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Development of Nursing Costs by Nursing Activities in Clinical Nurse Specialist (전문간호사 간호행위에 관한 간호수가체계 개발)

  • Kim, Yoon-Hee;Lee, Hyang-Yeon;Han, Sang-Sook;Shin, Hye-Sook;Lee, Myung-Hee;Kim, Sook-Neoung;Lee, Hye-Jin;Kim, Hye-Sook;Choi, Hyes-Sun
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.197-207
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    • 2007
  • Purpose: This study was carried out to deveop nursing costs and to substantiate the application of appropriate activity-based nursing costs for the current clinical nurse specialists. Method: The study sample was a group of 8 home health care team of the tirtiary Hospital in Korea. The data was collected from September 2003 through December 2004. The statistical analysis was done by SPSS PC 11.0 program and calculated mean and the standard deviation. In Lee(2003)'s nursing activity analysis, nursing activities were classified into two major classification, 19 domains and 70 activities. Each activities was calculated using its work validity, physical effort, psychological effort, stress as a intensity, and the necessary time. The simple work costs was calculated the work wage per minute and the necessary time. The work load intensity was calculated using the work wage per minute and the necessary time work load intensity/100. Results: In this study, the work wage was 283 won per minute. The work validity ranged from 2.71-4.00. The highest simple work cost/work load intensity cost was 12,735won/47,374won for research activity, 10,700won/27,499won for bedsore care, and 9,727won/35,114won for deathbed care. The lowest simple work cost/work load intensity cost was 2,123won/2,038won for intramuscular injection, 2,210won/2,166won for hypodermic injection, and 2,210won/1,547won for a application of medicine(or ointment or cream). Conclusions: It revealed that the nursing cost should be considered validity, physical effort, psychological effort, stress as a intensity, and necessary time. Therefore, It is necessary to calculate nursing cost systematically based on activities.

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Analysis of the Problem of College Entrance System in Webtoon : in , (웹툰에서 재현하는 입시문제 : <공부하기 좋은 날>, <입시명문사립 정글고등학교>를 중심으로)

A Study on the Health Promoting Behavior of University Students (대학생의 건강증진행위에 대한 연구)

  • Yeoum, Soon-Gyo;Her, Eunn-Hee;Chung, Yeoun-Kang;Kown, Hye-Jin;Kim, Kyung-Hee;No, Eune-Sun;Han, Kyung-Soon;Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.396-409
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    • 1998
  • The purpose of this study is to inquire into the degree of health promotion activity of university students, and to confirm the general factors of health promotion behavior in order to offer basic data for a nursing strategy to improve health promotion behavior. For this research, data was collected from university men and women through questionnaires from February 18 to March 20 in 1998. The author develop a measuring instrument on the basis of related reviews of health promoting behavior in the prevention of chronic disease, as well as accounting for demographic factors, biological factors, and circumstanctial factors. The content validity of the instrument was authenticated by two professors of the science of nursing,. and the reliability was confirmed by a 'cronbach' ${\alpha}'$ after moditying the content through a pre-test on 30 students. 475 persons were analyzed in terms of an average, percentage, t-test, ANOVA by 'SPSS-PC'. The analyzed data was the following. 1. The acting degree of health promoting behavior was 3.26 point out of 6. Among the sub-levels of health promoting behavior, the order of importance was the following. self-actualization (4.62), interpersonal(4.60), stress management (4.0l), nutrition(3.68), responsibility(3.1l), liquid and cigaretles ues(2.85), and exercise (2.33). 2. The differences in health promoting behavior according to subject's general character were the following. Age(F=6.012, p=.003), major (F=7.243, P=.000), sex(t=7.60, P=.000), religion(F=2.454, p=.045), living status(F= 2.849, p=.024), health concern of parents(F= 7.596, P=.000), taking health programs(F= 2.710, p =.007), case history of the family( t = -1.980, p=.048). Health promoting behavior is affected by a higher age, majoring in the social sciences, having religion, male, living in the relatives' home, having to take health programs and a higher health concern of the parents. Suggestions: 1. The degree of health promoting behavior appears low in this study. It is crucial, therefore, to develop a health program to improve health promoting behavior and to study how to center the daily health life of students.

