• 제목/요약/키워드: Operating Room

검색결과 758건 처리시간 0.027초

수술실 간호사의 목표관리특성과 직무몰입이 간호업무성과에 미치는 영향 (Effects of MBO and Job Commitment on Nursing Performance in Operating Room Nurses)

  • 이연화;서문경애
    • 디지털융복합연구
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    • 제15권4호
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    • pp.309-316
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    • 2017
  • 본 연구의 목적은 수술실 간호사의 목표관리특성과 직무몰입이 간호업무성과에 미치는 영향을 파악하기 위함이다. 연구대상은 서울에 소재한 3차 의료기관 수술간호팀의 자발적 참여의사가 있는 간호사 226명을 대상으로 자료수집을 하였고, 수술실 간호사의 간호업무성과에 미치는 영향을 파악하기 위하여 다중회귀분석을 실시하였다. 본 연구의 결과 수술실 간호사의 간호업무성과에 관계하는 영향요인은 목표관리특성중 목표구체성, 직무몰입, 측정가능성 순으로 나타났으며, 간호업무성과의 25.8%를 설명하였다. 따라서 간호업무성과를 높이기 위하여 수술실 간호의 직무특성상 수술상황에 몰입되어 간호를 할 수 있는 업무환경을 만들기 위해 노력해야 한다. 또한 수술실 간호사의 간호업무성과를 향상시키기 위해서는 목표관리특성 중에서 목표구체성과 목표의 측정가능성 부분에 대하여 이들의 영향력을 더욱 높일 수 있는 전략을 개발하여야 한다.

비콘과 홍채인식, 블록체인 기반의 의료진 신분확인 시스템 제안 (A Medical Staff Identification System by Using of Beacon, Iris Recognition and Blockchain)

  • 임세진;권혁동;서화정
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제10권1호
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    • pp.1-6
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    • 2021
  • 최근 대리수술(무면허의료행위)과 같이 환자의 안전을 위협하는 사건들이 언론에 보도되고 있다. 대리수술 방지를 위한 수술실 감시카메라 장치도입 등의 대안이 등장하고 있지만, 의료계의 거센 반발로 인해 시행되기에는 현실적인 어려움이 있다. 하지만 대리 수술과 같은 사건이 빈번히 발생함에 따라 의사에 대한 사회적 신뢰도가 추락하고 있다. 본 논문에서는 근거리 무선 통신 장치인 비콘(Beacon)과 생체인식 중 안전하고 신뢰할 수 있는 홍채인식을 결합한 의료진 신분 확인 시스템을 제안한다. 이 시스템은 블록체인 상에서 동작하도록 하여 신뢰성을 더한다. 이 시스템은 홍채인식을 통해 사용자 인증을 수행함으로써 1차적인 신분확인을 하고 비콘을 통해 의료진이 수술실에 있다는 것을 증명한다. 또한 백그라운드로 비콘 신호를 수신하고, 무작위 주기로 홍채인증을 수행하여 의료진이 초기 인증만 수행하고 수술실을 떠나는 경우를 방지함으로써 집도의에 대한 환자의 신뢰를 보장한다.

공동주택에서 바닥복사 난방시스템의 실별 제어에 관한 연구 (A Study on the Individual Room Control of Radiant Floor Heating System in Apartment Buildings)

  • 김오봉;이미경;김광우;여명석
    • 설비공학논문집
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    • 제16권5호
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    • pp.421-429
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    • 2004
  • In Korea, the radiant heating system has been widely used as a residential heating method, which has been modernized to use hot water running into the tubes embedded in the floor structure. According to the recent improvement of living standard of residential buildings, the requirement of the thermal comfort and energy saving in heating system has been raised. Until now, the radiant floor heating system has been controlled by room thermostat installed in the living room, but for better thermal comfort, an individual room control method is adopted as an alternative. Therefore, it is necessary to evaluate the control performance between the current control method and the individual room control method. In this study, the control performance between the two systems is evaluated through the field experiment. And the control performances of room air temperature and energy performances are analyzed through the simulation using TRNSYS. Firstly, the simulations are performed in the various outdoor conditions and the flow rates and the simulation results are analyzed for the control performances. Also, to evaluate the energy performance, the simulations are performed under the operating conditions in which the set-point of the room air temperature is fixed or changed according to the schedule of occupancy, and the simulation results are analyzed between the two methods.

