• 기본간호학회지
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• 제16권3호
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• pp.362-369
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• 2009

Purpose: The purpose of the study was to identify effects of the BeHaS program on self esteem, fatigue and anxiety in postoperative care patients with breast cancer who had surgery with, chemotherapy, radiotherapy, with or without current hormone therapy. Methods: This study was a 2-group quasi-experimental research study with a pre and post test design. Fifty-four patients with breast cancer were assigned to the experimental (n=29) or control group (n=25). The BeHaS program which strengthens self esteem through support over a 90-minute period, consists of theme activity (30 minutes), education (15 minutes), group support (15 minutes) and exercise (30 minutes). The experimental group participated in the program once a week for 10 weeks, but the control group was not involved. Data were gathered from October to December, 2008 using a questionnaire with measures of self esteem, fatigue and anxiety. Data were analyzed using t-test with SPSS Win 12.0 to identify differences between the groups. Results: Self esteem was significantly increased (p= .001) and fatigue significantly decreased (p= .013) in the experimental group. But there was no significant difference in anxiety (p= .868). Conclusion: These results suggest that the BeHaS program for patients with breast cancer had beneficial effects on self esteem and fatigue.

• 한국의료질향상학회지
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• 제5권2호
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• pp.224-237
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• 1998

Background : This is an investigative study to analyse the importance of works perceived by Quality Improvement(QI) Coordinators and to evaluate their current work performances using the questionnaires developed by the investigator. Methods : The data were collected from 37 subjects over two weeks period from Oct. 1 to Oct. 17, 1998 and analysed by the descriptive statistics of SPSS program. The items of questionnaire are consisted of 13 work domains including 73 activities based on Quality Management(QM) Coordinator's job description of National Association for Healthcare Quality:data collection & analysis, communication, monitoring, evaluation, accreditation, tool development, policy development, program development, self development, education & trainning, system design, planning, and consultation & support. Results : 1) Of the performances in 13 work domains, the frequencies of the work performed were accreditation(89%), planning(88%), communication(83%), data collection & analysis(82%), monitoring(76%), policy development(72%), consultation & support (71%), education & trainning(70%), self development(68%), evaluation(63%), tool development(61%), program development(44%) and system design(43%) in order. 2) For the importances (1=not important, 5=very important), the policy development(4.46) scored highest then monitoring(4.42), planning(4.41), education & trainning(4.38), communication(4.35), evaluation(4.34) tool development (4.30), data collection & analysis(4.29), program development(4.22), consultation & support(4.22), accreditation(4.15), self development(4.05) and system design(3.98) in order. 3) There was a difference between the work performance and the perceived importance. The results showed the low performances in policy development, monitoring, education & trainning and evaluation which ranked high by the perceived importance and the high performances in accreditation, data collection & analysis, self development, communication and consultation & support which ranked middle to low by the perceived importance. 4) The reasons for low performances of QI Coordinators were the lack of clear assignment for the responsibility and allowed authority for work to QI Coordinators(30.8%), insufficient member of QI Coordinators(13.9%), lack of hospital director's interest(11.5%), low motivation of QI Coordinators (10.6%) and insufficient knowledge & experience of QI Coordinators (8.8%). Conclusion : Most works were perceived important by QI Coordinators, but there was a difference in the work performance. The works performed over 70% were related with accreditation, data collection & analysis, communication, planning and monitoring, on the other hand under 50% in performances were related with system design, program development, tool development and evaluation.

