• 보건행정학회지
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• 제6권1호
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• pp.144-162
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• 1996

This study was conducted to identify the problems related to operation of the committee system in university hospitals and to propose the direction for reforming it. Data were collected by surveying 138 working-level administration managers of committees from 12 university hospitals in Seoul in October, 1995. The results were as follows: 1. The purposes of the committee were to promote the reasonable dicision making in the hospitals, to satisfy the requirement of Hospital Accreditation Program and, to execute the administrational instructions in due order. The sort of job which was charged of chairmen and the majority of committee member was doctor. 2. The committees which were to be held the meeting frequently in a year were general management committees(8.25 times/year). But in case of operation rate, medical care-related committees showed the most frequent meeting(90.15%). Most of committees made the regulations and reported the results of their meeting to the CEO of their hospitals by written documents. 3. Most doctors thought the medical care-related committees useful. Medical technicians regarded education and research-related committees as useful, while administrators favored the general management committees. 4. The factors related to the perceived performance of the committee were the kind of job, the class of job and the kind of committee. Also, the perceived performance of the committee was positively related to the usefulness in efficient management of work, and negatively to uncertainties in responsibility and a nominal role of the committee. 5. Most of the respondnts thought that the concern of the top manager about the committee was the most important factor for the improvement of committee system at hospitals. They also regarded that formalization of the objectives and regulation rule and composition of committees with members which work in various fields as essential. Further studies on the organizational and operational cjharacteristics which include general hospitals in various areas are required.

• 보건의료산업학회지
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• 제5권3호
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• pp.13-23
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• 2011

This paper investigated the operating environment for the representative of each agency and the facility workers on the basis of analytical result of recognition changes of the operating environment changes under the operating the long-term care insurance. It was described plans to take positive effect on the operating as follows. The first, on the result of regression analysis, the service administrative range takes the biggest effect on the general recognition of executing the long-term care insurance off and on. The affirmative recognition of the service administrative range had the general recognition on the system be positive effect. But the operator of facility asserts that the care manager's professionalism related quality of service be strengthened. The second, on the result of regression analysis, in the financial accounting administrative it is revealed the more positive recognition it is, the more positive effects it has. From the difference verification of an operation size from operation subject, the small operation size and personal facility recognize the long term care insurance positively. On the other side the facilities where the operation size is big recognize the system negatively. The long-term care facility should rearrange a support program newly and the government needs to promote the donation activity, because it is needed to reduce the financial burden of facilities.

• 한국간호교육학회지
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• 제17권1호
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• pp.100-109
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• 2011

Purpose: This study was conducted to investigate how a program using video-audio media will affect the knowledge level and compliance of the sick role of patients admitted for coronary angiography. Method: A non-equivalent control group non-synchronized design was used. Subjects were selected from patients admitted to the internal ward of a hospital in B city for coronary angiography between July 1 and September 31, 2010. Twenty subjects were assigned to the control and experimental group, respectively. Video-audio media developed by the authors was used as the experimental tool. The effects of the program were analyzed using a knowledge assessment tool and questionnaire for compliance of the sick role. The SPSS/WIN 14.0 program was used for data analysis. Result: The first hypothesis that the "experimental group receiving the program using video-audio media will report a higher level of knowledge compared to the control group" was supported. The second hypothesis that the "experimental group that received the program using video-audio media will report a higher level of compliance of sick role" was supported. Conclusion: The program using video-audio media was effective in enhancing patients' knowledge about the disease and compliance of the sick role. Thus, it can be an effective nursing intervention for patients with coronary artery disease.