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A Study on High School Health Education Teachers' Activities and Other Influential Variables (고등학교 보건교육 관련 교사의 보건교육수행 및 관련요인에 대한 연구)

  • Yoo, Jae-Soon
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.183-203
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    • 1999
  • High school is regarded as the period when many important physical, mental and social developments occur, and when many health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw however, in that health -related subjects are divided and taught under various subjects at school. In order to achieve quality health education, it is essential to assess the learners' and teachers' educational needs. So far, most of the research projects that had been carried out for improving high school health education were limited to only the learners' educational need. They failed to in elude an educational assessment of the teachers. Therefore, in this study the high school health education teachers' needs relating to health education were investigated through a focus on the teachers' health education activity level, health education activity self-efficacy level, and perceived level of importance in health education content. In this study, research instruments these factors were constructed by Yoo(1997) on the basis of the PRECEDE model. The data for this study were collected from a sample consisting of twenty general and vocational high schools in Seoul and Chongju for a two month period beginning in July, 1996. In analyzing the data, an ANOVA test and stepwise multiple regression were accomplished using an SPSS - PC+ program. The results were as follows: The average level of health education activity and self-efficacy among high school health edu cation teachers were found to be low. But, teachers' perceived importance of health education contents was high. Teachers' activity and perceived importance concerning sex education were lower than in other health education areas. Health education activity of Military drill teachers was higher than that of physical education teachers as well as school nurses. But it was not significant. Health education activity self-efficacy of school nurses was higher than that of other teachers(p<.05). Perceived level of importance of health education contents was the most influential variable in teachers' health education activity. Health education activity self-efficacy level was not an influential variable in teachers' health education activity. The significance of this study is that it has diagnosed the needs of high school health education through the teachers' assessment of a variety of health factors related. These findings suggest that the management of an integrated health education, program requiring large changes in the curriculum of health education is necessary.

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Effects of a Smoking Prevention Program on Smoking Related Knowledge, Attitudes, Self-esteem, and Stress in the First Year of Middle School (흡연 예방교육 프로그램이 중학교 1학년 학생의 흡연에 대한 지식·태도, 그리고 자아존중감과 스트레스에 미치는 효과)

  • Park, In-Hyae;Kang, Hae-Young;Ryu, Hyun-Sook
    • Journal of the Korean Society of School Health
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    • v.14 no.1
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    • pp.95-106
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    • 2001
  • Since many adolescents start and continue Smoking to cope with stress from school and home environments, peer pressure, and to compensate for lowered self-esteem The smoking prevention program should consist of the knowledge, attitudes, and behaviors regarding smoking and how to cope with these stresses. The purpose of this study was to determine the effect of a smoking prevention program on smoking related knowledge, attitudes, and self-esteem and stress in first year middle school students. The study was performed on a non-equivalent control group pretest-posttest. 151 subjects(76 experimental group, 75 control group) were selected by a convenience sampling method. The study was carried out in two middle schools in Kwang-ju city, Korea, from the 1st of May to the 23rd of June, 2000. The experimental group attended the smoking prevention program which was held for 45 minutes a week for 4 weeks. The questionnaire was administered to measure the degree of knowledge, attitudes, self-esteem and stress of the subjects. The SAS-PC program was used to analyze the data along with peroentages, $x^2$-test. t-test, and paired t-test. The results of this study were as follows: 1. The first hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of smoking related knowledge than the control group', was supported(t=3.68, p=0.0003). 2. The second hypothesis, 'The experimental group who receives a Smoking prevention program would have more positive attitudes regarding smoking than the control group', was supported(t=3.42, p=0.0008). 3. The third hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of self-esteem than the control group', was supported(t=2.24, p=0.0270). 4. The forth hypothesis, "The experimental group who receives a smoking prevention program would have lower scores of stress than the control group', was supported(t=-2.07, p=0.0407). The smoking prevention program in this study was effective in increasing the knowledge regarding smoking, enhancing more positive attitudes regarding smoking, and also increasing the scores of self-esteem and lowering the scores of stress. The results of this study will be applicable in smoking prevention education for early adolescents in middle schools.

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A Study on the Sleep/Activity pattern in New Born Baby (신생아의 수면/활동 양상에 관한 연구)

