, we developed a kind of CDSS (Clinical Decision Support System) running in ubiquitous environment. called as 'uCDSS'. The uCDSS is a core system of the ubiquitous healthcare and is composed of some 'uMLMs(Ubiquitous Medical Logic Modules)'. The uMLMs based on the class in C# programming language could be reused in development of CDSS, or another EHR system running in .NET environment. As a test system, we developed the DM(Diabetes Mellitus knowledge system using ASP.NET. This system shows the potential of C# class-based uMLMs and the extensibility to any .NET development project.

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A Study on the Medical Program and Spatial Organization for Musculoskeletal Center (근골격센터의 프로그램 및 공간구성에 관한 연구)

  • Yun, Woo Young;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.4
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    • pp.49-58
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    • 2015
  • Purpose: Musculoskeletal disorder is one of diseases with high medical demand over-65 populations. Considering complex, chronic property of diseases, it is important for patients to provide specialized medical service. The musculoskeletal center is one of the most essential facility type in order to give adequate care to the patient suffering from musculoskeletal diseases. Methods: Statistical analysis relating to the component ratio of patients for the demand for medical care. Literature analysis for characteristic of the musculoskeletal diseases. The Status Survey of health care facilities operating in the musculoskeletal center. Results: It is necessary for the musculoskeletal center to be composed of four major areas such as consultation, examination, diagnosis, intervention for continuity of care. For continuum of care, it is essential to build medical environment integrated with each level of care such as consultant, examination, diagnosis procedure. Implications: This study is a basic research for design of musculoskeletal center, and need to be followed by further study using various perspectives and methods.

The Barriers and Solution of Providing Long-term Care Services at Home for the Beneficiaries with Mild Dementia: A Focus Group Interview (치매특별등급 대상자 재가요양관리의 장애요인과 해결방안 - 포커스 그룹 인터뷰 활용 -)

  • Song, Mi Sook;Lim, Kyung Sook
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.259-273
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    • 2016
  • Purpose: The purpose of this study was to explore the barriers and solution of providing long-term care (LTC) services at home for the beneficiaries with mild dementia. Methods: The data were collected by interviewing three focus groups consisting of 10 home-visit nurses and analyzed through the analytic process by Morgan and Krueger. Results: The barriers of providing LTC services for clients were identified as follows: inadequateness of the current LTC model for elderly individuals with mild dementia and inappropriateness of the personal environment for home care. The solutions for these barriers were suggested as follows: building up a safe environment for home care and maintaining an appropriate standard utilization plan of LTC service. Conclusion: The current service model for the beneficiaries with mild dementia should be modified in order to provide comprehensive long-term care services based on their complex needs.

The Influencing Factors on Infection Management Behavior of Health Worker in Long Term Care Facilities (장기요양시설 요양보호사의 감염관리 수행에 영향을 미치는 요인)

  • Kim, Kyoung Ja;Park, Sung Won
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.155-165
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    • 2016
  • Purpose: The purpose of this study was to investigate factors influencing health workers' infection management behavior in long-term care facilities. Methods: A descriptive cross-sectional survey was conducted with 180 health workers who are employed in long-term care facilities. The data were collected from April, 25 until July, in 2016. Results: Infection management behavior positively correlated with the perceived importance of infection management (r=.77, p<.001), but role conflict negatively correlated with infection management behavior (r=.28, p<.001). The hierarchical regression model with general characteristics (first step) and perceived importance of infection management, work environment, and role conflict (second step) against infection management behavior was statistically significant (F=31.93, p<.001). This model could explain 62.8% of infection management behavior ($R^2=.62$, ${\Delta}R^2=.39$). Particularly, perceived importance of infection management was identified as factors influencing infection management behavior(${\beta}=.70$, p<.001). Conclusion: The findings of this study imply that systemic education about infection control and monitoring should be considered, so as to encourage proper infection management behaviors among health workers in long-term care facilities.

Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit (중환자실 간호사의 신체보호대 간호수행의 영향요인)

  • Kim, Da Eun;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.62-74
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    • 2022
  • Purpose : This study aimed to identify the factors influencing physical restraint-related practice among nurses working in the intensive care unit (ICU). Methods : The participants consisted of 169 ICU nurses in three general hospitals in B and U cities. Data were collected from December 2021 to January 2022 through a structured self-administered questionnaire. Demographic characteristics, physical restraint-related practice, Person-centered Critical Care Nursing (PCCN), work environment, and attitudes toward physical restraint use were measured. For data analyses, hierarchical multiple regressions were conducted using SPSS/WIN 25.0. Results : Clinical careers in the ICU, better work environments, higher PCCN levels, and more positive attitudes toward physical restraint use were associated with a better practice of physical restraints, which together explained 35.5% of the total variance of the outcome. Conclusion : Our findings suggest that to promote a safe physical restraint-related practice among ICU nurses, it is important to improve the nursing environment, prepare guidelines for applying PCCN, and provide education for endorsing positive attitudes toward the use of physical restraints.

Direction and Tasks of Health Care Policy of Yoon Suk-yeol Government (윤석열 정부의 보건의료정책 방향과 과제)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.32 no.3
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    • pp.247-257
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    • 2022
  • The presidential election and the inauguration of the new government are a period of the policy window opening. The newly launched government is expected to improve the quality of life of the people. The Yoon Suk-yeol Government is also launched with new expectations with a transitional period in health care. The sustainability of health care in Korea is threatened. The environment of health care and the main policy issues of health care are difficult to secure the necessary finance for health care in spite of the increasing health care burden. Accordingly, the Yoon Suk-yeol Government's health care policy aims to provide intensive support to those in need of health and welfare and to improve the health of the people through investment in health. And for integrating fragmented health care and welfare services and creating people-centered community-based health care, a health care innovation center will be established for the evaluation platform of new delivery and payment systems, a health care development plan will be established for the blueprint of health care, and reorganizing the central & local government should be reviewed. Although we are facing unfavorable situations such as the distribution of the National Assembly, inflation, and the possibility of economic recession, we expect that announced health care policies will be implemented, recognizing that health care innovation is the only way to improve health care sustainability.

A Study on the Effect of Unit Design for Patient-Centered Care on Family Members and Caregivers - A Case Study of the Intensive Care Unit (ICU) for Patient-Centered Care in the United States (환자중심의료를 위한 병동디자인이 환자가족 및 의료진에 미치는 효과에 대한 연구 - 미국의 환자중심의료를 위한 중환자병동 사례를 중심으로)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.3
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    • pp.37-45
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    • 2015
  • Purpose: The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement. Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews. Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses' stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues. Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.

Manual Handling in Aged Care: Impact of Environment-related Interventions on Mobility

  • Coman, Robyn L.;Caponecchia, Carlo;McIntosh, Andrew S.
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.372-380
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    • 2018
  • The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.