• 제목/요약/키워드: Health care surveys

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방문간호센터의 경영 효율성 제고를 위한 블루오션 전략 개발 (Development of a Blue Ocean Strategy Enhancing Management Efficiencies of Long-term Care Visiting Nursing Centers)

  • 임지영;김주행;김예서;김성준
    • 가정간호학회지
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    • 제30권1호
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    • pp.69-83
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    • 2023
  • Purpose: This study aimed to present Blue Ocean strategies by deriving the strategic elements of a visiting nursing center and conducting a survey on the importance and satisfaction of care clients. Methods: First, a FGI was conducted targeting the head of the visiting nursing center to derive its strategic elements. Subsequently, importance and satisfaction surveys on the derived strategy elements were analyzed, an IPA matrix was derived, and an as-is ERRC Blue Ocean strategy was established. Kano's Three-Factor Theory was used to derive a competitive position matrix and establish a to-be ERRC Blue Ocean strategy. The Blue Ocean Strategy for Visiting Nursing Center Management is presented in this study. Results: Four as raise factors were derived from combining the results of the as-is, to-be ERRC strategy element analysis: retention of competent nurses, education in medication management, maintenance of high customer satisfaction, and prompt handling of customer complaints. Additionally, the customer's health condition evaluation was derived. Conclusion: Blue Ocean Strategies can be used to analyze, derive, and establish management strategies in various nursing-related entrepreneurship fields.

Non-Value-added Activity 개선을 통한 간호업무 효율성 향상 (Case study on improvements in non-value-added nursing activities to increase the efficiency of nursing care)

  • 박양희;권인각;박계숙;장혜정;송미라;김희진
    • 한국의료질향상학회지
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    • 제19권2호
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    • pp.68-80
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    • 2013
  • Background: This study investigates improvements in non-value-added nursing activities in clinical work, in order to improve the efficiency and quality of nursing activities. Methods: The study was performed as a quality improvement project at a tertiary general hospital. The nursing activities that needed improvements were categories into admission care, discharge care, supply management, diagnostic work-up related activities, and others. The nursing time and frequency of non-value-added activities were compared across nine nursing units before and after implementation of the quality improvement program. Post-implementation patient and nurse satisfaction were subsequently analyzed. Result: Post-implementation, the time spent on non-value-added nursing activities was reduced and patients and nurses were satisfied with the improvements. Discussion: Reducing non-value-added activities in nursing can increase the work efficiency and ensure time for patient care, thus improving the quality of nursing care. For further study, accurate surveys on nursing activities based on nursing time are required.

혈액암 환자의 지지적 간호 요구도 예측요인 (Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy)

  • 정아랑;이명선
    • 성인간호학회지
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    • 제23권5호
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    • pp.460-471
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    • 2011
  • Purpose: This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs. Methods: The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%. Conclusion: These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.

Factors Influencing the COVID-19 Infection Control Practice of Physical Therapists

  • Jang Mi Lee;Changwoo Shon
    • The Journal of Korean Physical Therapy
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    • 제34권6호
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    • pp.304-311
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    • 2022
  • Purpose: The purpose of this study was to investigate the knowledge, awareness and performance of COVID-19 infection control among physical therapists and to identify the impact factors on performance Methods: Data were collected from March 16th to March 24th in 2022 from the physical therapist's in Busan. Data analysis was conducted on 170 surveys, after excluding 27 surveys that were found to be unsuitable for data analysis. Results: When correlating the study variables, knowledge and awareness were found to have a positive, meaningful correlation with performance. Performance of COVID-19 personal infection control regression analysis showed that the working department (clinic and long-term care hospital), clinical experience, the more knowledgeable, the awareness (personal), and the more clinical experience had significant positive impacts on the performance of COVID-19 infection control. Performance of COVID-19 treatment room infection control regression analysis showed that the working department (long-term care hospital), educational experience, the awareness (treatment room) had significant positive impacts on the performance of COVID-19 infection control Conclusion: The results of this study may be used as basic data for educating physical therapist's working at the COVID-19 response department. This study suggests that physical therapist's need educational programs to improve their knowledge and awareness and performance of infection control against infectious diseases such as COVID-19. Differentiated physical therapists practice education curricula must be developed and provided after understanding the varying characteristic of physical therapist's with different levels of work experience.

30 ~ 40대 한국여성이 선호하는 피부색에 대한 연구 (A Preferred Skin Color by Korean Female in the Age between 30s~40s)

  • 강내규;곽택종;김정아;김태훈;문태기;박선규;송다영;이수진;장민열;장희정;추정하;정수나
    • 대한화장품학회지
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    • 제40권4호
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    • pp.373-382
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    • 2014
  • 피부는 인체의 외부를 덮고 있는 기관일 뿐 아니라, 체온을 조절하고, 감각기능을 수행하며, 약물을 투입하는 경로가 되기도 하고 내부 기관의 이상을 표현하는 기관이 되기도 한다. 이러한 이유로 인해, 사람들은 타인의 얼굴 피부의 상태를 보고 건강의 이상 징후를 감지하거나, "안색이 좋다", "생기가 있다" 등으로 신체의 컨디션을 표현해왔다. 환경과 노화정도에 따라서 피부색, 피부결, 수분, 탄력 등이 달라지는 것도 알려진 사실이다. 특히, 피부색은 아름다움, 매력도와 같은 주관적인 인상을 판단하는데 영향을 미치는 인자로 작용하는데, 화장품이나 피부시술을 통해 피부색을 개선하고자 하는 소비자를 통해서 그 수요를 짐작할 수 있다. 하지만 피부색이 여러 색의 구성임에도 불구하고, 대부분의 화장품이 하얀 피부로 개선해주는 것에 초점을 맞추고 있으며 여성들이 선호하는 피부색에 대한 연구가 아직까지는 미흡한 실정이다. 본 연구에서는 30 ~ 40대의 한국여성을 대상으로 같은 피부 밝기에서 붉은 정도와 푸른 정도가 달리 주어진 선호도 조사를 통해 긍정적으로 인식하는 피부색의 상태를 발견하였다. 한국여성은 실제 평균 피부색에 비해 붉은색과 푸른색이 높은 피부를 선호하는 것으로 나타났으며, 피부에 대한 표현을 달리하였을 때에도 경향은 유사하였다. 본 연구 결과는 새로운 소비자의 요구를 만족시키는 제품 개발에 활용될 수 있을 것이라고 생각한다.

