• 제목/요약/키워드: Low-value care

검색결과 167건 처리시간 0.024초

건강가정지원센터 아이 돌봄 활동가의 '돌봄 노동' 방향성 연구 (A Study on 'Care Work' Directionality of Child Care Helper in Healthy Family Support Centers)

  • 이은주;전미경
    • 가정과삶의질연구
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    • 제32권2호
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    • pp.27-40
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    • 2014
  • The purpose of this study is to examine the motive of participating in the care work, the overall cognition survey for the care work and the infant care practice areas required in the care work for the child care helpers who activate in the care work, and search for methods of specializing infant care and care experiences on the results. Results of study showed that firstly, middle- or the late middle-age women participated in the care worker recognized care work as productive labor to create economic value and that secondly, the child care helpers' recognition degree of self-development and job satisfaction through performance of care work was wholly high level and that there was will of participation in training for self-development but actual participation rate was low due to restrictions by general conditions. Thirdly, the infant care practice areas and their particular contents that the child care helpers recognized in the care work necessary were highly shown in the whole. The requested level of education for safety management, play guidance, humanity guidance for infant and child was high. Point to discuss is that occupation stability and occupation image must be raised through the public job-hunting system for the child care helpers. In addition, a tailor-made education support suitable for the child care helpers' career stage is needed. Education support by the performance of infant care practice area and the educational requirements must be provided to major rearers to ensure that they can function as behavioral and emotional supporters. Finally, a support system for continuous self-management.

고객가치가 관계품질 및 고객충성도에 미치는 영향: 치과병·의원을 중심으로 (A Study of the Impact of Customer Value on Relationship Quality and Customer Loyalty)

  • 이수욱;차은광
    • 유통과학연구
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    • 제12권2호
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    • pp.81-93
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    • 2014
  • Purpose - Recent rapid environmental changes in the hospital industry are accelerating the spread of customer satisfaction management. Customers' desires have become diversified and advanced; in the past, customers tended to preferred popularized and standardized care, whereas they now prefer individualized and differentiated care, based on an increase in income. Specifically, this study tries to analyze the mediating effects of factors that affect the configuration portion of customer value and relationship quality (customer trust and relationship commitment) by investigating the impacts and configuration factor of customer value on relationship quality and determining how these factors impact customer loyalty directly or indirectly. Research design, data, and methodology - This study aims to determine the customer value factors that impact the perceptions of dental hospital customers, how these factors impact relationship quality and customer loyalty, and the causal relationship of these factors, and to verify the research model based on previous research. To increase the validity and reliability of the questionnaire, the authors of this study constructed basic questions using measurement tools already verified for reliability and validity in existing studies. In this study, customer value is defined as customers' recognizing value by exchanging goods or services and is measured using a five-point Likert scale using 19 questions about the 4-Ds, such as convenience value, quick service, response value, and trustworthiness. For each question, "very low" was set at 1 point and "very high" at 5 points. Customer trust, relationship commitment, and customer loyalty are also measured using a five-point Likert 5-point scale (1 = very low, 5 = very high) based on previous studies. Results - For customer value, trustworthiness and quick service are shown to have direct significant positive impacts on customer loyalty. For customer value and quality of the relationship (customer confidence and commitment), trustworthiness, response value, confidence value, and quick service are shown to have a significant positive impact on customer truth, in order of impact. For the relationship between customer value and commitment, quick service and response value are shown to have significant positive impact. Customer confidence has a very high positive influence on commitment. For the relationship between the quality of the relationship (customer confidence and commitment) and customer loyalty, customer confidence is shown to have more of an impact than commitment, in terms of a direct influence of customer loyalty. Commitment showed a positive impact on customer loyalty. For the relationship between customer confidence and customer loyalty, commitment showed a mediating effect. Conclusions - Many additional variables could apply; this study focused on customer value, quality of the relationship, and customer loyalty. In particular, there will be significant value in identifying the relationships among customer value, relationship quality, and customer loyalty by using impact factors for customer value; ensuring external validity by expanding denotation and applying the findings to other service industries; and undertaking continuous research. This study has limited generalization potential because the target for this survey was located only in the Seoul area.

