• 한국치위생학회지
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• 제12권4호
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• pp.647-654
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• 2012

Objectives : To propose the data for prevention of oral health problems through assessment on the knowledge, cognition and practice about oral health care of the clients who visit dental clinics. Methods : The subjects were total 400 clients from the four dental clinics in Busan city. Their knowledge, cognition and performances about oral healthcare collected with questionnaire survey from February to March, 2011. The rate and mean compared by chi-square test, t-test, and ANOVA. Results : Mean level of their knowledge, recognition and practice were 72.5, 80.2, and 65.6, respectively. Theses levels were higher in women (p<0.01), in the group of higher interested (p<0.001), immediately treated (p<0.001), correct tooth brushing (p<0.05), toothbrushing educated (p<0.001), take regular scaling (p<0.001), use assistant hygiene items (p<0.001), instead no differences by age and education level. And, the rate of correct toothbrushing was higher as 1.24 (1.03~1.50) times in the group with higher knowledge level, the rate of immediate treatment and regular scaling were higher as 1.35 (1.07~1.70) times, and 2.26 (1.41~3.64) times in the group with higher recognition level, respectively. Conclusions : These results demonstrate that insufficient knowledge and recognition of oral health care are related to a lack of its practice. Though their primary goal of the visits was treatment, the clients' attention needed to raise the comprehensive knowledge and recognition levels for their oral health promotion, especially reach to the performance level rather than simple knowledge acquisition. And more, to achieve the efficient oral health promotion, the importance of early treatment and strengthened efforts for prevention should be emphasized.

• 가정∙방문간호학회지
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• 제2권
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• pp.35-51
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• 1995

This study was done to define nursing diagnose and to test the validity of the characteristics for patients with cerebrovascular accidents being seen at home by home health care nurses. This study was a descriptive study. The sample consisted of 10 experts(professors and home health care nurses) who had had a variety of experience using nursing diagnoses in clinical practice, and 336 nurse progress notes for 18 patients with cerebrovascular accidents. First, 32 nursing diagnoses were defined by the analysis of 336 nurse progress notes, and ten nursing diagnoses were selected according to a criteria of frequency and four nursing diagnoses from home health care clinical practice. Second, content validity was examined by an expert group which considered the sign / symtoms of the fourteen nursing diagnoses. The instrument used for this was a checklist for sign / symtoms based on the nurse progress notes and literature : Carpenito(1993), Kim Cho Ja et al (1994), Lee Sun Ok et al.(1994), Kim Mae Ja et al. (1992), Seoul University Hospital (1993) , Kim Mi Ja et al. (1991). The data were collected from March 1995 to April 1995. Data were analyzed using Content Validity Incidence where if 80% or more of the expert group agreed, characteristics were defined as a major sign/symtoms, if between 50% and 79% of the expert group agreed with the characteristic it was defined as a minor sign / symtoms. The results of this study are summarized as follows : 1. Thirty-two nursing diagnoses related to patients with cerebrovascular accidents were defined. There was a high frequency for the following : 'Potential for disuse syndrome (61%)', 'Impaired physical mobility(50%)', 'Impaired skin integrity (44.4%)', Potential for aspiration(33.3%)', 'Potential for infection: respiration(33.3%)', 'Self-care deficit : bathing /hygine(27.8%)', 'Ineffective family coping(22.2%)', 'Potential for trauma(22.2%)', 'Alteration in nutrition: less than body requirements(22.2%)'. The following diagnoses were also used in home health care clinical practice : 'Anxiety in family (50%)', 'Caregiver fatigue(27.8%)', 'Ineffective treatment behavior (22.2%)', 'Ineffective Levin tube management and Levin tube feeding(22.2%)'. Fourteen nursing diagnoses were selected. 2. Ten of the nursing diagnoses for patients with cerebrovascular accident were listed as nursing diagnoses by NANDA but four nursing diagnoses were new nursing diagnoses used in home health care clinical practice. 3. Characteristics of the ten Nursing Diagnoses from NANDA were developed from the sign /symtoms in the literature and in the nurse progress notes. These characteristics was verified as major or minor sign / symtoms by the expert group. 4. Characteristics of the four nursing diagnoses used in home health care were not defined by the literature but only by the nurse progress notes and verified as major or minor signs /symtoms by the expert group. On the basis of the findings of this study, the following recommendations are made : 1. Continual study is necessary to identify other signs /symtoms not verified in this study. 2. It is necessary to use verified signs /symtoms in home health care clinical practice. 3. It is necessary to define related factors which define each diagnoses in this study. 4. It is necessary to develop of standardized nursing are plans which include defined signs and symtoms. 5. It is necessary to study the outcomes of the standardized nursing care plans.

