• Journal of The Korea Institute of Healthcare Architecture
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• v.1 no.1
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• pp.33-41
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• 1995

The purpose of this study is to heighten the reusing rate of hospital making its good image ultimately and giving a feeling of satisfaction to the patients, and to suggest more pleasant and comfortable environment to the wards which the patients are spending 24 hours a day from the view of nurse. The field study was in medical ward of the C University Hospital in Seoul through ethnographic method. The data were collected through observation and interview. On the basis of the results, the ward model for 4 patients was developed so as to be able to have their own area in consideration of privacy and improvement of life level & consciousness level of patients.

• Journal of The Korea Institute of Healthcare Architecture
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• v.1 no.1
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• pp.53-60
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• 1995

Several kinds of medical materials are supplied and returned or disposed everyday in hospitals. And so, the transportation system has to be planned according to their circulation. This study aimed at clarifying the relation between the stock area in ward and the departments in which the contaminated materials are disposed or recleaned and the utilization of vertical transportation system with regard to contaminated materials. The results are as follows : 1)The stock area/rooms for contaminated materials are dipersed according to their kinds. Several department have relation with the area/rooms in ward. 2)The vertical transportation system for contaminated materials are not reserved and utilized independently in hospitals surveyed. And so, cross contamination can easily occur. Therefore, independent transportation system is required and utilized only for them.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.17-24
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• 2015

Purpose: This study examines distance from nurse station to bed according to composition of single bedroom. Methods: This study has two groups of target sample ward planes. The first group has diverse patients bedroom. The other group is 36 single bedrooms and 2 3-bedrooms. The guideline of distance measurement was instituted for consistency. This study has 3 main concepts of the guideline. 1) The distance is shortcut from NS to bed. 2) The traffic line is center line between walls and center of door. 3) The start point is center of NS and the end point is bed. Results: The result of this study can be summarized into two points. The first one is that single bedroom has good privacy and longer distance from NS to bed. The second one is that weak point of single bedroom was asked ward operating system and architectural planning like as patients room, bed per unit, location of NS and plan type. Implications: Consideration Should be taken into account for the effective bedroom composition and allocation in ward. This Stuy hopefully serve as a stepping stone for the standard design of space program in ward planning.

• Journal of Korean Academy of Nursing
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• v.10 no.2
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• pp.53-61
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• 1980

Hospital has a limited environment in which all different patients are accommodated and therefore it should always be maintained as clean as possible in all its aspects. However the habitation of cockroaches which may be frequently observed in hospital gives us a very unfavuoraqble impression. It may not b e difficult to presume that cocrkoaches carry various microganisms from ward to ward. This study was carried out from July to the end of August. 1979 with a total of 259 cockroaches captured from the three hospitals and general residences in Seoul. Investigation was made to see what kind o f organisms they were imbued with and the results obtained are summarized as follows. Totaly 1) The nine species of the microganisms were isolated from the captured cockroaches and the isolated rate was showed 96.6 ％. This organisms consisted of Aerobacter aerogenes（29.7% ). staphylocacci (22.4% ). gram negative bacilli（16.6％）. E. coli（10.4%), streptococci（9.7%). fugus（7.3), and yeast (0.4 ％). respectively. 2) The ratio of organism isolated from the cockroaches captured in each hospital appeared 98.6% in K hospital. 91.4% in P hospital and 100% in S hospital. respectively. 3) The total ratio of microganisms isolated from cockroaches captured in each ward of the hospitals was 96.9% and that by each ward was 96.0% in medical ward. 98.0% in surgical ward. 96.4% ill operating room. and 100% in infant care room. 4) The ratio of the microganisms isolated from the cockroaches captured in the kitchen of each hospital was 94.1% and that in the K and S hospitals was 100% and the P hospital. 83.3%. 5) The germ-carrying ratio of cockroaches captured from the jiving rooms and kitchens of general residences was 100%. 6) The staphylococci was isolated as 22.4% of 259 the corchrnahes and all of them belonged to negative coagulase. 7) Finaly. E. coli (10.4%) and Aevbarter aerogenes(29.7%) were isolted from the 259 cock-roaches. This was sugested that a great number of habitable cockroaches contacts directly with faces.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.3
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• pp.391-402
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• 2009

Purpose: The purpose of this research was to describe the decision making experience of VIP ward nurses in the clinical practice adjustment process. The research question was about "how nurses adjust their clinical practice to nursing situations and develop decision making process in a VIP ward." Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin(1998). The data was collected through in-depth interviews with 10 nurses from July to November, 2007. Results: The core category of nursing care decision making process was named as "adjusting with flexibility and deepened insight." The clinical practice adjustment process in nursing care decision making has progressed through four preceding interlocking phases: 1) dependent phase, 2) defensive phase, 3) independent phase, 4) integrative phase. These phases were classified by the level of nurses' dependency, proactivity, presupposition and integration. Conclusion: The result of this study indicated that nurse's decision making depended on their experiences and the nature of social context in which nursing occurs. Therefore, it is important to elaborate an effective training program for nurses to develop the phases of nursing care decision making.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.6
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• pp.3781-3788
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• 2014

