• 가정∙방문간호학회지
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• 제23권1호
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• pp.62-70
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• 2016

Purpose: This study examined the impact of working environment, job identity, and job satisfaction on turnover intention among child care providers. Methods: Data were collected from a sample of 146 child care providers using self-administered questionnaires from May 1 to July 20, 2014. The data were analyzed with SPSS 18.0. Results: Child care providers had a middle level of job identity, job satisfaction, and turnover intention. Turnover intention among child care providers was significantly predicted by age, job satisfaction, and income satisfaction. Conclusion: These results suggest that intervention and strategy development are needed to decrease turnover intention among child care providers. Exploration of strategies to increase the job satisfaction and income satisfaction are needed, in order to reduce turnover intention.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.148-155
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• 2016

Purpose: This study aimed to understand the degree of clinical nurses' emotional labor that they perceive in the relationships with people related to their work. Methods: This study was a descriptive research, and its subjects were 167 nurses in five university hospitals located in B and Y city. The degree of emotional labor was measured with Visual Analogue Scale (VAS). Data were collected from April to May in 2015, and analyzed by descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ and Games-Howell examination. Results: The score of the emotional labor of health care providers and visitors were higher than non-health care providers. Among health care providers, doctors had the highest emotional scores, and fellow nurse and nurses other departments were followed after that. Among visitors in hospital, patients and their family had the higher emotional labor scores than care givers. There was statistically significant difference in the emotional labor, according to the subjects' educational level, age, wages, job position, and working departments. Conclusion: Clinical nurses perceived emotional labor not only from the interaction with patients, but also from the interaction with the various other persons concerned such as health care providers, non-health care providers and visitors.

• 한국의류산업학회지
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• 제16권3호
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• pp.469-475
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• 2014

This study's goal was to obtain basic data about the functional gowns of health care providers. 828 health care providers, including 150 doctors, 224 dentists, 202 nurses, 61 physical therapists and 191 medical technicians, living in Seoul and Daejeon areas, participated in this survey. A questionnaire was created using 15 items about the current health care providers' gowns. 15 items were consisted of 3 parts; satisfaction rate and activity (part 1), preference the details of medical gown (part 2), and personal information (part 3). In this study, "wearer activity" was the main concern for them and the majority of respondents, regardless of their age and type of work, preferred the V neckline, short gown length (waist line), loose sleeves and anti-bacterial textiles. Only the doctors preferred the full sleeves, whereas, the others preferred short sleeves. The younger health care providers showed a slightly higher preference for the slim type gown, while the older providers preferred the straight type. In this study, most health care providers were not satisfied with their current gowns, except dentists. Physical therapist answered the highest score of dissatisfied for current wearing medical gown among the all health care professionals. The 20's answered the highest score of dissatisfaction among the all generation.

• International Journal of Oral Biology
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• 제35권4호
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• pp.185-190
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• 2010

Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most prevalent pathogens in hospitals. To investigate cross contamination by this bacterium in both dental and medical settings, the pathogens that cause acute pyogenic infection and one of the major microbes responsible for nosocomial infection were isolated from health care providers, nurses and patients. We used VITEK II to measure drug sensitivity, and we further performed biochemical testing, coagulase serotype testing and pulse-field gel electrophoresis (PFGE) for isolated MRSA colonies. The isolation rate of Staphylococcus aureus from nasal swabs was 75.0% from dental health care providers and 18.8% from the medical health care providers. A total of 10 MRSA strains were isolated from 40 health care providers and 2 patients and the prevalent coagulase serotype from patients and health care providers was VII. The antimicrobial drug resistance and partial PFGE types of the isolated MRSA strains showed a similar pattern. These results suggest that MRSA may be one of the principal causes of nosocomial infection in dental and medical hospitals.