• 간호행정학회지
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• 제12권4호
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• pp.574-586
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• 2006

Purpose: This paper is intended to provide a clauses of scope of nursing practice with nursing act. Method: This was a planning study. The provision of scope of nursing practice is constructed through critical review of literatures and regulations. The validity of the legal definition was tested through expert and staffs in affiliates of Korean Nurses Association review. Result: 'Nursing is an activity that assesses and diagnoses the reaction of an individual, family, and community for health promotion and maintenance, illness prevention and rehabilitation and to provide intervention and evaluate the results. This practices are done through nursing knowledge and skills. The nursing practices include basic nursing services (general hygiene, environment and safety control, emotional and physical comfort, examination and surgery related care, systematic observation and reporting about patients, activity and organ function maintenance), practice of doctor's regimen, consulting and education to patients, reference, collaboration and management with other health personnel, public health activity by regulation. And nursing standards are set by a separate code. Conclusions: The result of this study can be used to offer for nursing act. So, This legal definition will be constantly discussed and extended to reflect actual nursing practice.

• Journal of Community Nutrition
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• 제8권3호
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• pp.119-126
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• 2006

The purpose of this study was: 1) to investigate whether Korean dietitians are engaged in Foodservice Systems Management (FSM) competencies in their current jobs, and 2) to identify the relationship between types of dietetic practice areas and Korean dietitians' usage of FSM competencies. Fifteen FSM competencies were widely used, 17 were somewhat used, 13 were seldom used and the remaining two competencies were little or not used by the dietitians. The most used competency was related to menu planning (98%). Whereas, the least used competency was related to marketing skills (17%). As a whole, the categories of 'technical and communication skills' (78%) and 'production and distribution management' (77%) were more widely used than other FSM categories. Of 47 competencies, 34 competencies were found to be significantly associated with the type of practice area. Considering the findings, the type of dietetic practice area was a strong factor of Korean dietitians' usages of FSM competencies. Of 34 competencies associated with the type of dietetic practice area, 25 FSM competencies were more likely to be used by the dietitians from health care facilities.

• 보건의료산업학회지
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• 제10권2호
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• pp.49-58
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• 2016

Objectives : The purpose of this study was to find factors affecting the cost-reduction practice of clinical nurses. Methods : The Data were collected from Feb. 25, to Mar. 15, 2015.the Total subjects were 201 nurses working in secondary-care hospitals located in Busan Results : The Meaningful variables that explain the cost-reduction practice in clinical nurses were psychological ownership, religion, and marital status in that order. Total explanation power was 22.1.% and psychological ownership has most explanation power. Conclusions : Psychological ownership and economic consciousness need to improve to develop cost-reduction practices. Additionally, nurses with and low concern about finances need to receive financial-related education.

• Safety and Health at Work
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• 제1권1호
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• pp.1-10
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• 2010

The Finnish risk assessment practice is based on the Occupational Safety and Health (OSH) Act aiming to improve working conditions in order maintain the employees' work ability, and to prevent occupational accidents and diseases. In practice there are hundreds of risk assessment methods in use. A simple method is used in small and medium sized enterprises and more complex risk evaluation methods in larger work places. Does the risk management function in the work places in Finland? According to our experience something more is needed. That is, understanding of common and company related benefits of risk management. The wider conclusion is that commitment for risk assessment in Finland is high enough. However, in those enterprises where OSH management was at an acceptable level or above it, there were also more varied and more successfully accomplished actions to remove or reduce the risks than in enterprises, where OSH management was in lower level. In risk assessment it is important to process active technical prevention and exact communication, increase work place attraction and increase job satisfaction and motivation. Investments in OSH are also good business. Low absenteeism due to illness or accidents increases directly the production results by improved quality and quantity of the product. In general Finnish studies have consistently shown that the return of an invested euro is three to seven-old. In national level, according to our calculations the savings could be even 20% of our gross national product.