This study examined the age-related bone mineral density (BMD), accumulated bone loss rate (ABLR) at different skeletal sites in Korean men using the data from the Korea National Health and Nutrition Examination Survey (KNHANES)(the 1st (2010), 2nd (2010) and the year at the 5th survey). The cubic regression model was found to be the best for describing the age-related changes in BMD. The lumbar spine, total hip, femoral neck, trochanter, Ward's triangle in the bone mineral density difference were analyzed by ANOVA. The peak BMD was at 20-24 years at the lumbar spine, total hip, femoral neck, trochanter, Ward's triangle, and the 75-79 years of age group had the highest Accumulated Bone Loss Rate. Therefore, intensive management will be necessary for men over 75 years, and a diagnosis of osteoporosis in Korean men should be made according to The International Society for Clinical Densitometry; ISCD.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.8
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• pp.2164-2172
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• 2009

The purpose of the present study was intended to assess fatigue symptoms of nurses working at special part(operating room, intensive care unit, emergency room) and ward in general hospitals, and to reveal its related factors. The self-administered questionnaires were given to 393 nurses employed in 3 participating hospitals located in Daejeon City. As a results, the special part workers had higher scores of fatigue symptoms than the ward workers. Multiple stepwise analysis revealed that the factors of influence on fatigue symptoms in the special part workers included subjective health status, age and job satisfaction, and in the ward workers, the factors of influence on fatigue symptoms included subjective health status, sleep hour, shift work and job satisfaction. In conclusion, the fatigue symptoms were higher in the special part workers than the ward workers, and its related factors were different from two worker groups.

• Quality Improvement in Health Care
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• v.6 no.1_2
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• pp.80-91
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• 1999

Background : With the CQI concepts, which emphasize doing the right things right the first time, we tried to enhance the timely completion of medical records by changing the review process from retrospective method to concurrent one. Methods : Against the current retrospective QA activity, Medical record administrator did the concurrent QA of the inpatient medical records with the deficiency sheets. One general surgery ward was chosen as a trial one. The deficiency rate of the medical records of the discharged patients was compared before and after the enforcement of the system. Job analysis of the medical record departments was done about four tertiary care hospitals located in Seoul to estimate the cost and the time consumed by current system. Results : There was a little improvement in the completion rate of the medical records after the trial. The new system was effective. And job analysis showed that much money and time were wasted by current retrospective feedback system. Conclusion : Though the result was not so satisfactory, it should be considered that this test was a voluntary one and the interns and residents were not forced to complete the medical records during this trial period. If there be any strong motivation to complete the medical record in time, this system is sure to be succeed. As the DRG system requires the concurrent review of the medical records to confirm severity of the patient's illness and to assure the timely discharge, it is desirable to enforce this method with the DRG system together. DRG coding and reducing deficiency rate of the medical records can be accomplished simultaneously.

• Tuberculosis and Respiratory Diseases
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• v.59 no.2
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• pp.151-156
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• 2005

Background : Methicillin-resistant Staphylococcus aureus (MRSA) is an important pathogen in hospital-acquired infection, and is prevalent in intensive care units (ICU). The MRSA colonization rates of the nares and throat were examined in both the ICU and general ward. This study was performed to investigate the MRSA rate and necessity for MRSA screening cultures in patients admitted to ICU. Methods : Between June and September 2004, those patients admitted to both the medical ICU and general ward participated in this study. Bacterial cultures were performed on swabs of the nares and throat taken within 24 hours of admission. Clinical data were also collected. Results : One hundred and twenty one patients and 84 patients, admitted to the medical ICU and medical general ward, respectively, were investigated. The numbers of nasal MRSA colonization in the ICU and general ward were 3 (2.5%) and 3 (3.6%), respectively. There were 2 (1.7%) cases of throat MRSA colonization in the ICU, but none in the general ward. The MRSA colonization rates of the nares and throat were no different between the ICU and general ward. There were no significant differences in the previous admission, operation history and admission route between the ICU and general ward groups. Conclusion : The MRSA colonization rates of the nares and throat were 3.3 and 3.6% in the ICU and the general ward, respectively. The MRSA screening test does not appear to be required in all patients admitted to the ICU, but further studies, including high-risk patients, are recommended.

• Journal of The Korea Institute of Healthcare Architecture
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• v.3 no.4
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• pp.17-26
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• 1997

The construction of the health care facilities in terms of medical institutional source cost much and affect on management of another sources like staffs for the health care delivery systems and the medical service. For it is hard to change the physical component of the facilities, the reasonability and the efficiency of the facilities should be the major considering point. Consequently, the purpose of this study is to represent the basic data for determining the size and type of corridor space in ward by investigating the design pattern of existing facilities and analyzing several model according to corridor type.