• Title/Summary/Keyword: General hospitals

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The Etiology of the Diffuse Infiltrative Disease of the Lung in Korea (한국에서의 미만성 침윤성 폐질환의 원인별 분포)

  • Kim, J.H.;Choi, S.J.;Kim, D.S.;You, J.H.;Kang, H.M.;You, S.H.;Jo, D.I.;Kim, J.W.;Han, S.K.;Kim, K.Y.;Kim, Y.S.;Park, C.S.;Kim, W.S.;Kim, W.D.;Jang, J.;Lee, W.Y.;Choi, B.H.;Hue, S.H.;Shin, D.H.;Lee, J.H.
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.1
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    • pp.1-7
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    • 1991
  • To study the frequency of the underlying disease of the diffuse pulmonary infiltrates in korea, we ansalyzed retrospectively 982 patients who were seen at nine university hospitals and one general hospital in Seoul area. The results are folloing: 1) Among the total 982 patients, 490 patients were male and 492 patients were female. The mean age was 44.3 years. 2) The most common etiology was milliary tuberculosis (38%), which was followed by, idopathic pulmonary fibrosis (27%), pulmonary fibrosis associated with collagen-vascular disease (15%), and diffuse pulmonary infiltrates by malignancy (10%). 3) Amon the connective tissue disease which was accompanied by the interstitial lung disease, rheumatoid arthritis was the most common disease (43%), systemic lupus erythematosus was the 2nd (28%), and progressive systemic sclerosis was the 3re (16%). 4) Among 101 cases of malignant disease, lung was the most frequent primary site (31%), which was followed by stomach (28%), thyroid (16%), and breast (6%). 5) For the diagnosis of the underlying disease of pulmonary infiltrates, the transbronchial lung biopsy was performed in 21% of the patients and open lung biopsy was done in 7%.

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Influences of Type of Leadership on Hospital Organizational Members' Job Satisfaction, Organizational commitment, and Turnover Intentions (리더십유형이 병원 조직구성원의 직무만족, 조직몰입 및 이직의도에 미치는 영향)

  • Jeong, Yong-Gab;Ha, Ho-Wook;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.8 no.2
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    • pp.24-48
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    • 2003
  • It is important how the leader leads the organizational members with leadership appropriate to environment changes as the leader has great influence on the management of hospital organization. These data were collected from the questionnaire surveyed, from February 14 through February 28, 2003, to 218 people among those in the field of doctorship, management administration, nursing, technology, medical engineering, management engineering, and general affairs, working for three hospitals under S medical foundation in Pusan. The principal findings of this research are as below : 1. Type of leadership and job satisfaction had positive correlation in terms of both transformational and transactional leadership, with former having more relation than the latter. 2. Type of leadership and organizational commitment had positive correlation in terms of intellectual stimulus and situational rewards, having little relation statistically. 3. Type of leadership and turnover intentions had negative correlation only in individual consideration, situational rewards, and exceptional management, showing that transactional leadership had more relation than transformational leadership. 4. In terms of leadership and its effect on the organizational performance and turnover intentions, transformational leadership had more correlation than transactional leadership. But transactional leadership also turned out to have effect on organizational performance. When transformational leadership used, turnover intentions were lower than when transactional leadership used. However, both transformational and transactional leadership had negative correlation to turnover intentions. 5. Effect that type of leadership according to job classification, status, age, and academic career has on organizational performance and turnover intentions was differed by those factors; especially, in the occupation of doctor, both transformational and transactional leadership had positive correlation to turnover intentions. 6. Regression analysis on the factors of organizational performance and turnover intentions showed that higher age had positive correlation to the organizational performance in terms of socio-demographical features and that the more leadership was used for charismatic and situational rewards and the less leadership was used for intellectual stimuli, the higher organizational performance was likely. In short, hospital operators and managers should examine each manager's qualification, type, and style of leadership in the hospital organization, and they must develop lasting programs for effective education and training for developing characteristics of leadership are in needed to have managers with appropriate managerial mind to respective post and status. It should be kept in mind that manager's leadership especially has great effect on members' goal-setting, goal-achievement, organizational performance, and turnover intentions as it is a decisive factor of organizational members' attitude and motivation.

