• 간호행정학회지
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• 제3권1호
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• pp.37-50
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• 1997

The purpose of this study was to identify the gap between need-level and demonstration-level in nursing managerial competencies. In addition, the study proposes solutions to narrow this gap. The results of this study are as follows : 1) The mean score for need-level of each item was 4.0, and for demonstration-level, 3.5. This indicates that military hospital head nurses demonstrate a higher level of managerial competencies than the moderate level on all items. But items which were related to resource/ cost/ information managament, staff development management and professionalism management got relatively low ratings in the need-level. 2) The mean score for need-level of each category was 4.14, and for demonstration-level, 3.53. Categories on the individual dimension got a higher rating than categories on the group or organization dimension in both need-level and demonstration level. 3) The gap between need-level and demonstration-level appeared in all items(p<.05) and categories(p<.001). Although the gap was relatively low, it indicates that it is essential to plan a developmemt program for all nursing management competencies for military hospital head nurses. 4) There were significant differences in the gap between need-level and demonstration-level according to specific characteristics of the subjects. The gap did not appear in many categories on the individual dimension where the number of nursing staff was more than 10, a major grade, ICU head nurse or for head nurses having a long career. 5) Need-level and demonstration-level showed a difference according to specific characteristics of the subjects, because need-level and demonstration-level were higher where the number of nursing staff was more than 10, a major grade, and for ICU or Medical ward head nurses. The categories which showed need-level difference and demonstration-level differences according to specific characteristics of the subjects existed almostly completely in the group and organization dimension. Gap-level differences according to the number of hospital bed existed in only two categories. 6) The general causes of the gap were indicated to be 'Knowledge/ skill/ experience deficit', 'Limitation of rules and systems/ Inappropriate organizational environment' for most items, categories, and dimensions. The results of this study indicate that extensive competency developing strategies must be developed, because a gap was found in all items and categories. Specially, there is a need to concentrate attention on competencies in the group and organizational dimension which had a wider gap level. And it is important to take an individual approach according to the cause for each gap. In order to produce effective competency developing strategies, top managers must have sinsights into the importance of nursing staff development and nursing officer's efforts to develop themselves must be achieved. Further multi-dimensional(education, personnel-policy, nursing/ organizational environment) solutions to the gap must be developed and utilized.

• 한국농촌간호학회지
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• 제1권1호
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• pp.5-10
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• 2006

Purpose: This study was done to identify strategies for the reform of the primary health care delivery system in rural areas. Methods: Official documents on changes in the rural health care environment were reviewed along with previous articles on reform of the health care delivery system in rural areas. Results: The primary health care system in rural areas of South Korea has not been well developed by the government. The government has mainly invested in hardware like facilities and equipment but, not in software like the delivery system or personnel. Nowadays every country is confronted with an aging society, which means an increase in the prevalence of chronic disease. Thus they have again become interested in primary health care delivery system. Further, characteristics of the primary health care system have changed to be more comprehensive and to focus on chronic disease. The primary health care system in rural areas should have basic health care functions and a visiting medical officer(doctor) connected with basic health care. Conclusions: The primary health care delivery system is the best strategy when adjusted to the characteristic of the chronic diseases that are prevalent today. Cooperation of the central government and local government is important if these changes are to be realized.

• 한국의료질향상학회지
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• 제25권1호
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• pp.2-10
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• 2019

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.400-409
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• 2017

본 연구는 신임 경찰공무원으로서 교육기간 중인 신임 경찰공무원 81명을 대상으로 안전의식과 안전행동 실천과의 관계를 파악하여 경찰공무원들의 안전의식과 안전행동 실천을 향상시키기 위한 방안을 모색해 보고자 수행되었다. 연구대상은 연구의 목적을 이해하고 연구 참여에 동의한 대상자를 편의 표집하였으며, 90명이 표집되었고, 이 중 81명의 자료를 최종분석에 이용하였다. 수집된 자료는 SPSS 22.0을 이용하여 분석하였다. 연구결과, 대상자의 안전의식은 4.29점으로 높은데 반해 안전행동 실천은 48.71점으로 중간정도로 나타났다. 화재안전의식은 나이와 교육수준에 따라 차이가 있는 것으로 나타났으며, 환경재난안전행동 실천은 성별과 거주지역에 따라 차이가 있는 것으로 나타났으며, 안전의식은 안전행동 실천과 유의한 상관관계가 있는 것으로 나타났다. 본 연구를 통해 국민의 안전을 담당하는 경찰공무원들의 안전의식과 안전행동 실천을 파악해 보았으므로 본 연구의 내용을 바탕으로 경찰공무원들의 안전의식과 안전행동 실천을 증진시키기 위해서 기술적 측면과 제도적 측면의 지원과 더불어 이들을 위한 보다 효율적이고 실질적인 안전관련 교육의 개발 및 적용이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.4163-4167
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• 2016

