• Journal of Preventive Medicine and Public Health
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• v.53 no.4
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• pp.236-244
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• 2020

Objectives: Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)' hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. Methods: A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs' knowledge and attitudes towards hand hygiene. Results: Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Conclusions: Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.

• Journal of Korean Academy of Nursing
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• v.16 no.1
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• pp.81-88
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• 1986

The main purpose of this study was to clarify the validity with patient's general background of Korean Pain Measurement tool. The subjects of this study were 195 patient from the 8 Med-Surgical wards in H. University Hospital in Seoul. The study was conducted over a 40 day period from Oct. 5, 1985 to Nov. 15, 1985. All patients had pain. Korean Pain Measurement tool and simple discriptive pain scale as Graphic Rating Scale were used to measure the pain, The Pearson Correlation Coefficient test was exercised to measure the correlation between the two kinds of pain tools. To clarify the Sensitivity of Korean Pain tool was used frequency with patient's response. To compare the difference in Pain levels with patient's general background, ANOVA and t-test was employed. To compare the difference in pain levels existed due to pain area of the body used mean numbers. The outcome of the study was as follows : 1. A positive correlation did exist between two pain measurement tools. (r=.2028∼.7768, p ＜0.002) 2. The sensitive subclass in Korean Pain Measurement tools was 7 subclass. The 7 subclass are inflammatory repeated pain, simple stimulating, traction pressure, dull pain, cavity pain, digestion related pain, suffering. related pain. 3. The existence of levels of pain in accordance with patient's general background, the department of hospital, pain area of the body and school age was supported. Age, sex, religion, marrital status, economic status, acute or chronic status was not supported. 4. The existence of higher pain levels of the body area was anus, chest, and lower pain levels of the body area was eye, ear, nose and throat. Based on the above results, it was found that sensitive subclasses of the Korean Pain Measurement tool was 7 subclass among all of 20 subclass. Thus it can be concluded that Korean Pain Mea-surement tool when partialy used and supplemented, can be an effective tool of pain measurement for the patient in Korea.

• Korean Journal of Adult Nursing
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• v.14 no.3
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• pp.390-400
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• 2002

Purpose: This study was to prepare the basic data for prevention of colorectal cancer and protection against its spread. Method: The subjects for the study were 204 patients with colorectal cancer from the G.S. wards of five general hospitals in Busan for the period of June 1 to September 1, 2001. The instrument used was a questionaire which was developed by Junho Shin(1995). The data was analyzed by descriptive statistics, McNemar test, ${\chi}^2$ test, paired t-test, and ANOVA. Result: 1. 57% of the studied subjects were male, 42.7% were more than 60 years old, 54.9% were of standard physique, 49.5% were the Buddhists, 50.5% were the middle or high school graduates, 83.8% were city dwellers, 48% were jobless, 69.6% had no-history of alimentary disease, 44.1% had no-family history of cancer, 82.8% were married. 2. Constipation (${\chi}^2=36.45$, p=0.0001) in clients showed a significant positive association for the prediagnosed, but diarrhea(${\chi}^2=3.947$, p=0.047) showed a significant positive association for the post-diagnosed. The preference for high seasonings(t=6.23, p=0.0001) and animal fat (t=8.35, p=0.0001) was higher significantly in the pre-diagnosed, but physical activities(${\chi}^2=30.22$, p=0.0001), an eutrophic or tonic medicine(${\chi}^2=30.22$, p=0.0001), was of and vegetables(t=-6.20, p=0.0001) was higher significantly in the post-diagnosed. 3. There were significant differences in the life style of the pre-diagnosed according to the general characteristics except religion. Conclusion: Results of the above study reveal we should be very sensitive to the change of defecation styles and consider the necessity of improving life styles as regards eating habits. When an education program is developed, the general characteristics of the subjects need to be considered.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.16 no.2
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• pp.161-171
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• 2006

The objectives of this study were to ergonomically evaluate varying tasks performed in a general hospital and to propose their improving measures based on the evaluation results. The tasks found in the hospital were largely classified into two groups of manual materials handling and awkward posture related tasks. Ergonomic tools of NLE, 3-D SSPP and RULA were used for evaluating workload of the tasks. The major findings are: 1) L5/S1 compressive force of patient transferring by one person exceeded the maximum permissible limit(6,400N) by NIOSH. The L5/S1 compressive forces for most of the patient transferring tasks by 2-4 persons were larger than the action limit (3,400N), and the tasks by five persons were analyzed to be safe in the view of L5/S1 compressive force; 2) patient repositioning tasks by 2-3 persons were hazardous on the basis of L5/S1 compressive force, while most of the tasks by 4-5 persons were safe; 3) many tasks performed in wards were found to be stressful, most of which resulted from improper heights of their working tables or working points. Of varying tasks in general hospitals, patient transferring was the most stressful. Based on the results of this study and high prevalence of musculoskeletal disorders from other studies, it is recommended that the ergonomics program be introduced and enforced for doing improving activities systematically

• Research in Community and Public Health Nursing
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• v.7 no.1
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• pp.100-117
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• 1996

The purpose of the survey was to find out the prevalence rate and related factors for low back pain of nurses and to develop educational program for prevention of the low back pain. The subjects of the survey were 593 nurses of general hospitals in Tae-gu City. The survey was conducted from June 10, 1994 to October 3, 1994. The questionnaire included 34 question items concerning general characteristics, factors related to low back pain, physical nursing activities, and characteristics of low back pain. The results were as follows : 1. Among 593 of subjects, the prevalence rate of low back pain showed 62.1%. 2. In relation of health related life activities and low back pain prevalence, self-reported health state was highly significant(P=.000). 3. In relation of work environmental factors and low back pain prevalence, job satisfaction (P=.026), job stress(P=.020), and workload(P=.002) were significant. 4. In relation of physical nursing activities and low back pain prevalence, bending (P=.000), trunk twisting(P=.003), stretching(P=.006), and pulling and pushing(P=.046) were significant. 5. Physical nursing activities inducing back stress was varicant according to wards. The results of this study pointed out that the subjects' low back pain prevalence was related to the work-related physiologic and psychologic factors. Therefore, for the effective prevention of low back pain, both practicing the body mechanics and raising the morale of the nurses are needed in educational program.