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Study on the complaint ratio of Respiratory sysmptomos of the Dental Laboratory Technicians in Seoul (서울 치과기공사의 호흡기장애 호소율에 대한 조사)

  • Son, Hyang-Ok
    • Journal of Technologic Dentistry
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    • v.11 no.1
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    • pp.35-45
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    • 1989
  • This study was carried out from June, 20, to October 22, 1988, for the purpose of researching on the complaint ratio of Respiratory symptoms of the dental laboratory technicians in Seoul. In this study, aiming to find out complaint ratio of respiratory symptoms of the dental laboratory, SNU-81-AL were applied, at random, to 193 dental laboratory technicians at 39 dental laboratories, as the research group, and to 178 clinical laboratory technicians at 10 general hospitals, as the control group, and above two groups were compared with each other. The following results were obtained from this research. 1. The quantity of respirable dust under 5$\mu$m measured at the dental laborartories was, on an average as well, 5$mg/m^3$-minimum 1.56$mg/m^3$), and the density of CO was, on an average as well, 5.0ppm(Mx 7.0-Mn 3.0). 2. The complaint ratio of five main respiratory symptoms(cough, phlegm, wheezing, nasal catarrh & cold, breathlessness) was, on an average, 44.3% at the dental laboratory technicians, phlegm was the major symptom complained by the greatest number of the technicians. 22.4% of the clinical laboratory technicians complained above 5 main respiratory symptoms, nassal catarrh & cold was the mostly complained symptoms among them. There showed a consideraly significant difference at the complaint ratio between the above 2 occupations(P<0.005). 3. There showed no paticular significant difference between male and female, at the complaint ratio of the dental laboratory technicians. However, there showed a considerable significant difference according to their sexuality, in case of the clinical laboratory technicians. 4. Considered from th view point of age, the highest age group was 20-29 with its average 48.5%, in case of dental laboratory technicians. The highest age group among the clinical laboratory technicians was over 40 age with its 28.7%. There showed no particular significant differences between to tow occupations. 5. Considered from the view point of work period, the highest work period group was 0-3 years with average 47.8%, in case of dental laboratory The highest work period group among the clinical laboratory technicians was 16 years with its 25.2%. There showed no particuar significant differences between the two occupations. 6. Considered from the view point of smoking, phlegm was complained by much more smokers than non-smokers, in both occupations. In case of non-smokers, many complained about nassal catarrh & cold. There showed no particular significant differences between the smokers and the non-smokers.

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The influence of the burden of nurse's work and health problems on presenteeism (간호사의 건강문제와 업무에 대한 부담감이 프리젠티즘에 미치는 영향)

  • Lee, Ji Eun;Lee, Eunjoo
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.4
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    • pp.769-781
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    • 2017
  • The purpose of this study was to investigate the effects of nurses' perceived burden from work and health problems on the presentism of nurses. The study subjects were recruited from four general and tertiary hospitals in K province and D metropolitan city. A quarter of nurses had shoulder, back, and neck pain and average number of health problems was 3.62. The nurses' presenteeism score was $43.37{\pm}12.43$ points out of 100 points. There was a statistically significant relationship between nurses' perceived burden, numbers of health problems, and presenteeism. The numbers of health problems and perceived burden of nurses had significant effects on presenteeism of nurses while controlling demographic factors such as length of work experience, job position, types of hospital, and gender. These results suggested that the less burden from work and the lower number health problems could result in the lower level of presenteeism of nurses. Therefore, it is necessary to develop diverse strategies to reduce the burden of nurses and health problems at both individual and organizational levels as a way to increase productivity of hospital.

Nutrients Intake and Dietary Quality of Korean Parkinson's Disease Patients According to the Duration of Disease (유병기간에 따른 한국인 파킨슨병 환자의 영양소 섭취 상태 및 식사의 질에 관한 연구)