Background: Cervical cancer is the second most common in Thailand, but the mortality rate may be rising yearly. It is a cancer that can be prevented by early screening for precancerous lesions, several methods being available. Objective: To identify the prevalence of abnormal Papanicolaou (Pap) smears and lesions with visual inspection with acetic acid (VIA) in pregnant women and assess risk factors for this group. Materials and Methods: This prospective study was performed at Prapokklao Hospital, Thailand during April-July 2016. All pregnant women of gestational age between 12-36 weeks who attended an antenatal clinic were recruited. All participants were screened for cervical cancer by Pap smear and VIA. If results of one or both were abnormal, colposcopic examination was evaluated by gynecologic oncologist. Results: A total of 414 pregnant women were recruited. Prevalence of abnormal Pap smear and VIA were 6.0 and 6.7 percent, respectively. The most common abnormal Pap smear was low grade intraepithelial lesion (LSIL, 44%). Factors associated with abnormal Pap smear in pregnant women were low BMI, multiple partners and being a government officer. In pregnancy, Pap smear had higher sensitivity and specificity than VIA for detection of precancerous cervical lesion. Patients with young coitarche or more than 25 years of active sexual activity were high risk groups. Conclusions: Prevalence of abnormal Pap smear and VIA in pregnant women was 6.0 and 6.7 percent, respectively. Factors associated with abnormal Pap smear were coitarche, years of sexual activity, low BMI, multiple partners and being a government officer.

• 한국응용과학기술학회지
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• 제40권2호
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• pp.199-209
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• 2023

본 연구는 Ajzen(1991)의 계획행위이론을 바탕으로 중년 소방관 및 교도관의 헌혈의사에 영향을 미치는 요인을 규명하기 위한 서술적 연구이다. 연구대상은 G시, B군에 소재한 소방서 및 교도소의 중년 소방관 및 교도관 223명이었다. 자료분석은 기술통계 및 t-test, one-way ANOVA, Pearson's correlation coefficient, 다중회귀분석을 하였다. 연구결과 헌혈 경험, 1년 이내 헌혈 시도, 3개월 이내 헌혈 참여 계획에 따라 헌혈의도에서 통계적으로 유의한 차이가 있었다. 대상자의 헌혈의도는 헌혈에 대한 태도, 주관적 규범, 지각된 행위통제와 유의한 양의 상관관계가 있었다. 헌혈의도에 대한 다중회귀분석 결과 3개월 이내 헌혈 참여계획, 지각된 행위통제, 주관적 규범, 헌혈태도, 1년 이내 헌혈시도 순이었고, 설명력은 69% 이었다. 이에 중년의 헌혈의도를 높이기 위해서는 태도, 주관적 규범, 지각된 행위통제를 개선할 수 있는 프로그램이 필요하다

• 디지털융복합연구
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• 제16권4호
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• pp.221-229
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• 2018

본 연구의 목적은 신체억제대를 적용한 치매노인 환자의 구체적인 특성과 부작용 발생 관련성을 파악하기 위함이었다. 2016년 5개 요양병원에서 치매노인에게 신체억제대를 적용한 간호사, 간호조무사, 요양보호사를 대상으로 구조화된 설문지를 이용하여 자료를 수집하였다. 190개의 자료를 SPSS 21.0의 신뢰도 분석, 기술통계, 카이제곱검정으로 분석하였다. 연구결과 '75- 84세' 연령의 환자가 58.3%, 1일 총 적용시간 중 '17-24시간'인 환자가 22.6%, 밤에 적용한 환자가 57.4%, 낙상과거력이 없는 환자가 54.2%를 차지하였다. 연령은 국소부종, 관절구축과 관련성이 있으며 특히 85세 이상의 환자에서 관절구축의 발생빈도가 25%로 나타났다(p<.05). 보행능력은 욕창과 관련이 있었으나 걸을 수 없는 환자보다 걸을 수 있는 환자의 욕창 발생빈도가 오히려 더 많았다. 총 적용시간은 피부발적, 국소부종, 관절구축의 3가지 부작용과 관련성이 있음을 알 수 있었다(p<.05). 본 연구를 기초로 신체억제대를 적용한 환자 돌봄 시 연령과 총 적용시간을 고려한 접근이 필요함을 제언하는 바이다.

