• Journal of Korean Public Health Nursing
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• v.21 no.2
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• pp.193-205
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• 2007

Purpose: To evaluate the current status of utilization and implementation of health promotion programs for Korean middle-aged women in public health centers. Methods: Three-phase stratified sampling was done to select 1304 middle-aged women (aged 40-64 years) from all regions of Korea. The data were collected by face-to-face interviews using a structured questionnaire for individual responses and mailed surveys to 126 public health centers. Descriptive statistics and $x^2$-test were done for data analysis. Results: Only 12 of the 126 public health centers (9.9%) implemented health promotion programs for middle-aged women, with the lack of manpower being cited as the main reason for the absence of programs. From individual responses, 11.3% had participated in health promotion programs offered by public health centers. The main reasons for not participating were inconvenient times and lack of information. Significant differences were found in the frequency of participation in programs, exercise programs and diabetes management according to the size of region. The majority of the respondents cited the need for medical services, followed by programs focused on stroke prevention and leisure time management. The responses on the willingness to participate followed a similar pattern. Conclusion: There are gaps between the utilization of health promotion programs by middle-aged women and what is offered by public health centers. The results of this study support the need to develop more health promotion programs focusing specifically on the needs of middle-aged women.

• Korean Journal of Adult Nursing
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• v.24 no.5
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• pp.499-508
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• 2012

Purpose: The purpose of this survey was to investigate emergency department nurses' recognition of forensics nursing and their educational needs for forensics nursing education. Methods: Data were collected via questionnaires from 167 emergency department nurses who were working in 7 university hospitals. Nurses' experiences of trauma or accidents and their recognition of and educational needs for forensic nursing education were assessed. Results: All subjects reported having suffered bodily injury due to falling or serious traffic accidents; 92.2% reported having suffered bodily injury caused by suicide attempts; 91.6% reported having experienced physical violence or abuse; 76.0% reported having experienced sexual assault or abuse; 68.9% reported having experienced some difficulties during their nursing care due to lack of forensics knowledge; and 88.6% reported never having been trained in forensics nursing. The educational needs score for "forensics nursing" was 3.61; the needs score for "abuse- and violence-related education" was 3.65; the needs score for "incident data collection related education" was 3.47; and the needs score for "forensics theory related education" was 3.34. Conclusion: The findings of the study underscore a strong need to develop an educational program on forensics nursing for emergency department nurses.

• Journal of Korean Critical Care Nursing
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• v.10 no.1
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• pp.1-12
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• 2017

Purpose: This study aimed to estimate the appropriate nurse staffing ratio in intensive care units (ICUs) by measuring nursing workload based on patient's severity and needs, using the Korean Patient Classification System for critical care nurses. Methods: The data were collected from January 18 to February 29, 2016 using a standardized checklist by observation or self-report. During the study period, 723 patients were included to be categorized from I to IV using the patient classification system. Measurement of total nursing workload on a shift was calculated in terms of hours based on the time and motion method by using tools for surveying nursing activities. The nursing activities were categorized as direct nursing care, indirect nursing care, and personal time. Total of 127 cases were included in measuring direct nursing time and 18 nurses participated in measuring indirect and personal time. Data were analyzed using descriptive statistics. Results: Two patients were classified into Class I (11.1%), 5 into Class II (27.8%), 9 into Class III (50%), and two into Class IV (11.1%). The amount of direct nursing care required for Class IV (513.7 min) was significantly more than that required for Class I (135.4 min). Direct and indirect nursing care was provided more often during the day shift as compared to the evening or night shifts. These findings provided the rationale for determining the appropriate ratio for nursing staff per shift based on the nursing workload in each shift. Conclusions: An appropriate ratio of nurse staffing should be ensured in ICUs to re-arrange the workload of nurses to help them provide essential direct care for patients.