반도체공장 Clean Room에 대한 화재요인 분석 및 성능위주 화재안전설계 (Fire Hazard Analysis and Performance Based Fire safety Design for the Clean Room in Semiconductor Factory)

  • 한수진;강경식
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2006년도 추계공동학술대회
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    • pp.325-336
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    • 2006
  • This research analyzes clean room major fire prevention standard of clean Room (FM, IRI, and NFPA Code), the structure of Performance-Based Fire Safety Design (PBD) applied the korean fire industry situation. Performance-Based Fire Safety can operate effectively the performance of fire protection equipment & building design, so the fitness of fire safety system can be embodied by operating this. moreover, cost to be consume fire safety of real building can reduce and Performance-Based Fire Safety is considered to important technique in fire protection field. A fire in a clean room may cause a serious loss by spreading smoke particles. We will be investigated by using a computational fluid dynamics, for loss prevention by smoke spreading from one fire area to another for clean room and compared the Performance-Based Fire Safety Design with the prescriptive code design. The methodology of fire safety performance-based fire safety design and guarantee of many kinds design skill of fire system and developing design procedure will be very serious one in order to improve efficiency of domestic system. Therefore, This research will be contributing to secure safety of clean room and to set up the performance-based fire safety design in Korea by regulation for the performance-based fire safety design effectively.

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반도체공장 Clean Room에 대한 화재요인 분석 및 성능위주 화재안전설계(1) (Fire Hazard Analysis and Performance Based Fire safety Design for the Clean Room in Semiconductor factory(1))

  • 한수진;강경식
    • 대한안전경영과학회지
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    • 제8권5호
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    • pp.211-229
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    • 2006
  • This research analyzes clean room major fire prevention standard of clean Room(FM, IRI, and NFPA Code), the structure of Performance-Based Fire Safety Design(PBD) applied the korean fire industry situation. Performance-Based Fire Safety can operate effectively the performance of fire protection equipment & building design, so the fitness of fire safety system can be embodied by operating this. moreover, cost to be consume fire safety of real building can reduce and Performance-Based Fire Safety is considered to important technique in fire protection field. A fire in a clean room may cause a serious loss by spreading smoke particles. We will be investigated by using a computational fluid dynamics, for loss prevention by smoke spreading from one fire area to another for clean room and compared the Performance-Based Fire Safety Design with the prescriptive code design. The methodology of fire safety performance-based fire safety design and guarantee of many kinds design skill of fire system and developing design procedure will be very serious one in order to improve efficiency of domestic system. Therefore, This research will be contributing to secure safety of clean room and to set up the performance-based fire safety design in Korea by regulation for the performance-based fire safety design effectively.

수술실간호사의 직무수행과 피로에 관한 연구 (A Study On the Operating Room Nurses' Performances of Duties and Their Fatigue)