• 대한임상검사과학회지
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• 제50권4호
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• pp.525-534
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• 2018

본 연구의 목적은 임상병리 전공 유사 취업연계가 가능한 다양한 자격증을 조사하고 취득 방법과 활용 여부를 알아보고자 하였다. 전공 외 취업 연계 가능 자격은 산업보건지도사, 도핑검사관, 청각관리사. 수화통역사, 보건교육사, 손해사정사, 생명보험 언더라이터, 행정관리사, 병원행정사, 보험심사관리사, 병원코디네이터 등이 있다. 임상병리기술학 전공 유사 관련 진출자격 현황으로는 임상시험코디네이터, 임상시험 모니터요원, 해부조직사, 화학분석기사, 위험물산업기사, 생물공학기사, 생물안전관리자, 생명공학기술지도사, 의료기기품질책임자, 실험동물기술원, 동물간호복지사, 선박의료관리자가 있다. 따라서, 임상병리사들이 현재 보유하고 있는 다양한 자격 현황의 사회분석조사가 필요할 것이며, 임상병리사 출신으로 다른 분야에서 근무하고 있는 현황조사도 필요할 것이다. 향후, 임상병리사는 개인의 업무역량 강화의 노력을 통하여 업무적 범위를 확대시키고, 사례를 공유하여 영역 확대와 전문성을 강화해야 할 것이라고 생각한다.

• 한국산업보건학회지
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• 제32권2호
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• pp.195-207
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• 2022

Objectives: The purpose of this study was to identify the factors affecting rehabilitation motivation in hospitalized orthopedic patients. Methods: Data were collected from June 1th to July 31th, 2019 and structured questionnaires were used. Study subjects were 97 orthopedic patients who received fixed treatment more than two weeks and started rehabilitation exercise in a military hospital. The data were summarized using descriptive statistics and analyzed by t-test or one way ANOVA, Pearson's correlation analysis and multiple regression analysis were run in SPSS 20.0 program. Results: The results of this study may be summarized as follows. (1) The demographic characteristics that showed differences in rehabilitation motivation were marital status, age and the ranks of the armed forces. The rehabilitation motivation of married, older than 31, officer ranked soldiers turned out to be higher than those of singles, younger than 30, non-officers, respectively. (2) The results of Pearson's correlation analysis showed that independent variables were all correlated significantly each other. (3) The results of stepwise multiple regression analysis showed that the factors influencing rehabilitation motivation were family social support, medical personnel's social support and the level of military life adaption. Conclusions: The rehabilitation motivation of hospitalized soldiers may be improved by receiving supports from family members and medical personnels and by adapting to military life. Military medical workers need to explore nursing strategies that help hospitalized orthopedic patients increase their own rehabilitation motivation.

• 한국보건간호학회지
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• 제35권1호
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• pp.5-18
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• 2021

Purpose: This study aimed to develop a client-centered integrated home nursing care model for rural areas by analyzing public health nursing, hospital-based home care services, and long-term nursing care in Korea. Methods: The literature review performed included data from the National Assembly Library, DBpia, RISS, and KISS, Google Scholar, the Ministry of Government Legislation, Statistics Korea, and the Ministry of Health and Welfare. Results: The client-centered and integrated home nursing care model in a rural area was opened as the Home Nursing Care Center in a public health center operating directly or on consignment. This model provides both a hospital-based home care services as well as long-term care, in accordance with the health status of the client and difficulty of nursing services. Moreover, the nurse who worked in a sub-organization (Centers for Supporting Healthy Living, Public Health Units, and etc.) of the public health center as care coordinator and case manager facilitates to connect home nursing care services and social welfare services. Conclusions: Our data indicates that the client-centered integrated home nursing care model in rural areas effectively combines professional services, regional accessibility, and social welfare services.

• 기본간호학회지
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• 제14권3호
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• pp.340-350
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• 2007

Purpose: This study was done to construct a quality of life (QOL) model for recipients of a liver transplant. Method: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program. Results: Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance. Conclusion: This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.

