• Journal of Korean Academy of Nursing Administration
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• v.12 no.1
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• pp.104-112
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• 2006

Purpose: The purpose of this study was to identify and compare role conflict and job satisfaction between nurses in ICU and nurses in general ward. Method: The subjects of this study consisted of 141 nurses employed at ICU and 201 nurses employed at general ward, who were recruited from 5 university hospitals with 500 beds located in Seoul and Gyeonggido. The instruments included role conflict scale developed by Kim and Park(1995) and job satisfaction scale translated and modified by Lee(1996). The collected data were analyzed using the SPSS WIN 10.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Result: In the two groups, there was a inverse correlation between role conflict and job satisfaction. In ICU, nurses' role conflict levels differed significantly depending on religion(p<.05), total experience(p<.05), scheduled to work as a nurse(p<.05). And nurses' job satisfaction levels differed significantly depending on total experience(p<.05), working period in current post(p<.001), scheduled to work as a nurse(p<.001), motive of choosing the nursing science(p<.01), and job satisfaction(p<.001). In general ward, nurses' job satisfaction levels differed significantly depending on marital status(p<.05), educational level(p<.01), total experience(p<.001), motive of choosing the nursing science(p<.01), and job satisfaction(p<.001). Conclusion: Summing up, the nurses at ICU showed higher level of role conflict than the nurses ay general ward. Therefore, it is needed to decrease the level of nurse's role conflict and improve their job satisfaction in ICU.

• Acute and Critical Care
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• v.33 no.4
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• pp.252-259
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• 2018

Background: The aim of this study was to investigate the effects of using a systematic approach to tracheostomy care by a clinical nurse specialist and surgical intensivists for patients with a tracheostomy who were transferred from the surgical intensive care unit (SICU) to the general ward. Methods: In this retrospective study, subjects were limited to SICU patients with a tracheostomy who were transferred to the general ward. The study period was divided into a preintervention period (January 1, 2007 to December 31, 2010) and a postintervention period (January 1, 2011 to December 31, 2014), and electronic medical records were used to analyze and compare patient characteristics, clinical outcomes, and readmission to the SICU. Results: The analysis included 44 patients in the preintervention group and 96 patients in the postintervention group. Decannulation time ($26.7{\pm}25.1$ vs. $12.1{\pm}16.0days$, P=0.003), length of stay in the general ward ($70.6{\pm}89.1$ vs. $40.5{\pm}42.2days$, P=0.008), length of total hospital stay ($107.5{\pm}95.6$ vs. $74.7{\pm}51.2days$, P=0.009), and readmission rate of SICU decreased due to T-cannula occlusion (58.8% vs. 5.9%, P=0.010). Conclusions: Using a systematic approach to tracheostomy care in the general ward led to reduction in decannulation time through professional management, which resulted in a shorter hospital stay. It also lowered SICU readmission by solving problems related to direct T-cannula.

• Korean Institute of Interior Design Journal
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• v.15 no.5 s.58
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• pp.202-208
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• 2006

The purpose of this study is to suggest architectural planning guideline for the improvement of the evacuation environment in a ward. To suggest of guideline, the problem of irrational domestic criteria is searched according to compare National fire code (NFPA101, Life safety code) with Korea building law. This study includes stairs, corridors and exit door etc. but excludes fire facilities. To verify effectiveness of suggested guideline, egress simulation is run that based on databases according to literature survey. The results of this study could be summarized as follow: Suggested guidelines are subdivision(fire partition), evacuation by elevator, secure useful waiting space of elevator hall and smokeproof enclosures, the corridor is divided by fire or smoke barriers corridor from hazardous room, only wheeled items are arranged in corridors of a ward story. The result of computer simulation for suggested guidelines verify that egress time can be decreased 20% or above.

• Journal of The Korea Institute of Healthcare Architecture
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• v.22 no.4
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• pp.67-77
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• 2016

Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

• Journal of the Korea Convergence Society
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• v.11 no.8
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• pp.77-87
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• 2020

The purpose of this study was to investigate and compare job satisfaction, job stress, and nursing task performance for nursing and nursing integrated service wards and general ward nurses to provide basic data for efficient nursing manpower management in nursing and nursing integrated service wards. For comparative research. The subjects were 136 nurses in the nursing and nursing integrated service ward and general ward nurses at a general hospital in D metropolitan area. There was no significant difference between the groups in the job satisfaction, job stress, and nursing task performance of the nursing and nursing integrated service ward nurses and general ward nurses. The performance was high. Factors influencing the performance of nursing tasks were job satisfaction and job stress, with 20.6% of nurses in nursing and nursing integrated service wards and 47.5% of nurses in general wards. Therefore, there is a need for support to improve the ability to perform nursing tasks that can increase job satisfaction and maintain job stress.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.7
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• pp.3325-3328
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• 2012

Aim: To evaluate the association of glutathione S-transferases gene polymorphisms with the risk of gastric cancer, with reference to smoking and Helicobacter pylori infection. Methods: We conducted a 1:1 matched case-control study with 410 gastric cancer cases and 410 cancer-free controls. Polymorphisms of GSTM1, GSTT1 and GSTP1 were determined using PCR-CTPP. Results: The GSTM1 and GSTT1 null genotypes were significantly associated with the risk of gastric cancer after adjusting for potential confounding factors (OR=1.68, 95% CI=1.32-2.23 for null GSTM1, OR=1.73; 95% CI=1.24-2.13 for null GSTT1). The combination of null GSTM1 and null GSTT1 conferred an elevated risk (OR=2.54, 95% CI=1.55-3.39). However, no association was found for GSTP1 polymorphism The smoking modified the association of GSTM1 and GSTT1 null genotypes with the risk of gastric cancer. Conclusion: GSTM1 and GSTT1 null genotypes are associated with increased risk of gastric cancer, and smoking modifies the association.