  • 박정숙
    • 한국직업건강간호학회지
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    • 제6권2호
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    • pp.110-127
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    • 1997
  • The aim of this study is to present the basic datum for the promotion of effectiveness and improvement of nursery tasks, by grasping the situation of operating room nurses tasks and the degree of their fatigue. For these researches, 70 nurses out of the operating rooms of 3 university-affiliated hospitals-two in Seoul and one in Pusan, were chosen at random by a non-probability sampling method. These researches were done from April 14 to April 26 in 1997 by questionairing method. The questionaire was composed of 30 items, which asks the examinees of their physical, mental, and neurosensory symptoms, with 10 items respectively. The reliability of the research instrument was turned out very high with Cronbach's ${\alpha}=.9376$. The datum were electronically processed using Statistics Program for Social Sciences(SPSS). The analysis of datum in this study has a general character, in which the demosociological character and the special ex-officio character was calculated by frequency and percentage. The situation of tasks in operating rooms was calculated by frequency and percentage. The fatigue of operating room nurses was calculated by average and standard deviation. To compare the fatigue with regard to the character of operating room nurse's tasks, t-test and F-test(ANOVA) were used after the character of variations, and the variations at the level of P<.05 which might have some meaning was verified after the fact with Duncan's Multiple Range(DMR). The results of this research are as follows : 1) The nurses working in operating rooms show their fatigue in three fields-in Group I physical symptoms 3.28, in Group III neurosensory symptoms 2.85, and in Group II mental symptoms 2.73, which shows I Dominant type (general type). 2) They complain, in Group I they are "feeling the heavy legs," 3.28 and in Group II they "occasionally forget soon what to do," 3.09. and in Group III, they "feel lumbago," 3.47, which is the highest rate of the three. The highest rate results from the character of their tasks, in which they have to move rapidly the heavy appliances and do their jobs standing many hours, especially wearing heavy radiation protector. 3) As to transportation, subway using group feel the greatest fatigue, 3.18(F=4.315, P=.008). 4) As to department, nurses in the orthopedic's surgery part feel the greatest fatigue, 3.26(F=2.040, P=.050). 5) As to the change of physical symptoms, the group answering that they found physical abnormality after working in operating rooms show the greatest fatigue, 3.12(t=-3.13, P=.003). 6) At to the general circumstances, the group answering that they receive insufficient consideration on their physical abnormality in their department, show the greatest fatigue, 3.10(F=3.200, P=0.47). 7) As to the relation with superior officers, the group answering that their superior officer has an impetuous temperament, show great fatigue, 3.11(F=4.855, P=.011). 8) As to the time of feeling fatigue, the fatigue reaches the highest point 1~2 hours after operations, 3.04(F=2.703, P=.046). 9) When they feel fatigue after scrub nurse duties, they feel the greatest fatigue 2 hours after the duties, 3.09( F=2.841, P=.038). 10) As to the operation instruments, when they use complex instruments borrowing from the outside in addition to the basic instruments, their fatigue becomes the greatest, 3.09(F=7.831, P=.000). 11) As to the kind of operation, when they participate in orthopedic's surgery operations, they feel the greatest fatigue, 3.18(F=4.362, P=.000). With the above results, it is proved that the degree of operating room nurses' fatigue is considerably high. So it may be concluded that the measure for lessening the fatigue should be find immediately, not on the level of personal matters but on the level of hospital nursing administration.

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일개 병원의 수술실 약제관련 업무 적정화 방안연구: 설문조사를 중심으로 (Evaluating Appropriateness of Medication Use in the Operating Rooms of a Tertiary Hospital: Based on Survey)

  • 이여지;정경혜;김영남;김은영
    • 한국임상약학회지
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    • 제26권3호
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    • pp.230-237
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    • 2016
  • Background: Since the use of opioid analgesics is frequent in operation rooms (OR), the risk of medication error is high; however the use of medication in the OR has been operating independently with the hospital pharmacy. Therefore, the assessment on management of medication use in operation and the pharmacist's role is needed. Methods: We conducted the literature review and survey from anesthesiologists, operating nurses at Chung-Ang Hospital on management of medication for operation use, awareness on need for medication management efficiency, need for satellite pharmacy in the operating room and its effect. Results: 56% of medical staffs responded that management of medication in the operating room is efficient; however, 82.6% responded that they felt the inconvenience in medication delivery to the OR when additional prescription was ordered. 51.5% also responded that extra time was required for management of narcotics and inventory/record keeping. 80% agreed that there could be lost costs due to prescription missed. Medical staffs responded improving the drug management system could increase the OR efficiency (87%), and eventually bring the increase in hospital revenue (80.4%). Those who responded that implementation of OR satellite pharmacy was needed include physicians (84.6%), nurses (63.6%), and also responded that it'd bring more profit to the hospital by increasing the efficiency in OR (60.9%). Conclusion: For efficient management of medications, implementation of OR satellite pharmacy would lead to improved drug management and increased efficiency in OR and reduced cost and improved patient care.