  • Lee, Ju-Yeon;An, Tae-Beom;Jeon, Beom-Seok;Kim, Yun-Young;Choue, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.13 no.4
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    • pp.582-591
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    • 2008
  • Both genetic and environmental factors play important roles in the pathogenesis of Parkinson Disease(PD). The contribution of many environmental factors including dietary factor remains unproven. The purpose the study was to investigate the dietary habits, nutrient intake and dietary quality of Korean PD patients according to the duration of disease. PD patients were recruited from K and S university hospitals from May 2005 to January 2006. This study was carried out after approval by the Institute Review Board(IRB). British Brain Bank criteria was used to diagnose PD. The subjects were classified into 2 groups based on the duration of PD: <25 months and $\geq$25 months groups. General characteristics, anthropometric measurements, food habits and dietary intakes were investigated. The results of this study were as follows: 1) The mean age of <25 months group($66.9{\pm}8.0$ yr) was significantly higher than that of $\geq$25 months group($62.2{\pm}8.8$ yr)(p<0.05). No significant differences were found for academic background, occupation, living status and social activity, however, numbers of diseases, exercise and family history of PD were significantly different. 2) Anthropometric measurements were not different between the two groups. 3) The frequency of taking snacks was significantly higher in <25 months group and the amounts of alcohol consumption were significantly higher in $\geq$25 months group. 4) Daily intakes of most nutrients were very low compared with DRI. 5) The MAR score was significantly lower in <25 months group(p<0.05;) however, the scores of DVS, DDS and DQI were not significantly different. As a conclusion an overall nutrient intake and dietary quality of the Parkinson's Disease patients need to be improved regardless of duration of the disease and a well-balanced diet should be emphasized.

Changes in the trends of dental caries patients in Korea -Based on patient survey data from 1990 to 2008- (1990년대 이후의 한국인 치아우식증 외래환자 수 변화 -1990~2008년 환자조사 자료에 근거하여-)

  • Choi, Yong-Keum;Do, Sei-Rok;Park, Deok-Yong
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.489-497
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    • 2011
  • Objectives : Based on data collected from patients who suffered from dental caries during the period between 1990 and 2008, the number of patients and their trends were analyzed as a source of evidence to conduct the oral health plan. Methods : A population of sample design for patient survey data was derived from computerized data saved at medical institutions accredited by National Health Insurance Corporation. Large institutions such as dental hospitals were included for the complete enumeration test, while the rest of medical institutions, for example, dental clinic, relatively small institutions, were used for the sample survey. Most of patients with dental caries were outpatients and their disease was treated at the dental hospital or dental clinic in general, therefore, main analysis was carried out at those institutions. Results : The rate of patients who suffered the dental caries has decreased to 56.8% in 2008 from 78.5% in 1990. The rate of patients who visited the dental hospital for treatment has increased to 4.8% in 2008 from 0.5% in 1990, whereas the percentage of those who visited the dental clinic has fallen to 97.9% from 99.5% during the same period. The ratio by age, in the meantime, it showed that patients aged 40s has increased to 13.5% in 2008 from 7.2% in 1990, and the number also has risen in 50s from 5.6% in 1990 to 9.9% in 2008. However, the number of children aged 0 to 9 who visited hospital for treatment of dental caries has fallen to 17.0% in 2008 from 33.9% in 1990. Conclusions : By figuring out the trends of patients with the dental caries during the period between 1990 and 2008, fundamental data for the oral health policy have been collected. As a result, the necessity of a new medical treatment system for managing the dental caries in terms of patient ages as well as the oral health policy and campaign was taken into consideration.

Effect of servant leadership of dentists on organizational culture and the happiness index of dental hygienists (치과의사의 서번트 리더십이 조직문화와 치과위생사의 행복지수에 미치는 영향)

  • Kim, Na-Yeon;Bae, Hyeon-Suk;Kang, Yu-Min
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.2
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    • pp.253-267
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    • 2018
  • Objectives: The purpose of this study was to examine how the dentist's servant leadership affects the happiness index of dental hygienists. Methods: The subjects were 221 dental hygienists that have been working at dental clinics or dental hospitals. The data were analyzed using SPSS Version 20.0 (IBM Co., Armonk, NY, USA). An independent t-test and one-way ANOVA analysis were conducted to examine the difference in the happiness index of dental hygienists according to general characteristics. The independent t-test was conducted to examine organizational culture and happiness index according to upper and lower group based on the mean score for servant leadership. Pearson's correlation analysis was used to examine the correlation among key factors. Multiple regression analysis was conducted to identify factors influencing the happiness index of dental hygienists. Results: According to the analysis, there was a statistically significant positive correlation between the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists. However, a stewardship of the dentist's servant leadership factors was not found to have any correlation with the market culture. A multiple regression analysis was performed after including the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists. Meanwhile, the stewardship and community-building effect of the dentist's servant leadership had a statistically significant effect on the happiness index of dental hygienists. Consequently, a higher servant leadership factor in dentists was correlated with a higher happiness index of dental hygienists. Conclusions:The findings show that the dentist's servant leadership affect the happiness index of dental hygienists. Therefore, effective intervention and education programs related to the dentist's servant leadership and sound organizational culture are necessary to enhance dental hygienists' happiness index. Additionally, a follow-up study will determine the causal relationship among the dentist's servant leadership, the organizational culture and the happiness index of dental hygienists, considering organizational members and the environment of the dental clinics.