제한성 환기장애의 진단에서 폐활량검사의 정확성 (Accuracy of Spirometry at Predicting Restrictive Pulmonary Impairment)

  • 안영미;고원중;김철홍;임성용;안창혁;서지영;정만표;김호중;권오정
    • Tuberculosis and Respiratory Diseases
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    • 제54권3호
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    • pp.330-337
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    • 2003
  • 연구배경 : 폐활량검사에서 노력성 폐활량(forced vital capacity, FVC)이 감소되었을 때 제한성 환기장애가 있다고 일반적으로 판단한다. 하지만 제한성 환기장애 판정의 정확한 기준은 총폐용량(total lung capacity, TLC)의 감소이다. 본 연구는 폐활량검사 결과에서 FVC가 감소되었을 때 TLC가 감소된 제한성 환기장애를 얼마나 정확히 예측할 수 있는가를 알아보고자 하였다. 대상 및 방법 : 1999년 1월부터 2000년 12월까지 2년간 폐기능검사실에서 폐활량검사와 폐용적검사를 동일한 날 시행한 성인 환자 1,371명의 폐기능검사 결과를 후향적으로 조사하였다. FVC, $FEV_1$, TLC는 측정값이 정상 예측값의 80% 미만일 때 감소하였다고 판정하였고, 1초간 노력호기폐활량의 노력성 폐활량에 대한 비($FEV_1$/FVC%)는 측정값이 70% 미만일 때 감소하였다고 판정하였다. 결 과 : 1,371례 중 FVC가 감소한 환자는 353례였으며 이 중 TLC가 감소된 경우는 186례로 양성예측률은 52.7%이었다. FVC가 정상인 1,018례 중 TLC가 감소한 경우는 45례로 음성예측률은 96.6%이었다. 폐활량검사에서 제한성 환기장애($FEV_1$/FVC 정상, FVC 감소)를 보인 196례 중 TLC가 감소된 경우는 148례로 양성예측률은 75.5%이었다. 폐활량검사에서 혼합성 환기장애($FEV_1$/FVC 감소, FVC 감소)를 보인 157례 중 TLC가 감소된 경우는 38례로 양성예측률은 24.2%이었다. 혼합성 환기장애를 보인 196례 중 FVC와 $FEV_1$의 예측값에 대한 비율이 15% 미만의 차이를 보인 60례에서 TLC의 감소를 보인 경우는 34례(56.7%)였다. 결 론 : 제한성 환기장애를 배제하는 데는 폐활량검사가 유용하다. 하지만 폐활량검사에서 FVC가 감소된 환자에서 제한성 환기장애의 유무는 TLC의 측정을 통해 확인하는 것이 필요하리라 사료된다.

Evaluation of three glucometers for whole blood glucose measurements at the point of care in preterm or low-birth-weight infants

  • Hwang, Joon Ho;Sohn, Yong-Hak;Chang, Seong-Sil;Kim, Seung Yeon
    • Clinical and Experimental Pediatrics
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    • 제58권8호
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    • pp.301-308
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    • 2015
  • Purpose: We evaluated three blood glucose self-monitoring for measuring whole blood glucose levels in preterm and low-birth-weight infants. Methods: Between December 1, 2012 and March 31, 2013, 230 blood samples were collected from 50 newborns, who weighed, ${\leq}2,300g$ or were ${\leq}36$ weeks old, in the the neonatal intensive care unit of Eulji University Hospital. Three blood glucose self-monitoring (A: Precision Pcx, Abbott; B: One-Touch Verio, Johnson & Johnson; C: LifeScan SureStep Flexx, Johnson & Johnson) were used for the blood glucose measurements. The results were compared to those obtained using laboratory equipment (D: Advia chemical analyzer, Siemens Healthcare Diagnostics Inc.). Results: The correlation coefficients between laboratory equipment and the three blood glucose self-monitoring (A, B, and C) were found to be 0.888, 0.884, and 0.900, respectively. For glucose levels ${\leq}60mg/dL$, the correlation coefficients were 0.674, 0.687, and 0.679, respectively. For glucose levels>60 mg/dL, the correlation coefficients were 0.822, 0.819, and 0.839, respectively. All correlation coefficients were statistically significant. And the values from the blood glucose self-monitoring were not significantly different from the value of the laboratory equipment, after correcting for each device's average value (P>0.05). When using laboratory equipment (blood glucose ${\leq}60mg/dL$), each device had a sensitivity of 0.458, 0.604, and 0.688 and a specificity of 0.995, 0.989, and 0.989, respectively. Conclusion: Significant difference is not found between three blood glucose self-monitoring and laboratory equipment. But correlation between the measured values from blood glucose self-monitoring and laboratory equipment is lower in preterm or low-birth-weight infants than adults.

