• 한국보건간호학회지
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• 제36권1호
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• pp.59-74
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• 2022

Purpose: This study aimed to identify the factors affecting the emergency response ability to develop an education program to strengthen the emergency response ability of caregivers having the highest probability of discovering emergency situations. Methods: This study is a descriptive research study conducted by 204 caregivers working in elderly care facilities and home care centers located in one area. The collected data were analyzed by independent t-test, one-way analysis of variance (ANOVA), Pearson's correlation, and multiple linear regression using the Statistical Package for the Social Sciences (SPSS) 25.0 statistical program. Results: First aid knowledge was related to work time (F=3.52, p=.008), number of care people (F=2.58, p=.038), workplace (F=6.76, p=.001), and self-efficacy (F=3.70, p=.026), and the ability to cope with emergency situations showed a statistically significant difference in education level (F=3.58, p=.015). There was a positive correlation between self-efficacy and emergency response ability (r=.179, p<.05), and the factors affecting emergency response ability were education level (β=-.164, p=.050), workplace (β=.290, p=.023), and self-efficacy (β=.103, p=.022). Conclusion : Factors influencing the improvement of caregivers' ability to cope with emergency situations, workplace, education level, and self-efficacy were found. Thus, it is suggested to develop and apply an emergency education program to increase self-efficacy and consider the workplace and educational level.

• 방송공학회논문지
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• 제20권4호
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• pp.598-605
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• 2015

효과적으로 경보를 전달하면 재난 피해를 크게 줄일 수 있다. 경보 전달 채널을 다양화 하는 것이 경보 전달 효과를 향상시킬 수있는 방법 중 하나이다. 본 논문에서는 기존 경보시스템을 분석하여 문제점을 보완한 새로운 경보시스템을 제안한다. 기존에 운영 중인 CBS (Cell Broadcasting System) 재난문자방송 서비스와 지상파 디지털멀티미디어방송 자동재난경보 시스템(이하 T-DMB 재난경보방송)은 콘텐츠의 제한, 수신 기기의 제한, 단방향 서비스라는 단점이 있다. 이러한 문제점을 해결하기 위해 RSS (Rich Site Summary)를 활용한 인터넷 기반의 수신자 맞춤형 재난경보 전달시스템을 제안한다. 이를 위해 기존 사례를 분석하고, 시나리오를 작성하여 요구사항을 도출하였다. 요구사항을 기반으로 시스템을 설계하고, 설계한 결과를 테스트베드를 구현하여 검증하였다. 제안한 시스템을 활용하면 다양한 기기에서 사용자가 원하는 풍부한 정보를 얻을 수 있을 것이다.

• 중환자간호학회지
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• 제14권1호
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• pp.40-49
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• 2021

Purpose : This study identified the factors affecting the clinical competence of emergency unit nurses caring for foreign patients. Methods : This study utilized a descriptive correlation design. Participants were 112 emergency unit nurses working in different hospitals designated as the government's emergency medical centers and agencies in 2018. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analysis. Results : Subjects' clinical competence showed positive relationships with cultural competency (r=.45, p<.001) and intercultural communication (r=.53, p<.001). Factors that affect the clinical competence of subjects showed intercultural communication (β=0.38, p=.001). Conclusion : It is necessary to develop programs to improve intercultural communication, factors that influence clinical competence of emergency unit nurses, and apply them to practical fields.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제8권2호
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• pp.406-423
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• 2014

