• 제목/요약/키워드: Medical organization

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치과의료서비스에 대한 환자만족 영향원인 -경남 일부 지역 치과의원을 중심으로- (Factors Affecting Patient Satisfaction of Dental Services Organizations)

  • 이은숙;박정란;최미숙
    • 한국치위생학회지
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    • 제5권2호
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    • pp.247-261
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    • 2005
  • The main objective of this study is to investigate the factors affecting patient satisfaction, repeat-use intention, and inducement intention for providing the suggestion for patient-oriented management of dental services organizations. For this study, the patient satisfaction model including 14 facets of satisfaction factors such as distance(time/location), human services(dentist-hygienist), treatment results, and facilities(convenient facilities/parking lot) was examined. Data were collected from 196 patients who visiting the same dental services organization more than two times of ten dental clinics at Kyeongsangnam-do area using self-administered questionnaire. Major results of the empirical analysis are as follows: First, patient satisfaction, repeat-use intention, and inducement intention were significantly correlated with gender, age, economic conditions among patients of dental clinics. Second, kindness of hygienist, treatment results, kindness of receptionist, waiting time, emergency medical services, and right-fee for services were found to have significant influence on dental services organizations. These research findings suggest that improvement of service quality in dental care and advancement in treatment ability of dentist and hygienist are very important to improve patient satisfaction and patient-oriented service system in dental services organizations.

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요양병원 간호사의 치매간호지식, 치매태도 및 인간중심 돌봄과의 관계 (Relationship between Knowledge of Dementia Care, Attitude toward Dementia and Person-centered Care among Nurses in Geriatric Hospitals)

  • 이미경;정향미
    • 동서간호학연구지
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    • 제25권2호
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    • pp.128-137
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    • 2019
  • Purpose: The purpose of the study was to investigate the relationships between knowledge of dementia care, attitude toward dementia and person-centered care among nurses in geriatric hospitals. Methods: Participants were 115 nurses from the seven geriatric hospitals. Data were collected from September $5^{th}$ through $21^{st}$ in 2018 and analyzed using t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression. Results: Person-centered care was significantly different according to satisfaction with income, career of geriatric hospital, application of their opinions, and the satisfaction with hospital managers, administrators and nurse managers. Also person-centered care showed a significant positive correlation with the attitude toward dementia. Predictors of person-centered care were the satisfaction with hospital managers and the attitude toward dementia, which explained 23.0% of the variance. Conclusion: The findings of this study indicate that the attitude toward dementia and the satisfaction with the hospital organization were related to the person-centered care in geriatric hospitals. Therefore, the strategies to improve the attitude towards dementia should be carried out to enhance the person-centered care among nurses in geriatric hospital.

코로나바이러스 감염증-19 환자를 간호한 간호사의 경험: 현상학적 연구 (A Phenomenological Study of the Lived Experience of Nurses Caring for Patients with COVID-19 in Korea)

  • 오희;이나경
    • 대한간호학회지
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    • 제51권5호
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    • pp.561-572
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    • 2021
  • Purpose: This study aimed to understand nurses' lived experiences of caring for patients with COVID-19. Methods: The phenomenological research method was used. The study participants were 16 Korean nurses who had experiences in caring for patients with COVID-19 in clinical settings. Data was collected using one-on-one in-depth interviews, from June 30 to September 30, 2020. During the interview, the quarantine rules were observed. Results: The study derived four themes clusters and thirty-eight sub themes. Four theme clusters were identified, i.e., 'a repetitive sense of crisis', 'enduring a drastic change,' 'sacrifice of personal life,' and 'pride in nursing'. The nurses' experiences of caring for patients with COVID-19 were an uneasy, unfamiliar, and threatening experiences for an individual, but it is an opportunity for a nursing organization to renew. Accordingly, it was found that nurses faithfully fulfill their individual roles with a vocation and responsibility. Conclusion: The study provides an in-depth understanding of the situational, psychological, and environmental aspects of challenges facing nurses in the pandemic situation. Based on the findings, institutional follow-up measures should be provided to establish support systems for better nursing care. In addition, studies are needed to track nurses' experiences in the prolonged COVID-19 situation.