요양병원 간호사의 간호 스트레스 경험: 현상학적 접근 (Experience of Job Stress among Nurses Working in Long-term Care Hospital: A Phenomenological Approach)

  • 김희진;김혜영
    • 성인간호학회지
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    • 제28권5호
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    • pp.572-584
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    • 2016
  • Purpose: The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals. Methods: A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study. Results: Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress. Conclusion: Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

폴리아크릴아마이드를 함유한 에멀젼의 유변학적 거동 (Rheological Behaviour of Emulsions Containing Polyacrylamide)

  • 조완구;김송이
    • 한국응용과학기술학회지
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    • 제27권2호
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    • pp.99-106
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    • 2010
  • We have investigated the rheological behaviours of emulsions containing polymers. The polymers used in this study were polyacrylamide and carboxy vinyl polymer. The emulsion with polyacrylamide shows better prior preference than that with carboxy vinyl polymer on the skin texture. In the toxicity test, such as, LLNA cell toxicity, skin organ culture and human patch test, polyacrylamide was the appropriate materials for the cosmetics. The viscosity of polyacrylamide shows maximum value in neutral pH and good stability against temperature. The decreasing effect of viscosity against salt was not good enough but showed a better result than that of carboxy vinyl polymer. Two times the amount of polyacrylamide should be used for the formation of a similar viscosity of carboxy vinyl polymer. Yield value of polyacrylamide was low and the effect for the stabilizing emulsions was also low.

재가노인복지시설 급식소의 위생·영양관리 실태조사 연구 (Current Status of Sanitary and Nutritional Food Service in Elderly Day Care Center)

  • 우정현;박유경;김미현;이수경;송경희;김혜경
    • 대한지역사회영양학회지
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    • 제25권5호
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    • pp.374-385
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    • 2020
  • Objectives: This study was conducted to examine the status of foodservice management, with special interest on sanitary and nutritional food service in elderly day care centers. Methods: A total of 79 employees who managed foodservice facilities in elderly day care centers were included in the survey. The contents of the questionnaire consisted of general characteristics, importance and performance of sanitary and nutrition management, the reasons for poor performance, factors necessary for improvement, and the employee's demand for support. Data analysis was conducted using the SPSS v25.0. Results: Sanitary management showed an average importance score of 4.84 ± 0.40 and a performance score of 4.70 ± 0.61 (t-value: 8.260). The item with the lowest performance score was personal sanitary management (4.58 ± 0.71). In nutrition management, the average importance score was 4.52 ± 0.68, and the performance score was 4.20 ± 1.00 (t-value: 9.609). There were significant differences between the average score of importance and performance in both areas. As a result of an Importance-Performance Analysis, items that were recognized as important but had relatively low performance was "personal hygiene", "ventilation" and "food storage". Also in the nutritional management area, "menu planning for disease management" and "checking the saltiness in the soup" etc. had very low performance with low importance recognition. The items shown in the "low priority" quadrant were those that required professional management skills. In the areas that demanded support in foodservice management, education about sanitary and safe institutional food service had the highest score (4.42 ± 0.74), and all other items showed a demand of 4 points or more. Conclusions: Foodservice managers recognize the importance of foodservice facility management but performance is relatively low. Institutional support is, therefore, needed to improve performance. For items with low importance, it seems necessary to improve awareness of the necessity of these items and to provide education in this regard. To gradually improve foodservice management, continuous provision of education and training in these areas are of great importance.