• 한국직업건강간호학회지
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• 제13권1호
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• pp.30-39
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• 2004

Purpose: This study was performed to identify the factors of the job stress and to analysis affecting job satisfaction in clinical nurses, using the Job Stress Model by the National Institute for Occupational Safety and Health (NIOSH). Method: Data collection was done from July 21 to July 30, 2003. The study was involved in 203 nurses who work at the hospital. It was examined the self-recording questionnaire about general characteristics, work-related factors, non-work factors, instrument revised by NIOSH Job Stress questionnaire translated by the Korea Occupational Safety & Health Research Institute(1999). Instrument about shift work was the tool developed by Kim and Gu(1984). Result: Job satisfaction of subjects at an average level with $1.96{\pm}0.37$ score on the basis of 3 points. According to general characteristics, job satisfaction was high in those with older age and married group. According to work related general factors, job satisfaction was high with working career, an officer to higher grade. According to work characteristics factors, job satisfaction was low with much role conflict at work and much workload and much interpersonal conflict. As for the relationship between job satisfaction and non-work factor, job satisfaction was did not show statistically significant differences. As a result of Stepwise multiple regression analysis, job satisfaction was influenced by shift work, conflicts of between group and grade of office. Conclusion: Therefore, it suggests that the nurses need stress management related shift work for improvement of job satisfaction.

• 융합정보논문지
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• 제11권5호
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• pp.74-85
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• 2021

본 연구는 경찰공무원의 회복탄력성, 가족지지, 직무스트레스의 관련성을 확인하고, 경찰공무원의 직무스트레스에 미치는 영향요인을 확인하고자 시도된 서술적 조사연구이다. 자료 수집은 C시와 H, C군에 근무하고 있는 경찰공무원 152명을 대상으로 시행되었다. 자료 분석은 SPSS Win. 23.0 프로그램을 사용하여 기술통계, t-test, one-way ANOVA, 사후검증으로 Scheffe test, Pearson correlation coefficient, 다중회귀분석을 하였다. 연구결과 직무스트레스에 영향을 미치는 요인은 가족지지, 성별, 긍정성, 근무경력, 근무형태로 설명력은 25%였다(F=10.84, p<.001). 본 연구결과를 통해 경찰공무원의 직무스트레스를 감소시키기 위해서는 회복탄력성, 가족지지를 높일 수 있는 중재 프로그램 개발이 필요할 것으로 생각된다.

• 한국산업보건학회지
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• 제32권2호
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• pp.195-207
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• 2022

Objectives: The purpose of this study was to identify the factors affecting rehabilitation motivation in hospitalized orthopedic patients. Methods: Data were collected from June 1th to July 31th, 2019 and structured questionnaires were used. Study subjects were 97 orthopedic patients who received fixed treatment more than two weeks and started rehabilitation exercise in a military hospital. The data were summarized using descriptive statistics and analyzed by t-test or one way ANOVA, Pearson's correlation analysis and multiple regression analysis were run in SPSS 20.0 program. Results: The results of this study may be summarized as follows. (1) The demographic characteristics that showed differences in rehabilitation motivation were marital status, age and the ranks of the armed forces. The rehabilitation motivation of married, older than 31, officer ranked soldiers turned out to be higher than those of singles, younger than 30, non-officers, respectively. (2) The results of Pearson's correlation analysis showed that independent variables were all correlated significantly each other. (3) The results of stepwise multiple regression analysis showed that the factors influencing rehabilitation motivation were family social support, medical personnel's social support and the level of military life adaption. Conclusions: The rehabilitation motivation of hospitalized soldiers may be improved by receiving supports from family members and medical personnels and by adapting to military life. Military medical workers need to explore nursing strategies that help hospitalized orthopedic patients increase their own rehabilitation motivation.