행정직 간호사의 조직침묵, 전문직업성이 직무배태성에 미치는 영향 (Effects of Organizational Silence and Professionalism on Job Embeddedness among Nurses in Hospital Management)

  • 김정원;강경화
    • 임상간호연구
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    • 제25권2호
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    • pp.198-207
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    • 2019
  • Purpose: The purpose of this study was to provide data to establish an efficient manpower management plan so that the organization can identify the influence of organizational silence and professionalism on job embeddedness among nurses in hospital management. Methods: Self-report questionnaires were distributed to 150 nurses in hospital management who were working in general hospitals with less than 900 beds but more than 300 beds in the districts of Seoul and Gyunggi, Gangwon province. Of the questionnaires, 127 out of 150 copies were collected and 120 copies were used for final analysis. Seven were not considered sincere in the responses. Data were analyzed using SPSS ver. 22.0 statistic program, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients and multiple regression. Results: Organizational silence and professionalism had significant influence on job embeddedness, which explained 43.4% of job embeddedness. Conclusion: The results indicate that in order to raise job embeddedness, it is necessary to provide various programs to change communication patterns in the nurses in hospital management, and to create environments in which nurses in hospital management can present various opinions.

조직의 공정성, 조직문화 개선 그리고 서비스 접점이 병원 경영성과에 미치는 영향 (The Effect of Organizational Fairness, Organizational Culture Improvement, and Service Encounter on Hospital Management Performance)

  • 정용주
    • 한국병원경영학회지
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    • 제24권2호
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    • pp.23-37
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    • 2019
  • The purpose of this study was to investigate the effect of fairness, culture, and service points on organizational management to maximize the ability of organizational members. The subjects of the survey were selected from major hospitals, small and medium hospitals. A total of 500 questionnaires were distributed, but 404 (80.8%) were used for the final analysis. The SPSS WIN 20 program was used to analyze the collected data. The following conclusions were obtained. First, in this study, organizational fairness did not show any general difference, and fairness was obtained with relatively high scores. In terms of improving organizational culture, size of hospital there is a statistically significant difference. the larger the organization, the more the organizational culture needs to be improved. Organizational fairness were significant differences in service encounter points and size of hospital. Second, the correlation between fairness, organizational culture improvement, service contact point and management performance showed a very positive correlation. Third, fairness has no effect on business performance. However, in this study, organizational culture improvement and service contact points are statistically significant and positive (+) influence on dependent variable management performance. Therefore, in order to improve the organizational culture of the hospital, it is necessary for the CEO to the vision, core, to discuss and make a reasonable plan. In order to actively cope with rapidly changing hospital environment, it will be necessary to positively support the of new medical market and the increase of market share.

심부전 환자의 빈혈과 사망률 및 재입원 간의 관계에 대한 통합적 고찰 (Anemia as a Risk Factor of Mortality and Rehospitalization in Patients with Heart Failure : An Integrative Review)

  • 손연정;김보환
    • 중환자간호학회지
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    • 제12권1호
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    • pp.94-108
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    • 2019
  • Purpose : Heart failure (HF) is considered an important medical burden with rehospitalization and mortality. Anemia is a major risk factor associated with the severity of HF. To improve the understanding of the impact of anemia in the population with HF, we explored the prevalence of anemia, its guidelines, relationship between anemia and mortality or rehospitalization, and limitation of reviewed papers of various populations with HF. Method: We used Whittemore and Knafl's integrative review methodology (2005), and thirty research papers were analyzed. PubMed, CINAHL, Cochrane, PsychInfo, Embase, Web of Science were searched for papers published between January 1960-June 2018. Results: Anemia in individuals with HF was primarily defined using the World Health Organization guideline. The prevalence of anemia in patients with HF varied from 9% to 56.7%. Moreover, such a condition significantly increases the prevalence of mortality or rehospitalization in patients with HF. The analyzed majority were non-prospective cohort study including secondary data analysis. Conclusion: Anemia in individuals with HF is a significant risk factor of mortality and rehospitalization. Prospective cohort studies should be designed to identify the optimal value for screening anemia and the impact of anemia on rehospitalization and mortality among HF patients.

임상치과위생사의 직무배태성에 영향을 미치는 요인 (Factors affecting the job embeddedness of clinical dental hygienists)

  • 김영임;장윤정
    • 한국치위생학회지
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    • 제18권6호
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    • pp.879-889
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    • 2018
  • Objectives: This study aimed to provide basic data to establish a foundation for efficient operation of the organization by identifying the factors that affect the job embeddedness of dental hygienists. Methods: A survey was conducted from March to July 2018, targeting dental hygienists working in dental clinics and hospitals. Results: The study of the factors affecting job embeddedness of dental hygienists revealed that along with career, marital status, surface acting of emotional labor, and even emotional hiding and false expression, which are sub-areas of the surface acting, have statistically significant influences on job embeddedness. In other words, in a married dental hygienist with relatively high work experience, the surface acting of emotional labor is found to be high in job embeddedness, and the explanatory power of the model is approximately 53.2%. Conclusions: In order to improve the job embeddedness of clinical dental hygienists, it seems necessary to prepare an effective program to strengthen the surface behavior of emotional labor.