중국 소비자 라이프스타일이 한국 중·저가 화장품의 지각된 가치, 구매의도, 만족도에 미치는 영향 (Effects of Chinese Consumer lifestyles on perceived value, purchase intention, and satisfaction of Korean medium & low price cosmetics)

  • 김민정;이형재
    • 서비스연구
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    • 제10권3호
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    • pp.103-118
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    • 2020
  • 중국의 경제성장은 많은 것을 변화하게 했으며 특히 외국문화 수용 후 소비자들의 소비패턴과 생활양식을 크게 변화시켰다. 급변화한 중국 소비자들을 이해하기 위해 이들의 라이프 스타일과 소비행동에 미치는 요인과 영향을 알아보고자 한다. 먼저, 라이프스타일을 브랜드지향형, 가격민감형, 합리적소비형, 충동구매형으로 구분하고 화장품유형(기초 vs. 색조)에 따른 지각된 가치, 구매의도, 만족도에 따른 각각의 차이를 확인하였다. 그 결과, 기초화장품에서 브랜드지향형과 가격민감형에서 지각된 가치에 대한 차이만 통계적으로 유의했다. 브랜드지향형과 합리적소비형 그리고 가격민감형과 합리적소비형, 합리적소비형과 충동구매형 집단에서만 지각된가치, 구매의도, 만족도에 유의한 차이를 보였으나 브랜드지향형과 충동구매, 가격민감형과 충동구매에 대한 차이는 유의하지 않았다. 색조화장품에서는 브랜드지향형과 가격민감형 그리고 브랜드지향형과 합리적소비형, 가격민감형과 합리적소비형, 합리적소비형과 충동구매형에서의 차이는 통계적으로 유의하게 나타났으나, 충동구매형과 브랜드지향형, 충동구매형과 가격민감형에서는 차이가 없는 것으로 나타났다. 분석결과에 기반하여 유통 서비스에 관한 관리적 함의도 제시하였다.

AStudy on Appearance Management Behavior Related to Well-being lifestyles of Women

  • Lee, Ji-Young;Kim, Yong-Sook
    • International Journal of Costume and Fashion
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    • 제7권2호
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    • pp.1-17
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    • 2007
  • The purpose of this study was to identify appearance management behavior related to well-being lifestyle of women. The results of the study were as follows: 1. The factors relating to a well-being lifestyle were personality and value, fashionable appearance, leisure activity, healthy food, brands, social activities, reasonable consumption, environmental protection, and individuality. The factors of appearance management behavior were weight management and skin care, apparel and accessory management, dietary treatment, bathing, make-up and hair styling, underwear management, using hospitals, beauty salons, and identity kits. 2. Women were classified into 4 kinds of groups: well-being, reasonable value pursuit, ostensible consumption, and bad-being. 3. The members of the well-being group were generally married, highly educated, had a high income, and spent a lot of money for their appearance management. They had a high level of appearance management in terms of weight and skincare, apparel and fashion accessories management, dietary treatment, bathing, make-up and hairstyling, underwear management, and in the use of hospitals and beauty salons. The members of the reasonable value pursuit group were generally married, less educated, with a medium income, and spent little for their appearance management. Members of the ostensible consumption group were generally unmarried, with a low income but spent lot of money for sundries and appearance management. They also had a high level of appearance management with regard to weight training and skin care, apparel and fashion accessory management, underwear management, the use of hospitals and beauty salons, and using identity kits. Members of the bad-being group were generally unmarried, had low incomes, little disposable income, spent little on appearance management, and didn't manage their appearance as a whole.

한국형 응급환자 분류도구의 타당도 평가 (Evaluation of Validity of the Korean Triage and Acuity Scale)

  • 최희정;옥종선;안수영
    • 대한간호학회지
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    • 제49권1호
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    • pp.26-35
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    • 2019
  • Purpose: The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS). Methods: This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value. Results: In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively. Conclusion: The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.