• 한국치위생학회지
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• 제13권4호
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• pp.677-684
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• 2013

Objectives : The purpose of this study was to investigate dental hygiene majoring students on employment preparation and job preference. Methods : Subjects were 471 dental hygiene majoring students in Seoul, Gyeonggi-do, Gangwon-do, Daejeon, Chungcheong-do, Busan, and Jeju-do. Except 34 incomplete answers, 437 copies were analyzed. Results : Female accounted for 98.9%. Grade point average(GPA) ranged from 3.5 to 4.0 (38.8%). Most of the students lived in Gyeonggi (20.4%). Out of 364 students, 58.5% had hospital coordinator certificates and 36.3% had computer related certificatse. Those who studied in Gyeongnam wanted to work in Gyeongnam (90.6%), and those who studied in Seoul wanted to work in Seoul (79.7%). These results revealed the same tendencies in Gangwon(56.8%), Gyeonggi(47.6%) and Jeju(39.3%). Except for Chungbuk and Gyeongnam, most students preferred Seoul as a preferable working location (p<0.000). The reason for the preferable working locations included easy commutation (31.0%), higher income (28.5%), and brand value of hospital (22.5%). Most students chose job for easy commutation (44.8%, p<0.000) and welfare benefits (29.6%). Preference for income ranged from 15,000,000~20,000,000 Korean Won including Daejeon (75.0%), Gyeongnam (59.4%), Chungbuk (58.4%), and Jeju (56.7%). Conclusions : It is necessary to implement the various curricula development including future planning and mastery of foreign language education focused on globalization.

• 한국융합학회논문지
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• 제6권4호
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• pp.153-159
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• 2015

우리나라의 구강보조인력 중 치과위생사 업무와 치과 근무 간호조무사의 업무가 상당히 겹쳐 있고, 진료실 내부로 치과기공사 및 병원코디네이터가 깊숙이 들어와 있어 각 직종간의 업무영역으로 인해 마찰을 빗고 있다. 그리하여 이러한 직종 간 명확한 업무의 구분과 업무범위에 대한 정책적 방안을 제시할 목적으로, 치과 병 의원에 근무하는 치과보조인력의 업무 실태에 대해서 치과위생사의 법정업무를 중심으로 한 10개의 업무를 빈도분석 및 분산분석을 이용하여 비교 제시하였다. 치과위생사의 법정 업무를 중심으로 한 10개의 업무 중 대표적인 항목 스켈링을 비교한 결과, 치과기공사가 9(75%)명, 간호조무사가 64(87.67%)명, 기타에 체크한 사람이 11(64.71%)명이 시행하고 있어, 치과위생사를 제외한 치과보조인력이 치과위생사의 법정고유 업무를 많이 시행하고 있는 것으로 나타났다. 따라서 치과의료기관이 필요한 인력을 충분히 갖추고, 구강보조인력의 역할과 업무범위에 대한 정책적 방안이 제시될 필요성이 권장된다.

• 임상간호연구
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• 제14권3호
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• pp.99-115
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• 2008

Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

• 한국병원경영학회지
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• 제9권2호
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• pp.128-148
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• 2004

Both undergraduate and graduate programs in health services management(HSM) are recently established in colleges and universities in Korea, and the programs train their students for diverse sectors within the field of healthcare management, including hospitals, nursing facilities, consulting firms, health industries such as pharmaceutical, insurance companies, etc. This study investigates many of the managerial roles expected to graduates from academic curricula in HSM, and required competencies to be successful in their positions. The information of roles and competencies for HSM graduates were collected, and their importances were evaluated by healthcare management experts through a Delphi method. As the result, 11 items for present roles and 13 items for future roles were derived, and 15 and 16 items were derived for present and future competencies respectively. Utilizing the classification of work roles by Timmreck and that of managerial competencies by Robbins, the importance of roles and competencies of healthcare managers was analyzed and interpreted. The major domains of roles at present turned out to be 'organizer', 'planner', 'problem solver', and 'coordinator' in order according to importance. On the other hand, as graduates develop their careers, the domains of future roles would be changed to 'director' and 'planner'. For competencies, the most important domain at present was 'technical skill', but the future important domain was 'interpersonal and emotional intelligence'. The result of this study can be seen as an initial step toward improving the academic curricula of HSM in college and universities and promoting collaborative efforts between academic programs and on-site practices in healthcare industries.