• Journal of Korean Clinical Nursing Research
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• v.26 no.2
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• pp.141-153
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• 2020

Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

• Journal of Korean Academy of Nursing
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• v.39 no.3
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• pp.409-421
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• 2009

Purpose: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. Methods: The data were collected from the Health Insurance Review and Assessment Service(HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. Results: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. Conclusion: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.4
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• pp.444-452
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• 2012

Purpose: To explore the usefulness of previous fall history as a triage variable for inpatients. Methods: Medical records of 21,382 patients, admitted to medical units of one tertiary hospital, were analyzed retrospectively. Inpatient falls were identified from the hospital's self-report system. Non-falls in 1,125 patients were selected by a stratified matching sampling with 125 patients with falls (0.59%). A comparative and predictive accuracy analysis was conducted to describe differences between the two groups with and without a history of falls. Logistic regression was used to measure the effect size of the fall history. Results: The fall history group showed higher prevalence by 9 fold than the non-fall history group. The relationships between falls and relevant variables which were significant in the non-fall history group, were not significant for the fall history group. Falls in the fall history group were 25 times more likely than in the non-fall group. Predictive accuracy of the risk assessment tool showed almost zero specificity in the fall history group. Conclusion: The presence of fall history, the fall prevalence, variables relevant to falls, and the accuracy of the risk tool were different, which support the usefulness of the fall history as a triage variable.

• Journal of Engineering Education Research
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• v.22 no.3
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• pp.3-10
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• 2019

The purpose of this study is to analyze the educational needs of the industry for engineering education using the engineering competency scale. For needs assessment, t-test, Borich Needs Assessment and the Locus for Focus(LFF) were conducted using 400 employees' answers of industry. The results of this analysis are as follows. First, there was a significant difference between the level of importance and actual level. Second, all items were ranked using the Borich's needs assessment formula. Third, as a result of LFF model, 19 items were placed in the highest priority HH section. Fourth, 17 items with the highest priority in engineering education were selected. Finally, the highest educational needs were 6 items related with interpersonal skills, 2 items related with leadership, and 9 items related with professional attitude and ability. Based on the results of this paper, it is necessary to develop and operate an education program to reduce the gap between the industry requirement and the current level of engineering students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.10
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• pp.530-540
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• 2020

Ecological momentary assessment (EMA) is a method that captures the current experience and behavior of subjects in real time in a natural environment. The data collected by EMA reveals alterations according to the time and context of experience and action. The Trier Inventory for Chronic Stress (TICS) is a tool that measures momentary stress, and is capable of measuring stress experienced in real life. This study was undertaken to verify the validity and reliability after translating the short form TICS into a Korean version. Totally, 89 police officers working at the police station in the capital participated in this study. The mobile application developed for this study was installed on their smartphones, and data were collected four times a day for seven consecutive days. Confirmatory factor analysis and content validity index (CVI) was applied to test the validity, and concurrent validity was evaluated by correlating with the occupational stress score. The model was validated by confirmatory factor analysis, and we obtained good reliabilities (I-CVI=0.83-1, RMSEA=0.104, SRMR=0.104, CFI=0.948, TLI=0.919, Cronbach's alpha=0.839). Our findings indicate the reliability, and validate use of the Korean tool for measuring momentary stress.

• Health Policy and Management
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• v.28 no.3
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• pp.272-279
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• 2018

Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

• Journal of Korean Clinical Nursing Research
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• v.22 no.3
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• pp.285-293
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• 2016

Purpose: The purpose of this study was aimed to develop evidence-based nursing practice guideline for preventing intermittent urinary catheterization (IUC) related complications using guideline remake process. Methods: Guideline remake process was conducted according to guideline adaptation manual developed by Gu et al (2012) which consisted of three main phases and 9 modules including a total of 24 steps. Results: Newly developed IUC guideline consists of introduction, overview of intermittent catheterization, summary of recommendations, recommendations, references, and appendices. There were 50 recommendations in 5 sections including assessment, equipments, catheterization, complications management, and education/consult. Three recommendations (6%) were graded A, and five (10%) and 41 recommendations(82%) were B and C, respectively. Conclusion: The IUC remade-guideline was developed based on evidence-based nursing and therefore, this guideline is recommended to be disseminated and utilized by nurses nationwide to improve the quality of care for IUC and to decrease the IUC related complications.