• 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 Korean Academy of Fundamentals of Nursing
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• v.1 no.1
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• pp.19-35
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• 1994

To test the effectiveness of the preparatory audiovisual information with videotape, 34 patients with gastric cancer and who have scheduled for subtotal gastrectomy were studied with quasiexperimental research design. The subjects were selected from the 4 general surgical wards of one university hospital in Seoul, and assigned to experimental and control group conveniently. The videotaped information on the preparation and recovery for surgery was showed to the experimental subjects once before having operation. Data on the sleep and the state anxiety level before and after treatment day was collected with VSH sleep scale and STAI. The data was analyzed with t-test to test the effect of preparatory information and the Pearson's correlation to identify the correlation between anxiety and sleep. The results were summerized as follows : 1. After receiving the preparatory information, the level of anxiety of the experimental group was the same level as the initial, whereas that of the control group showed markedly increase. However no significant difference in anxiety between the two groups was found. 2. There was significant difference in sleep score between the experimental and the control group. 3. There was significant negative correlation between the state anxiety score and the sleep score. Based upon the above findings, this study concludes that preparatory information is effective to enhance sleep just prior to the surgery.

• Korean Institute of Interior Design Journal
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• v.23 no.2
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• pp.21-29
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• 2014

This study analyzed some of nursing homes in various domestic and foreign regions in order to find solutions to reduce suicidal incidents from the loneliness. To analyze community space of nursing homes, elderly community is analyzed into three categories based on their characteristics (morphological characteristics, Social characteristics, Environmental characteristics). With those three characteristics above, architectural spaces are analyzed the relation with them. Elderly nursing homes are divided with living, nursing, management, and public spaces. The space of elderly nursing homes (classification of function)-elderly community (classification of elderly characteristics) is approached in an architectural way related to the space of elderly nursing homes and elderly characteristics. Through some case studies, specific space relation of elderly nursing homes and elderly community is analyzed. Also, with the building analysis for summary, plans, wards(hospital rooms), cafeteria, program rooms and alley, some of general information and elderly community space is understood. In this study, there will be an analysis of relation of elderly community(morphological, social, environmental characteristics) which is separated into some spaces of elderly nursing homes(living, nursing, public spaces and facilities) written above. Furthermore, if people can recognize the importance of community space for elderly facilities, there will be a new guide line for that which can have a play on catalyst.

• Journal of Korean Clinical Nursing Research
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• v.24 no.1
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• pp.23-33
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• 2018

Purpose: The purpose of this study was to investigate the effect of SBAR communication program on nurse's perception about communication and attitudes toward patient safety. Methods: A single-group pre-post experimental study was conducted. A SBAR education program was provided to 167 nurses working in 9 general wards of a hospital in Seoul. A total of 153 questionnaires were included for the final analysis. Statistical analysis included analysis of variance, paired sample t-test, and Cochran-Mantel-Haenzel test. Results: After applying SBAR communication education, nurses perceived significant improvement in three of the five categories of communication between nurses and doctors; satisfaction (p=.001), accuracy (p=.001), and understanding (p=.002). The indicators of communication between nurses were also improved significantly in the order of accuracy (p=.001), satisfaction (p=.001), shift communication (p=.001), and openness (p=.016). The scores of nurse's attitudes toward patient safety demonstrated a significant increase in the five categories out of the six; perception of management (p=.001), working condition (p=.001), safety climate (p=.001), teamwork climate (p=.001), job satisfaction (p=.012). Conclusion: It is recommended that nurses and doctors use SBAR communication in their practice. Developing education programs and utilization methods is required for the effective establishment of SBAR communication.

• Asian Oncology Nursing
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• v.12 no.4
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• pp.331-338
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• 2012

Purpose: This descriptive study aimed to compare the perception of the acceptable foods for the neutropenic diet between nurses and patients by food type. Methods: The participants were 225 nurses working at chemotherapy wards and 71 patients in chemotherapy treatment. Data were collected with a self-administered questionnaire from January 2 to February 24, 2012, and analyzed with SPSS 12.0 program using descriptive statistics and the ${\chi}^2$-test. Results: Eighty-eight point eight percent of nurses and 76.1% of cancer patients thought the patients needed the neutropenic diets. The most important decisional criteria to determine dietary restriction was neutrophil count for nurses and food type for patients. The two groups showed significantly different allowance to raw fruits and raw vegetables, sterilized canned juice, fried vegetables, yogurt, uncooked tofu, salted fish, cooked fish, cooked shellfish, uncooked grain powder, jellified food, home-made bread/cookies, nuts including peanuts, instant coffee or tea and tea brewed. In general, patients were more permissive about the neutropenic diet than nurses. Conclusion: It is recommended to consider patients' preference as well as nurses' professional knowledge and publish standardized clinical diet guidelines for neutropenic patients with collaboration between nurses and patient representatives.