수술실의 소음차단이 산부인과 복강경 수술 환자의 불안과 활력징후에 미치는 영향 (Effects of Noise Block on Anxiety and Vital Sign of Patients with Gynecologic Laparoscopic Surgery in Operating Room)

  • 최미선;이은자
    • 한국직업건강간호학회지
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    • 제21권3호
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    • pp.317-325
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    • 2012
  • Purpose: This study was to examine the effects of noise block on anxiety and vital sign of gynecologic laparoscopic surgery. Methods: The data were collected from March to May 2011. Participants were sixty patients with gynecologic laparoscopic surgery, divided into 30 of experimental group and 30 of control group at C University hospital located in I city. The day before surgery, demographic data, trait-state anxiety and vital signs were measured at ward. After noise block, the data were measured using VAS anxiety and vital signs before anesthesia and in recovery room. And then state anxiety and vital signs were measured in ward after surgery. The data were analyzed by $x^2$-test, t-test, repeated measured ANOVA and Bonferroni comparison method using SPSS/WIN 19.0. Results: After conducting noise block program, the experimental group showed significant decrease in state anxiety and heart rate compared to those of the control group. But there were not significant differences in VAS anxiety, systolic pressure and diastolic pressure between two groups. Conclusion: This program can be regarded as an effective nursing intervention for the management of anxiety with gynecologic laparoscopic surgery.

뇌사자 장기이식에 대한 수술실 간호사의 태도와 삶의 의미가 간호윤리 가치에 미치는 영향 (Operation Room Nurses' Ethical Value regarding Their Attitude and Meaning of Life about Organ Transplantation in Brain Death)

  • 서형은;김미영
    • 성인간호학회지
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    • 제28권4호
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    • pp.355-366
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    • 2016
  • Purpose: The purpose of study was to describe operation room nurses' ethical values in relationship to the attitude and meaning of life toward organ transplantation in brain death. Methods: This study used a descriptive correlational survey design. Participants were 174 nurses who had attended to organ transplantation surgery in brain death more than once. Data were collected from September 1 to 11, 2015 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical multiple regression with SPSS 22.0. Results: Educational level, attitude on organ transplantation in brain death, and meaning of life were significant variables predicting the level of nursing ethical value, accounting for 82.6% of the variability. Conclusion: Continued education and self-development programs should be encouraged for operating room nurses to establish professional nursing ethics as well as positive meaning of life and attitude toward the organ transplantation in brain death.

공간구문론을 이용한 국내권역외상센터 공간구성에 관한 연구 (A Study on the Spatial Configuration for Regional Trauma Center in Korea by Using Space Syntax)

  • 박수로;박재승
    • 한국실내디자인학회논문집
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    • 제26권6호
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    • pp.172-179
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    • 2017
  • The regional trauma center should be a trauma treatment center equipped with facilities, equipments, and manpower capable of providing optimal treatment from emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. This study analyzes the connectivity, control, integration, and mean depth of current trauma centers using the convex map of space syntax, And to provide basic data for building for more efficient regional trauma center. The major areas that must be included in the regional trauma center are trauma resuscitation room, trauma operating room, trauma intensive care unit, and trauma general ward. It is necessary to carry out the architectural planning to increase the interconnection of the four areas. Also, the elevator plan for trauma patients should be emphasized. In addition, a regional trauma center should be separated from the existing facility for independent operation. According to the case analysis of the space configuration of the regional trauma center, the location of the operating room is most important considering the connection with each department of the hospital and the treatment flow of the severe trauma patients.