노인장기요양보험제도에 의한 방문간호 표준개발 (Development of Home Visiting Nursing Standards Base on a Long-Term Care Insurance for the Elderly Program)

  • 김명희
    • 한국보건간호학회지
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    • 제24권2호
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    • pp.285-301
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    • 2010
  • Purpose: The study was aimed at qualitatively enhancing and promoting a home visiting nursing program established in Korea on July 1, 2008, as part of the Long-Term Care Insurance for the Elderly program. Methods: Structural, procedural and consequential aspects of home visiting nursing care wereclassified on the horizontal axis by applying the standard notions for the evaluation of medical care (Donabedian, 1998). At the same time, the home visiting nursing care service support system and the service provision system weredivided on the vertical axis with reference to the accreditation standards for home visiting nursing care organizations suggested by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO, 2008). The data were collected from June 4, 2008 to October 27, 2008, and were analyzed using SPSS ver. 15.0. Results: Twenty-two (proposed) standards, centered on the standard elements under the conceptual framework of the study, were developed, and comprised structural aspects (n=10), procedural aspects (n=6) and consequential aspects (n=6). Those criteria and indicators underwent two content validity surveys among groups of home visiting nursing care research and training experts. The research produced 22 proposed standards, 50 proposed criteria and 166 proposed indicators. Conclusion: The home visiting nursing care standards developed pursuant to the Long-Term Care Insurance for the Elderly Act and the applicability of these standards need to be verified by home visiting nurses. These proposed standards should prove useful in developing an assessment tool to encourage the qualitative enhancement of visiting nursing care in Korea.

서울시 요양보호사 처우개선을 위한 지원방안 연구 (A study on the Improvement of Welfare System for Care Worker in Seoul)

  • 김지혜;김석준;이준영;이옥진;오가영
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제17권4호
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    • pp.15-23
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    • 2011
  • Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.

중년여성의 골감소증 위험요인 (Risk Factors of Osteopenia among Korean Middle-aged Women)

  • 김광숙;이윤주;유미애
    • 가정간호학회지
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    • 제20권2호
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    • pp.133-140
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    • 2013
  • Purpose: This study examined the demographic and lifestyle differences between women with osteopenia and those with normal bone mineral density (BMD) to identify risk factors for osteopenia. Method: Participants comprised 381 women age 40-64 years. Data were collected using surveys, BMD measures, and anthropometric parameters. Results: Prevalence of osteopenia was 29.1%; significant differences in age group, job, age at menarche, age at menopause, and body mass index were found between women with osteopenia and those with normal BMD. Logistic regression analysis indicated that advanced age, unemployment, lower body mass index, and lack of exercise in women were significantly associated with osteopenia. Conclusion: This study suggests the need for strategies to improve bone health and continuous cohort studies to identify risk factors.

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Reality of Kawasaki disease epidemiology

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • 제62권8호
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    • pp.292-296
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    • 2019
  • Epidemiologic studies of Kawasaki disease (KD) have shown a new pattern or change of its occurrence suggestive of its pathophysiology or risk factors from the first patient with KD reported in 1961. The incidence of KD in Northeast Asian countries including Japan, South Korea, China, and Taiwan is 10-30 times higher than that in the United States and Europe. Knowing the true epidemiology of KD in each country and the availability of publications of KD epidemiology also could benefit general health care providers and general population. This would enable the early detection and treatment of KD, ultimately reducing the incidence of coronary artery complications and mortality. Therefore, efforts to investigate the true epidemiology of KD should be continued in every country using a questionnaire survey, National Health Insurance system data, or combined methods depending on each country's medical environment to ensure high-quality care of patients with KD.

일 종합병원 의사, 간호사 및 입원환자의 가정간호사업에 대한 인식 조사 (A Study on the Recognition of Home Care Services by nurses, doctors and patients.)

  • 한영자;한숙정;백희정;김예진;한숙정
    • 가정간호학회지
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    • 제12권2호
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    • pp.45-62
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    • 2005
  • Purpose: To provide the data for improving home health care through investigating the recognition of home care services and the possibility of providing it by nurses, doctors and patients. Method: The subjects were 167 nurses and 71 doctors who were working at a general hospital in Seoul and 72 patients who were admitted to that hospital. Data were collected through questionnaire surveys from November 29 to December 17 in 2004. Result: Home care services were recognized by 70.7% of nurses, 64.8% of doctors and 58.4% of patients. The percentages of agreement regarding the necessity of home care services were 70.7% of nurses, 47.9% of doctors and 86.1% of patients. The percentages of agreement to refer the patients to home care when they only want to receive it, were 58.1% of nurses and 57.7% of doctors. There were significantly higher in nurses than doctors between the differences of possible or impossible percentages in agreements about each items in the test-related services, medication-related services and treatment-related services. Conclusion: The above findings indicated that more specific and continuous educations and advertisements are needed to enlarge home care services in general hospitals.

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