• Journal of Korean Clinical Nursing Research
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• v.28 no.3
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• pp.211-222
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• 2022

Purpose: This study aimed to identify the effects of preparedness towards delegation, critical thinking disposition, and communicative competence on job satisfaction among comprehensive nursing care service ward nurses and general ward nurses. Methods: The participants in this study were 218 nurses from two university hospitals. Data were collected using self-administered questionnaires and were analyzed using SPSS Statistics/WIN 21.0, including descriptive statistics, x² test, Fisher's exact test, t-test, ANOVA, Scheffeé test, Pearson's correlation coefficient, and multiple linear regression analysis. Results: For comprehensive nursing care service ward nurses, the significant influencing factors on job satisfaction were age (β=-.37, p=.041), marital status (β=.35, p=.001), critical thinking disposition (β=.29, p=.003), and communicative competence (β=.28, p=.002) with the explanatory power was 39.0% (F=12.00, p<.001). On the other hand, for general ward nurses, the significant influencing factors on job satisfaction were advanced degree (β=.29, p=.047), critical thinking disposition (β=.23, p=.040), and communicative competence (β=.42, p<.001) with the explanatory power was 33.0% (F=11.78, p<.001). Conclusion: The results of this study suggest the importance of developing and applying education programs to improve critical thinking disposition and communicative competence of nurses. This would enhance the comprehensive nursing service and increase overall nursing manpower resources. In addition, further studies are needed to improve nursing work environments and to develop strategies for enhancing preparedness towards delegation, which would increase the job satisfaction of nurses in the comprehensive nursing care service wards.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.3
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• pp.7-15
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• 2018

Purpose: The purpose of this study is to suggest the improvement of the architectural planning of public hospitals by analyzing the contents of the architectural planning and the trend of the recent ward planning. Methods: The study method was the drawing analysis of the wards in the public hospitals where facilities were improved including the ward-related literature survey. The scope of the study was the general wards. Results: As a result of the study, the area composition of the ward area, the number of beds per nursing unit, the floorplan types, and the unit space planning which is included the room composition, the room size, the bed clearance areas, and the improvements of the nursing space were suggested. Implications: The result of this research would be useful as a reference to design nurse area in the wards.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.26 no.1
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• pp.91-101
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• 2019

Purpose: The purpose of this study was to identify factors associated with stress related to home mechanical ventilator (HMV) care in general ward nurses. Methods: The study participants were 110 general ward nurses. Data on participant characteristics, level of knowledge, education needs, coping ability in emergency situations, confidence, and stress were collected from August 1 to 30, 2018 using a structured questionnaire by web-based surveys. Data were analyzed using SPSS/WIN 20.0 for descriptive statistics and independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Significant factors associated with stress related to HMV care were ward career, intensive care unit (ICU) career, intensive care room (ICR) career, education experience, and satisfaction level of HMV education. Stress had negative correlations with confidence and positive correlations with education needs. The determining factors affecting stress related to HMV care in the general ward were confidence (${\beta}=-.31$, p=.004), ICR career (${\beta}=-.27$, p<.001), education needs (${\beta}=.24$, p=.005), education frequency (${\beta}=-.18$, p=.040), and ICU career (${\beta}=-.18$, p=.025); their explanation power was about 41.8%. Conclusions: It is necessary to develop HMV care training manuals and guidelines and consider ICU or ICR careers for patient safety.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.2
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• pp.647-651
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• 2012

Aim: An epidemiological study was conducted based on an esophageal cancer patient's cohort to investigate the association of folate intake and MTHFR C677T polymorphism with the prognosis of esophageal cancer in a Chinese population. Methods: 167 patients aged 37-75 years who had histological confirmed diagnosis of esophageal squamous cell cancer were collected from Jan. 2006 to Jan. 2008. MTHFR genotypes at the C677T site were analyzed by PCR-based RFLP methods, and the folate intake was computed by multiplying the food intake (in grams) and the folate content (per gram) of food in our questionnaire. Results: We found associations between the prognosis of esophageal cancer and smoking status, T and N stages. Individuals carrying the MTHFR 677CT and TT genotypes showed a shorter survival time than with the CC genotype, with adjusted HRs (95% CI) of 1.20 (0.56-2.15) and 2.29 (1.30-4.28), respectively. Similarly, those carrying MTHFR 677T allele had a 1.86-fold risk of death. A higher folate concentration showed a significant decreased risk of death, with an HR (95% CI) of 0.45 (0.18-0.87). Individuals with high folate intake and the MTHFR 677CC genotype showed a significant decreased risk of esophageal cancer (0.43, 0.25-0.89).Conclusion: Our findings supports the hypothesis that high folate intake and active MTHFR C677T polymorphism may exert protective roles in the prognosis of esophageal cancer in the Chinese population.