The recent advances in wireless communication systems and semiconductor technologies are paving the way for new applications over wireless sensor networks. Health-monitoring application (HMA) is one such emerging technology that is focused on sensing and reporting human vital signs through the communication network comprising sensor devices in the vicinity of the human body. The sensed vital signs can be divided into two categories based on the importance and the frequency of occurrence: occasional emergency signs and regular normal signs. The occasional emergency signs are critical, so they have to be delivered by the specified deadlines, whereas the regular normal signs are non-critical and are only required to be delivered with best effort. Handling the occasional emergency sign is one of the most important attributes in HMA because a human life may depend on correct handling of the situation. That is why the underlying network protocol suite for HMA should ensure that the emergency signs will be reported in a timely manner. However, HMA based on IEEE 802.15.4 might not be able to do so owing to the lack of an appropriate emergency-handling mechanism. Hence, in this paper, we propose a new emergency-handling mechanism to reduce the emergency reporting delay in IEEE 802.15.4 through the modified superframe structure. A fraction of an inactive period is modified into three new periods called the emergency reporting period, emergency beacon period, and emergency transmission period, which are used opportunistically only for immediate emergency reporting and reliable data transmission. Extensive simulation is performed to evaluate the performance of the proposed scheme. The results reveal that the proposed scheme achieves improved latency and higher emergency packets delivery ratio compared with the conventional IEEE 802.15.4 MAC.

• 한국응급구조학회지
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• 제16권2호
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• pp.91-102
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• 2012

Purpose : This study was designed to identify factors influencing burnout of nurses in emergency medical center. Methods : Data were collected by questionnaires from 178 emergency room nurses randomly selected from 6 general hospitals in two metropolitan cities. Measures were burnout, QEC, depression, decision latitude and job demand. Data were analysed using frequencies, means, standard deviation, t-test or one way ANOVA, Pearson's correlation coefficients and multiple regression with SPSS/win 18.0 version. Results : The mean score for burnout in emergency room nurses was 2.59 out of possible 4. There were significant differences in burnout according to exercise, leisure, position, job demand and depression. Burnout correlated negatively with exercise and leisure, and positively with job demand and depression. Factors influencing burnout in emergency room nurses were identified as exercise(${\beta}$=-.399, p<.001), leisure(${\beta}$=-.354, p<.001), job demand(${\beta}$=.301, p=.006) and depression(${\beta}$=.189, p=.021). These factors explained 49.8% of burnout reported by emergency room nurses. Conclusion : The result indicate which factors are major factors influencing burnout in emergency room nurses in general hospitals. Therefore, these factors may serve as predictors of burnout in emergency room nurses.

• 한국응급구조학회지
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• 제7권1호
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• pp.109-118
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• 2003

With the rapid development of information and communication technology, a lot of multi-media learning programs are being developed and reported in the field of Emergency medicine both home and abroad. In this connection, this study was aimed at developing a foreign-body airway obstruction courseware in adults for EMT. The development period of CAI courseware lasted from May 2003 through November 2003. Among CAI courseware patterns, private instruction and repeat practice and simulation patterns were used as an instruction-learning strategy. The learning contents of the CAI courseware consisted of five chapters concerning (1) A relief of partial FBAO in the responsible victim, (2) A relief of complete FBAO in the responsible victim, (3) In case of unconsciousness in the responsible victim without removing all foreign body, (4) In case of consciousness in all victims after getting removed all foreign body and (5) A complete airway obstruction in victims without consciousness on the basis of assess responsiveness and the degree of airway obstruction. The way to use this courseware, with just a click on one specific chapter, was developed to proceed a course with progressive algorithm, a method of solving problems by choosing one between two situations. A characteristic of this CAI courseware is the enhanced efficiency of an instruction-learning method by providing an opportunity of choice based on situations in its effort to encourage learners to use a self-initiated learning method, not one-way method and to enhance problem solving skills among situations. Moreover, this courseware went through the diverse phases such as development, application, feedback in connection with learning process by practicing teachers, so that the courseware could be used frequently in the future. The contents of this courseware were written with the web, so that, if necessary, the contents could be continuously modified and complemented and handed out in the form of CD-ROM. This study indicates that the development of a variety of CAI courseware requires institutional and financial assistance and initiatives reflecting a reality in terms of learning process, technical assistance and resources.