  • Lee, Yung-Eun;Lee, Hwa-Ja;Kim, Young-Hae;Baek, Kyung-Sun;Jung, Haang-Mee;Park, Hae-Sun
    • Korean Parent-Child Health Journal
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    • v.3 no.1
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    • pp.60-72
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    • 2000
  • Studies are needed to determine the standard norms for sleep/activity patterns in new born baby and there have been no established reports of discrepancy of sleep/activity patterns in new born baby among various races. The purpose of this study is to determine whether the NCASA(Nursing Child Assessment Sleep Activity Record) would be suitable to evaluate and to provide the basic resources for a Korean model of sleep/activity patterns during the new born baby, and to provide a basis for nursing intervention for mothers of new born baby. The subjects of this study were 38 normal new born baby who visited the postpartum care center and two general hospitals located in pusan from January 1 to April 28, 2000. They all agreed to participate in this study. The method of data collection was through convenient sampling. Data were collected through questionnaires including demographic data, birth hi story, and general informations concerning the infant, mother and family. The instrument of this study was the NCASA translated by the Korean parent Child Health Academic Association. The collected data were analysed by mean. standard deviation, frequency, and percentage by use of SPSS/PC. The conclusions obtained from this study are summarized as follows: 1. The mean amount of daytime sleep was 10.23 hours. The mean amount of nighttime sleep was 5.53 hours. The mean amount of total daily sleep was 15.77 hours. The mean of the longest sleep period was 4.49 hours. The mean regularity of daytime sleep was 49.69%. The mean regularity of nighttime sleep was 66.98%. The mean regularity of total daily sleep was 55.81%. The mean frequency of nighttime wakenings was 3.09 times. 2. The mean amount of daytime awake periods was 6.12 hours. The mean amount of nighttime awake periods was 2.11 hours. The mean amount of daily total awake periods was 8.23 hours. The mean of the longest awake periods was 3.76 hours. 3. The mean frequency of daytime feeding was 5.71 times. The mean frequency of nighttime feeding was 2.65 times. The mean frequency of total daily feeding was 8.36 times. The mean frequency regularity of feeding was 62.50%. 4. The mean amount of a mother's day time was 16.36 hours. The mean amount of a mother's night time was 7.64 hours. In conclusion, The new born baby slept more during the daytime compare than nighttime and more active during the daytime. On the other hand. although nighttime sleeping the length of the mother was normal, but sleep was interrupted by the infant over 3 times on average. Therefore this research study will contribute to nursing practice and nursing research by its implication through postnatal educational nursing programs at hospital and nursing intervention programs that would help individual caring of early infant mothers at home.

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Korean's Traditional Method to Increase the Amount of Breast Milk. (전통적 모유량 증가방법에 관한 연구)

  • Lee, Mi-La;Suh, Yeon-Ok;Cho, Jung-Ho;Kim, Tae-Im;Park, Young-Sook;Park, Song-Ja;Park, In-Sook;Park, Jong-Sook;Lee, Hae-Kyung;Yim, Hyun-Bin;Cho, Dong-Sook;Ju, Sook-Nam;Choi, Sang-Soon
    • 모자간호학회지
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    • v.3 no.2
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    • pp.142-152
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    • 1993
  • In recent days, most of mothers prefer bottle feeding to breast feeding. Even mothers who started with breast feeding, change to bottle feeding in a short period. Many factors were reported causing the trend, but a significant influencing latter was revealed the mothers' perception that their breast milk wasn't enough for their babies. The purpose of this study were to identify how mothers of 30 years ago kept breastfeeding longer period for their child, and what were the diet they used in order to keep adequate breast milk secretion. The subjects of this study were 95 women who are over 60 years or older. Data were gathered by 13 authors by interview using structured questionnare. There were 16 questions related to subject's demographic informations and the specific recipe which they used, and 7 questions related to breast feeding techniques they used. Data were analyzed by SPSS/PC and content analysis. Results were as follows. 1. The subjects reflected that their milk secretion was enough to feed their tables. 2. More than half of the subject started breast feeding on the 3rd day after delivery and had continued breast feeding until they were pregnant again. 3. The subjects tried to eat as much rice and seaweed (MiYuk) soup as possible and didn't take any other specific diet during the breast feeding period. 4. The subjects didn't pay specific attention to the breast, general health. emotion, home environment. The only thing they did was being careful not to press breast when not feed. 5. Many subjects perceived that breast feeding made them healthy, and only 7% of subjects responded that they had some health problem during the breast feeding period.

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A Study on the Effect of the Use of Mobile Office Systems on Work-Life Balance