Effects of Hope, Grateful Disposition, Workplace Spirituality on Organizational Citizenship Behavior among Nurses (간호사의 희망, 감사성향, 일터영성이 조직시민행동에 미치는 영향)

  • Lim, So-Hee;Choi, Eun-Duck
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.277-286
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    • 2017
  • This study assesses the association of nurses' hope, grateful disposition, and workplace spirituality with the goals of providing human resource management plans that lead to efficient and competitive nurse structure by building a nurse organizational culture based on analyzing the influences affecting organizational citizenship behavior. Participants were 147 nurses working in four general hospitals in Seoul and Gyeonggi-do. The survey data were analyzed by frequencies, t-test, ANOVA, Pearson correlation coefficients and multiple stepwise regression via SPSS WIN 18.0. Results showed that organizational citizenship behavior is positively associated with nurse's hope (${\gamma}=.22{\sim}.36$, p<.001), grateful disposition (${\gamma}=.38$, p<.001) and workplace spirituality (${\gamma}=.38{\sim}.54$, p<.001). The significant predictors of organizational citizenship behavior were workplace spirituality (${\beta}=.54$, p<.001), hope of turnover (${\beta}=.12$, p<.001), hope (${\beta}=.09$, p<.001) and grateful disposition (${\beta}=.08$, p<.001), which explained 41.6% of the variance in organizational citizenship behavior. This study systematizes a theory for workplace spirituality processing the early stage research in nurse structure. To improve organizational citizenship behavior among nurses, educational programs and supporting systems should be developed to increase nurses' hope, disposition of grateful disposition, and workplace spirituality.

Path Analysis of Work-Family Conflict, Burnout, and Turnover Intention among Married Women Nurses (기혼여성 간호사의 직장가정 갈등, 소진과 이직의도 간의 경로분석)

  • Kang, Hee-Soon;Lee, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.206-217
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    • 2017
  • The purpose of this study was to explore the causal relationships between turnover intention and its influencing factors among married female nurses. The participants included 148 married nurses at 5 general hospitals in J city. Data were collected by using self-reported questionnaires and were analyzed by using SPSS and AMOS software. The overall fitness of the modified path model to the data was good ($x^2/df=0.002$, GFI = 1.00, AGFI = 1.00, RMSEA = 0.00, NFI = 1.00, CFI = 1.00, TLI = 1.09). Job stress, social support, work-family conflict, and burnout explained 32.0% of the variance in turnover intention of the participants. In particular, work-family conflict had a complete mediating effect between job stress and burnout. In addition, work-family conflict had partial mediating effects between social support and burnout as well as between social support and turnover intention. Social support had direct and indirect effects on work-family conflict, burnout, and turnover intention. In conclusion, strategies for decreasing married nurses' burnout and turnover intention should focus on reducing work-family conflict and increasing social support.

Male Nurses' Adaptation Experiences in Clinical Nursing Settings (남성 간호사들의 임상간호현장 적응 경험)

  • Kim, Seong-Hyuk;Kim, Soo-Jin;Kang, Hee-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.304-316
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    • 2017
  • The purpose of this study was to identify the components of the adaptation experiences and factors that help male nurses adapt to clinical nursing settings. The participants were eight male nurses working at general hospitals. Data were collected through in-depth interviews and analyzed using Giorgi's phenomenological analysis methods. The core components of the adaptation experiences of the participants in clinical nursing settings were summarized as 'dedication to work', 'challenges in reality that are different from expectations', 'establishing a professional identity', and 'self-development for the future'. The relationships between these components showed causative, accelerative, and recursive characteristics. The adaptation process was structured in the temporal context. In order for male nurses to adapt well to clinical nursing settings, policy efforts should be made to improve their working conditions and resolve inequalities, such as granting equal opportunities for promotion regardless of sex. In addition, it is essential for male nurses to have sufficient internal control for them to make self-directed efforts to strengthen their willpower and self-development efforts to facilitate their adaptation. This study suggests that developing suitable strategies and policy efforts based on the results is required to assist male nurses in adapting to clinical nursing settings.