• 대한간호학회지
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• 제47권6호
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• pp.713-730
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• 2017

Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software. Results: A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40). Conclusion: Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

• 보건의료산업학회지
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• 제6권4호
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• pp.61-72
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• 2012

The purpose of this study was to propose how to improve and develop the college curriculum of medical record administration, satisfying requirements from hospitals having medical record administrators. For the purpose, this researcher surveyed medical record administrators serving at hospitals located in Busan, Changwon, Masan and Jinju. Finally analyzed were responses from 100 medical recorders. The frequency of searching medical records to support information use was statistically different among hospitals according to the number of sick beds(p=.041), or $3.16{\pm}1.75$ for fewer than 300 sick beds, $4.28{\pm}2.42$ for 300 to 500 and $4.86{\pm}3.18$ for more than 500. The college course that was regarded as most important by most of the surveyed medical record administrators, or 53(37.2%) was medical terminology, followed by statistics by 36 of the respondents(18.5%) and EMR, 25(12.8%) in order. To make EMR truly effective requires reforming the university curriculum of medical record administration and giving more attention and more supports to training for better computerization, realizing that medical record administrators serve as a true manager of health and medical information, not a person who just paper-based medical information. In addition to managing health and medical information, medical record administrators are expected to have more roles in the future, for example, providing high-quality clinic knowledge and medical information that are necessary for efficient hospital management and medical research to survive competition.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.456-466
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• 2019

본 연구는 팀워크를 결정하는 조직적 요인으로 간호 관리자의 리더십에 주목하여, 간호 관리자의 네 유형의 리더십이 간호사가 지각하는 팀워크에 미치는 영향을 검증하였다. G시에 소재한 일 대학병원의 일반/책임 간호사를 대상으로 설문조사를 실시하였으며, 187부를 최종 자료분석에 사용하였다. 다중 회귀분석 결과, 간호 관리자의 변혁적 리더십과 서번트 리더십, 윤리적 리더십이 높을수록 간호사 간의 팀워크가 높은 것으로 나타났다. 반면에, 간호 관리자의 거래적 리더십은 간호사 간의 팀워크와 유의한 관계가 없었다. 본 연구는 간호 관리자가 거래적 리더십보다는 변혁적 리더십, 서번트 리더십, 윤리적 리더십을 발휘하는 것이 간호사 간의 팀워크를 증진하는 데에 효과적임을 시사한다. 본 연구결과를 토대로 간호 관리자를 위한 리더십 교육 프로그램에서 변혁적 리더십뿐만 아니라 서번트 리더십과 윤리적 리더십에 대해서도 다룰 것을 제안한다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3337-3343
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• 2013

This systematic review was conducted to assess the efficacy and safety of bisphosphonates for prevention and treatment of osteopenia or osteoporosis in men with non-metastatic prostate cancer receiving androgendeprivation therapy. We searched for randomised controlled trials (RCTs) of bisphosphonates compared with placebo from Pubmed, Embase, the Cochrane Library, and ISI - Science Citation Index. Meta-analyses of prespecified outcomes (bone mineral density, fractures, and adverse events) were performed using Review Manager. Ten RCTs with a total patient population of 1,017 were identified. There was generally more improvement in bone mineral density of the lumbar spine for patients who received bisphosphonate treatment than placebo or other medical treatment at 12 months (WMD 6.02,95%CI 5.39 to 6.65). Similar effects were also observed for total hip, trochanter or femoral neck bone mineral density. However, there was no significant reduction in fractures. Fever and gastrointestinal symptoms were the most common adverse events (10.4% vs. 1.2%; 0.10% vs. 0.03%). Currently, our meta-analysis suggested that oral and intravenous bisphosphonates caused a rapid increase in spine and hip or femoral BMD in non-metastatic prostate cancer patients receiving androgen-deprivation therapy. Fever and gastrointestinal symptoms were common with the use of bisphosphonates. These short-term trials (maximum of 12 months) did not show fracture reduction. In future, more efficient performance of higher quality, more rigorous, large sample, long-term randomised controlled trials (>12 months) are needed where outcomes are detailed.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.345-354
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• 2018