전산화단층촬영검사실 방사선사의 방사선피폭 방어행위에 영향을 미치는 요인 분석 (Factors Influencing Protective Behavior against Radiation Exposure of Radiological Technologist in Computed Tomography Examination Room)

  • 김기정;정홍량;홍동희
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권6호
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    • pp.581-586
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    • 2018
  • This study was conducted to analyze factors Influencing Protective Behavior against Radiation Exposure using questionnaires for 231 radiological technologists working in Computed Tomography(CT) examination room with high radiation dose in diagnostic radiology field. Statistical analysis of the collected data revealed that the reasons for partially shielding the examination part in the CT scan were the lack of protective equipment, securing of radiation justification, being annoying and maybe not being harm to adults in order. It was also revealed that the variables influencing the protective behavior were protective behavior against radiation harm, self-efficacy, protective environment, organization culture, protective knowledge and protective instrument in order. The higher the radiological protective environment(${\beta}=0.245$) and the lower the radiological protective knowledge(${\beta}=-0.034$), the more influential the protective behavior against radiation harm was. In this study, it was shown that non examination parts were not shielded in the CT scan. Therefore, it is necessary to improve the level of protective environment, to cultivate knowledge to improve the protective behavior against radiation harm and to have an intervention strategy for concrete action.

소아과학 관점에서 바라본 장내 미생물 연구 동향과 향후 방향 (Current Trends and Future Directions of Gut Microbiota and Their-Derived Metabolite Study in the Pediatric Perspective of Korean Medicine)

  • 류동렬;김기봉
    • 대한한방소아과학회지
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    • 제33권1호
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    • pp.34-45
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    • 2019
  • Objectives The purpose of this study is to highlight recent gut-microbiota studies and to encourage gut-microbiota-related researches in Pediatric science of Korean Medicine. Methods We searched gut microbiota related studies and patents via the PubMed database of the US National Institutes of Health (NIH) and the PatentScope database of the UN World Intellectual Property Organization (WIPO) to see current trends of gut microbiota studies. Results All searched research and review articles in gut-microbiota studies were analyzed and presented as two charts, showing the recent trends of gut microbiota research. We summarized and discussed the significance of the selected fifty-six articles. Also, we listed reported gut-microbiota-derived small metabolites, impacting on human health and diseases. Conclusions This study emphasizes the critical roles of gut-microbiota and their-derived small metabolites in the human physiology and pathology. We know and agree that many natural compounds in Korean Medicine could be converted into small metabolites by gut microbiota in our body. Thus, it is important to encourage physicians and researchers of gut microbiota in the arena of Pediatric Korean Medicine. We believe that researchers will find a lot of unknown metabolites produced by gut microbiota from natural compounds in Korean Medicine.

Use of Glucose Oxidase Immobilized on Magnetic Chitosan Nanoparticles in Probiotic Drinking Yogurt

  • Ali Afjeh, Maryam Ein;Pourahmad, Rezvan;Akbari-adergani, Behrouz;Azin, Mehrdad
    • 한국축산식품학회지
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    • 제39권1호
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    • pp.73-83
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    • 2019
  • The aim of this study was to investigate the effect of glucose oxidase (GOX) immobilized on magnetic chitosan nanoparticles (MCNP) on the viability of probiotic bacteria and the physico-chemical properties of drinking yogurt. Different concentrations (0, 250, and 500 mg/kg) of free and immobilized GOX were used in probiotic drinking yogurt samples. The samples were stored at $4^{\circ}C$ for 21 d. During storage, reduction of the number of probiotic bacteria in the samples with enzyme was lower than the control sample (without enzyme). The sample containing 500 mg/kg immobilized enzyme had the highest number of Bifidobacterium lactis and Lactobacillus acidophilus. The samples containing immobilized enzyme had lower acidity than other samples. Moreover, moderate proteolytic activity and enough contents of flavor compounds were observed in these samples. It can be concluded that use of immobilized GOX is economically more feasible because of improving the viability of probiotic bacteria and the physico-chemical characteristics of drinking yogurt.