• 보건의료산업학회지
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• 제12권3호
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• pp.79-93
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• 2018

Objectives: This study aimed to identify the current status and factors associated with emotional support services among care providers in elderly care service organizations. Methods: A total of 87 elderly care service agencies nationwide were recruited for the survey. Agencies' characteristics and emotional capacity monitoring activities; and program-building operations among care providers were measured. The collected data were analyzed using an ANOVA and multiple regression analysis. Results: Emotional capacity monitoring activities and program building were generally low. Factors associated with emotional capacity monitoring activities were region, welfare regulations, and vacation and annual leave provisions, while those associated with emotional capacity building programs were identified as vacation and annual leave provisions. Conclusions: The agencies' vacation and welfare system seems to affect emotional support service activities among care providers. It is necessary to prevent emotional exhaustion of care providers and promote quality improvement of care through social and systematic emotional support services.

• International Journal of Oral Biology
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• 제38권1호
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• pp.1-4
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• 2013

Staphylococcus species are one of prevalent pathogens found in hospitals. Microbes that are a primary cause of nosocomial infection were isolated from a dental and medical environment it may assist the reader to explain what this is and how it differs from the 'dental health care providers and ward health care providers'. To investigate the distribution of staphylococcus species in this environment, we used vitek II to measure drug sensitivity, and further performed biochemical testing. The isolation rate of staphylococcus species from the dental and medical environment was 100% but from dental health care providers and ward health care providers were 44.4% and 33.3%, respectively. In the analyses, staphylococcus species showed resistance to diffusion of cefoxitin and oxacillin discs. These staphylococci may be sufficiently positive for the mecA gene. Our results suggest that staphylococci might be an important cause of nosocomial infection in the dental clinic.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.42-50
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• 2023

Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

• 동서간호학연구지
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• 제24권2호
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• pp.101-109
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• 2018

Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

• 근관절건강학회지
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• 제22권2호
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• pp.67-77
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• 2015

Purpose: This study was a qualitative research using focus group interviews to collect data on the health care providers' perceptions of physical function in older adults with arthroplasty from hip fracture. Methods: A total of 12 subjects participated in this study. In order to conduct focus group interviews, structured manuscript, field notes, visual recording, and debriefing notes were referred and thematic analysis was used in analysis phase. Results: The six themes were raised: 'burdensome client', 'health care providers' perception of functional decline in older adults after surgery', 'health care providers' perception of caregiver', 'medical environment perceived as affecting physical function', 'crucial components perceived as encouraging functional restoration', and 'difficulty of pain management' with 18 subthemes. Conclusion: Healthcare providers perceived functional decline of elderly after arthroplasty and identified points facilitating or disturbing physical function Moreover, various perspectives on pain management related to physical function were represented.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3593-3599
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• 2014

Background: Efficacy of childhood cancer treatment in low-income countries may be impacted by parents' and health-care providers' perspectives on chemotherapy-related side-effects. This study explores prevalence and severity of side-effects in childhood cancer, and compares health beliefs about side-effects between parents and health-care providers, and between nurses and doctors in Indonesia. Materials and Methods: Semi-structured questionnaires were filled in by 40 parents and 207 health-care providers in an academic hospital. Results: Parents exporessed a desire to receive more information about side-effects (98%) and worried about this aspect of treatment (90%), although side-effects were less severe than expected (66%). The most frequent was behavior alteration (98%) and the most severe was hair loss. Only 26% of parents consulted doctors about side-effects. More parents, compared to health-care providers, believed that medicines work better when side-effects are more severe (p<0.001), and accepted severe side-effects (p=0.021). More health-care providers, compared to parents, believed that chemotherapy can be stopped or the dosage altered when there are side-effects (p=0.011). More nurses, compared to doctors, stated that side-effects were unbearable (p=0.004) and made them doubt efficacy of treatment (p<0.001). Conclusions: Behavior alteration is the most frequent and hair loss the most severe side-effect. Apparent discrepancies in health beliefs about side-effects exist between parents and health-care providers. A sustainable parental education program about side-effects is recommended. Health-care providers need to update and improve their knowledge and communication skills in order to give appropriate information. Suchmeasures may improve outcome of childhood cancer treatment in low-income countries, where adherence to therapy is a major issue.