본 논문은 간호 간병통합서비스병동간호사의 환자안전문화인식, 비판적 사고성향과 환자안전간호활동을 파악하고, 환자안전간호활동에 영향을 미치는 요인을 규명하고자 하였다. B시 3개 종합병원에서 간호 간병통합서비스병동간호사 150명을 대상으로 2017년 8월 20일부터 9월 10일까지 자료를 수집하였고, SPSS WIN 21.0을 이용하여 분석하였다. 간호 간병통합서비스병동간호사의 환자안전문화인식은 $3.32{\pm}0.32$점, 비판적 사고성향은 $3.50{\pm}0.31$점, 환자안전간호활동은 $4.28{\pm}0.46$점으로 나타났다. 환자안전문화인식은 간호 간병통합서비스병동 근무경력(F=4.79, p=.001)에 따라 유의한 차이를 보였다. 비판적 사고성향은 연령(F=3.89, p=.010), 직위(F=6.40, p=.002)에 따라 유의한 차이를 보였다. 환자안전간호활동은 직위(F=3.19, p=.044)에 따라 유의한 차이가 있었다. 간호 간병통합서비스병동간호사의의 환자안전간호활동 영향요인은 병원의 환자안전문화(${\beta}=.25$, p=.014), 상관/관리자의 태도(${\beta}=.20$, p=.046), 직위 ${\beta}=.14$, p=.040)였고, 설명력은 44.4%이었다. 간호 간병통합서비스간호사의 환자안전간호활동을 증진시키기 위해서는 병원의 환자안전문화에 대한 긍정적 인식 조성과 상관/관리자의 지지가 요구된다.

• 디지털융복합연구
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• 제14권11호
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• pp.469-479
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• 2016

본 연구는 대학병원 임상간호사를 대상으로 환자안전문화에 대한 인식과 안전간호활동에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료는 2015년 9월 1일부터 10월 1까지 하였다. 수집된 자료는 SPSS 23.0을 이용하여 t-test, ANOVA, Pearson correlation coefficients, stepwise multiple regression으로 분석하였고, 사후분석은 Scheffe' test로 하였다. 그 결과 대상자의 환자안전문화에 대한 인식은 5점 만점에 $3.30{\pm}.22$점이었고, 안전간호활동은 5점 만점에 평균 $3.89{\pm}.44$점이었으며, 환자안전문화에 대한 인식은 환자안전간호활동과의 양의 상관관계(r=.364, p=.000)가 나타났다. 또한 안전간호활동에 간호사의 총 경력, 직위, 직속관리자/책임자, 의사소통 절차, 사건보고 빈도가 영향을 받으며, 38.6%의 설명력이 있는 것으로 나타났다. 따라서 안전간호활동을 증진시키기 위해서는 적절한 경력자 관리, 조직간 원활한 의사소통, 자발적 사건보고를 할 수 있는 실무지침과 효과적인 교육프로그램 개발이 필요하다.

• 한방안이비인후피부과학회지
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• 제35권4호
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• pp.139-162
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• 2022

Objectives : The review was conducted to validate the effectiveness of herbal medicines on acne. Methods : Randomized controlled trials(RCTs) reporting the effects of herbal medicine treatment on acne were searched through seven electronic databases from the time of application of the material to October 2021. Cochrane Collaboration's Risk of Bias was used to assess the risk of bias. Analysis was performed using Review Manager 5.4 and R 4.1.0 Meta, Metafor program. Results : 34 RCTs was selected and meta-analysis was performed with 30 studies. The inflammatory lesion count of the herbal medicine(MD=0.29, 95% CI:-0.59-0.01, p<0.01, I²=80%) and the non inflammatory lesion count of herbal medicine(MD=-0.30, 95% CI:-0.70-0.10, p<0.01, I²=78%) were seen. The score of IGA(RR=1.43, 95% CI:0.90-2.27, p<0.91, I²=0%), VISIA(MD=0.36, 95% CI:0.21-0.51, p=0.07, I²=40%), effective rate(RR=1.23, 95% CI:1.05-1.44, p<0.01, I²=98%), DLQI(MD : 0.59, 95% CI:0.14-1.04, p=0.07, I²=63%) and recurrence rate(RR=0.36, 95% CI:0.23-0.58, p=0.73, I²=0%) were seen. The effective rate of herbal medicine were statistically higher that of the control group(WM)(RR=1.19, 95% CI:1.04-1.37, p<0.01, I²=97%). As a result of dividing the treatment groups into OHM, EHM, and OEHM, the EHM group(RR=1.17, 95% CI:0.79-1.72, p<0.01, I²=99%) showed the most statistically significant effect. The overall risk of bias of the included studies was some concerns. No serious adverse effects were observed. Conclusions : This review found the effectiveness of herbal medicine for acne.