• 보건행정학회지
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• 제16권2호
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• pp.49-76
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• 2006

The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2012년도 추계학술대회
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• pp.47-48
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• 2012

본 연구는 상선승무원들의 건강관리와 관련된 지식, 태도 그리고 실천행위간의 관계를 조사하여 승무원들의 건강관리를 위한 기초 자료를 제공하기 위한 목적으로 수행되었다. 516명의 상선승무원들을 대상으로 설문 및 면접을 통해 조사 분석한 결과는 다음과 같다. 1) 고연령, 기혼자, 종교가 있는 자, 고위직급자, 경력이 많은 자가 건강관리에 대한 지식정도가 높았으며, 태도와 실천행위 정도는 고연령자, 기혼자. 종교가 있는 자, 경력이 많은 자, 근무시간이 적은 자 일수록 높은 점수를 나타내어 유의한 차이를 나타내었다(p < 0.05).....(중략).....

• 한국직업건강간호학회지
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• 제9권2호
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• pp.132-142
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• 2000

This paper tried to understand the effects of alcohol-reducing program on drinkings behaviour of workers on works under 5 employees. For these, this paper understood a change of drinkings custom and degree of alcohol-reducing strategy practice by enforcement of alcohol reducing program over 7 times during 3 months Reaults from analyses are as follows 1) A health problems related to drinkings were a chronic fatigue and indigestion, 15.5% was over 5 items among items related to liver disease. 2) The subjector of investigation all was involved over 2 items among items that a drinking custom must be collecred. 3) The change of drinkings custom between before and after on enforcement of alcohol reducing program showed a effective difference. 4) For a degree of the alcohol-reducing strategy practice, "reducing drinkings days" was 82.9%. "bearing drinkings impulse" 70.7%, "exchanging drinkings custom" 56.1%, "avoiding drinkings friends" 51.2%, Yet, "avoiding drinking place" and "preparing leisure activity to exchange drinkings" showed a low practice ratio. 5) For correlation between drinkings drinkings behaviour and degree of alcohol-reducing strategy practice, the more drinkings times before program paticipatance the higher alcohol-reducing strategy practice, alcohol dependency and drinkings times, alcohol-reducing strategy and drinkings times, befere drinking custom had an effective negative corelation, after drinkings custom and alcohol-reducing strategy a strong effective positive corelation. 6) workers writing drinkings paper decreased drinkings times. Implications from results are as follows The alcohol-reducing program is necessary to works under 5 employees, and needs to he operated continously. Especially, in works under 5 emplyees, the alcohol-reducing programt needs to be operated by firm or government.

• 지역사회간호학회지
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• 제4권2호
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• pp.146-157
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• 1993

The purpose of the study is to provide basic data on the public health management in the industrial work places, and some implications on the public health education related to workers self care capacity of their own health. To achieve this purpose a questionnaire was provided to 332 workers during February 11-28, 1993. This was do in Changwon-shi Geojeoi-kun, Chungmoo-shi, Jinjoo-shi, of Kyeongnam province. Through the analysis of the survey results, a relationship was deduced between worker's general characteristics and basic elements of health management in the work place. The main results of this study can be summarized as follows : 1. In the knowledge area special health screening received the highest score 3.18. While the educational program scored the lowest .85. In the Attitude area the highest score was achieved in the affirmative attitude to the time consumed by health checks (3.28). The lowest by the management of health checks(1.53). In the Practice area, participation in health checking is the most active (3.44) , and public health education is the least active (0.95). 2. The differences of knowledge by workers' general characteristics is statistically significant in the work sector (P<.05), age (P<.05), sex (p<.001), marital status (P<.001), and prior career(P<.01). But in Attitude general characteristics are not significant factors. In the Practice area, did have a statistical significance, work sector (p<.001), age (p<.001), sex (P<.05), marital status (p<.001) and work career (P<.001). 3. The total difference by workers' general characteristics has a statistical significance only in the case of marital status (P>05). The note of married workers is higher than that of single workers. 4. The correlation between any two of Knowledge, Attitude, and Practice do have a statistical significance (p<.001).