• 한국화재소방학회논문지
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• 제20권4호
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• pp.131-134
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• 2006

현대 건축구조물의 다양화 등으로 화재 시 유독가스와 매연의 심각성과 공간적인 특수성으로 인하여 대형 참사로의 발전 위험성은 더욱 크다. 인명피해와 직접적으로 연결되는 피난 및 탈출에 있어서 조속한 대책 마련이 시급한 실정에 있다. 기존의 고정식 단방향 피난유도등은 효율적인 인명 대피 및 구조가 이루어지지 못하기 때문에 화재 발생 시 빠른 피난 및 이동이 가능하도록 화재감지기와 연동하여 위기에 처한 피난자들를 탈출시키고 또한 중앙통제시스템 내에서도 모든 통제가 가능하게 쌍방향 무선데이터 시스템으로 함으로 피난의 효율성 제고와 안전한 피난을 확보할 수 있다.

• 디지털융복합연구
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• 제18권5호
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• pp.325-336
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• 2020

본 연구는 장기요양기관에서 서비스를 총괄하고 있는 시설장을 대상으로 노인 응급상황에 대한 인식 및 대처능력을 파악하여 시설장의 응급상황 대처능력 향상을 위한 교육프로그램 및 정책자료 개발시 기초자료로 활용하기 위한 서술적 조사연구이다. 대상자는 노인요양시설 및 재가센터 시설장 192명이며, 자료수집은 2019년 3.15~4.20, 수집된 자료는 SPSS WIN 25.0 프로그램을 이용하여 분석하였으며, t-test, One-way ANOVA, Pearson's correlation coefficient, Scheffe, Multiple linear regression을 사용하였다. 연구결과 시설장의 응급상황 경험은 97.4%로 높았고, 응급상황 인식도 6.16점, 정답률 62%로 중간정도 수준이였고, 응급상황 대처능력은 평균 69.61±13.537점 이었다. 응급상황 경험과 응급상황 대처능력(r=-.202, p=.005)은 음의 상관관계, 응급상황 대처능력 영향 변수는 장기요양기관 유형(β=8.253, p<.001)이었다. 연구결과를 근거로 시설장 대상 응급교육 적용 시 장기요양기관 유형을 고려하여 교육프로그램을 개발하고 적용할 필요가 있겠다.

• 간호행정학회지
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• 제20권2호
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• pp.176-186
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• 2014

Purpose: The purpose of this study was to analyze factors affecting fall prevention activities of emergency room (ER) nurses based on their health belief factors (perceived susceptibility, perceived benefits, perceived severity, perceived barriers, and cues to action). Methods: The study design was a descriptive survey using questionnaires which were given to 127 emergency room nurses from two regional emergency medical centers, four local emergency medical centers, and two local emergency medical facilities. Data were analyzed using descriptive analysis, t-test, one-way ANOVA with LSD test, Pearson correlation, and multiple regressions. Results: ER nurses' fall prevention activities had a mean of $3.78{\pm}0.50$. Eight individual characteristics and health belief factors accounted for 30.8% of the fall prevention activities. Fall prevention activities were found to be positively affected by emergency medical facilities, perceived benefits, and cues to action and negatively affected by factors, such as ER career and perceived severity. Conclusion: The results indicate that it is necessary to formulate a plan for enhancing perceived benefits and cues to action to improve fall prevention activities. In addition, fall prevention activities should be encouraged for ER nurses who have worked in local medical institutions for less than 1 year or more than 5 years.

• 동서간호학연구지
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• 제22권2호
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• pp.129-137
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• 2016

Purpose: The purpose of this study was to identify factors determining the quality of life in nurses in emergency rooms. Methods: Subjects were 131 nurses working in emergency rooms in B metropolitan city, Y and J city. Data were collected from June 5 to July 10, 2015 using structured self-report questionnaires. Data were analyzed using t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 21.0 program. Results: Existential well-being (${\beta}$=.59) of nurses in emergency rooms and gender (${\beta}$=.19) were found to be significant predictors of quality of life in nurses in emergency rooms. Conclusion: The results suggest that it is needed to improve existential well-being of nurses in emergency rooms. Ultimately, holistic spiritual program for nurses should be developed the quality of life in nurses in emergency rooms.