  • Cho, Namjae;Lee, Hyungju
    • Journal of Information Technology Applications and Management
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    • v.20 no.1
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    • pp.43-51
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    • 2013
  • Human being does work to live out and they have their private life because human has sociality. Both work and life are important to live out but they are on the trade-off relationship. Because keeping the balance between work and life is too hard, it has been interested by academic and practical areas. Definition of Work-life balance here is that balance or imbalance arising between work and life has no negative impact on their daily life. Above all, Work-life balance is important because it is strongly related to identity. Recently, the introduction of the mobile office system has emerged as a way to solve the problem of work-life balance. It is based on the teleworking which was formerly generated. Teleworking is to perform the work in the employee's home or office space set aside without going into the workplace. Concept of the mobile office system here is not only using portable devices during work for convenience but also the system which is designed for the performance. Thanks to the diffusion of smart devices(smart phone, tablet pc), mobile office system has been spread. Although the importance of mobile office systems is emerging, there are few researches about it. Even they mostly focus on the standpoint of performance of mobile office system. However, Quality of life is as important as the performance. As a part of Quality of Life field, Work-life balance is the closest to employee's quality of life. So this study aims to examine the effect of the use of mobile office systems on work-life balance. To do so, we try to find factors effecting Work-life balance from existing studies and then set a research model. We set the use of mobile office systems as independent variables which are divided by use of function, use by location and use by situation. There are four dependent variables - sense of self command, sense of balance, solving work problem, solving life problem. We collected data from employees who are using mobile office systems on their job. 215 people were participated in the survey and we used multiple regression analysis to verify our research model. Results show that every independent variable has no impact on solving work problem while they have slight impact on the other dependent variables. Especially use on the business trip has significant effect on dependent variables. It means that there is a possibility use of mobile office system could control the employee's quality of life and system should be evolved until it covers even critical tasks. Also, support for mobile office system -education, encouragement-should be provided. By mobile office system is maturing, future research would be done.

The Comparison of Fatigue of the Patients with Rheumatoid Arthritis, Lupus, and Fibromyalgia (류마티스 관절염.루프스.섬유조직염 환자의 피로 양상 비교)

  • Lee, Kyung-Sook;Song, Kyung-Ja;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.131-147
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    • 2000
  • Almost all patients with rheumatic disease experience fatigue. The fatigue affects the patient's life extensively at home and at work, therefore it is necessary to investigate the nature of the fatigue which the patients perceive. The purpose of this study is to explore the nature and pattern of fatigue of the patients with rheumatic diseases. Rheumatoid arthritis is typical disease for its joint involvement which leads to deformity. Whereas lupus is a characteristic systemic autoimmune disease and the fibromyalgia is characterized by the general bodyache and multiple local tenderness. The prevalence of these diseases and the fatigue was known to be higher in women than men. Therefore the subjects were woman patient diagnosed as rheumatoid arthritis, lupus or fibromyalgia, and they were recruited from the H-Rheumatic Disease Hospital. The two instruments, the Multidimensional Assessment of Fatigue by Belza(1995) and the Piper Fatigue Scale by Piper, et al(1995) were used to explore the nature and pattern of self-reported fatigue. In total, the data from 157 patients were analysed by the SPSS-PC program for statistical analysis. The results were as follows: 1. Most patients with rheumatic disease experienced fatigue and the degree of fatigue was at the middle range by the scores of the two instruments. 2. The degree of fatigue of the patients with fibromyalgia was the highest and the next was that of the patients with lupus and the fatigue of the patients with rheumatoid arthritis. But there were no statistically significant differences among the patients with three rheumatic diseases, except the subcategory, the meaning of fatigue of the Piper Fatigue Scale. 3. Even when the period of the symptom and pain were covariated, there were no statistically significant differences among patients with three rheumatic diseases. The fatigue of the patients with lupus and fibromyalgia is rarely investigated in Korea and this study can be the base for the further understanding of the patients with rheumatic diseases. Therefore repeated studies are required to identify the factors to affect the fatigue and to understanding the nature of the diseases and to develop the nursing interventions to alleviate the fatigue.

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The Current Status of Life and Happiness of Out of School Youth (학교 밖 청소년의 생활실태와 행복감 관련 변인)

  • Hwang, Yeoun-Kyoung;Hong, Eun-Young
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.57-64
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    • 2018
  • The purpose of this study was to analyze the current status of life and psychological characteristics of 250 out of school youth in Cheonan city, and to identify the factors affecting the happiness. For statistical analysis, SPSS 21.0 were used, and reliability, mean comparison, correlation and multiple regression analysis were applied. First, adolescents who stopped studying due to family problems was lower in self-esteem than those who did for other reasons. Males was higher in happiness than females, and those who were less than two years of drop-out duration than those with over two years. Second, out of school youth used a day as 7.9 sleeping hours, 3.91 working hours. For the places for daily activities, they stayed at home for 10.73 hours, at working place for 3.66 hours. The future plan was the most for job plan. Third, there was a positive correlation between self-esteem, hope, and happiness of adolescents out of school. Fourth, the relative impact on the happiness of out of school youth ranked in the order of self-esteem, hope, employment plans, and household income level.