• Journal of Korean Academy of Nursing
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• v.35 no.8
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• pp.1514-1521
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• 2005

Purpose. This paper is derived from a larger study of nurses' perceptions of their role as patient educators. The focus is to examine nurse' performance in patient education in relation to issues of their perceived responsibility and their ability to prioritize patient education. Method. A multiple-method survey design, using a questionnaire and in-depth interviews, is used to produce a comprehensive picture of the research problem examined. Result. The findings suggest that although nurses consider patient education as an integral part of their care, they fail to deliver as much as they desire in the face of work constraints. Nurses' patient education activities are mainly informal and reactional, in which case they can be easily regarded as a low priority when faced with time constraints. Conclusion. The findings suggest that there is a need for systematic approaches that enable the inculcation of patient education into routine daily care.

• Journal of Preventive Medicine and Public Health
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• v.47 no.5
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• pp.273-280
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• 2014

Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, 'physician-nurse relationship' correlated with medication errors while 'education for improving quality of care' affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

• Journal of Korean Physical Therapy Science
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• v.4 no.4
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• pp.511-518
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• 1997

For the perfect cure of rheumatoid arthritis, the ultimate hope of patients and therapist, it is necessary to find a patient early and treat him properly and to teach him what rheumatoid arthritis is. 1. Although rheumatoid arthritis is a chronic disease and its cause is uncertain matke the patient understand that there are many ways to reduce symptoms and to prevent deformation. 2. Explain the peculiarity and the procedure of rheumatoid arthritis to the patient and encourage him. 3. Teach the patient how to protect his arthrosises by showing him concrete movement. 4. Teach the patient or his family the ways to relieve rheumatoid arthritis easily in his house for continuous remedy. In order to make that remedy most effective for the patient, a complex and balanced treatment, considering medication, surgical teatment and rehabilitative treatment, has to be applied, which needs team work. Team work occurs when doctors, physiotherapists, nurses, nutritionists, clinical psychologists, prosthesis manufacturers, social workers, employment agents and the family of the patient work together. The members of the tern have to onderstand the procedure of the treatment of rheumatoid arthritis and apply proper remedies according to the condition of the patient.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.4
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• pp.358-366
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• 2018

Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.

• The Korean Society of Law and Medicine
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• v.13 no.1
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• pp.91-123
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• 2012

Doctors and patients for the purpose of healing and treatment of disease through the contract will make a relationship. Doctors perform the medical practice for the state and illness of patient. Given that the patient did not cooperate in the doctor's medical practice, it is difficult to achieve the goal of disease healing. If the patient don't cooperate the medical care, and it is linked with a doctor's medical malpractice, patient's violation of obligation in medical cooperation is considered with negligence on the part of patients. However, this negligence should be limited to obvious cases that the patient's behavior is unreasonable although the doctor provides medical information to patients and induced the patient's response. Also, patient's violation of obligation in medical cooperation must result in adjusting the indemnification via a setoff of fault except the cases having causal relationship between doctor's fault and malpractice.

• Journal of Hospice and Palliative Care
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• v.24 no.4
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• pp.199-203
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• 2021

This paper provides practical suggestions for how palliative care clinicians can address the expressions of spiritual struggle voiced by patients and their loved ones. In addition to practical tips for listening and responding, ethical guidance and opportunities for self-reflection related to spiritual care are briefly discussed. Principles to guide practice when the clinician is listening and responding to a patient expressing spiritual struggle include being non-directive, honoring (vs. judging) the patient's spiritual or religious experience, keeping the conversation patient-centered, focusing on the core theme of what the patient is expressing presently, using the patient's terminology and framing, and responding "heart to heart" or "head to head" to align with the patient. Ultimately, the goal of a healing response from a spiritual care generalist is to allow the patient to "hear" or "see" themselves, to gain self-awareness. To converse with patients about spirituality in an ethical manner, the clinician must first assess the patient's spiritual needs and preferences and then honor these.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.194-205
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• 2018

This study investigated knowledge and attitudes of long-term care hospital nursing assistants such as nursing aides and direct care workers toward patient safety and their safety care activities. This was a descriptive study that attempted to enhance the competence of nursing assistants' patient safety management, and the data were used to develop a training program for nursing assistants. A total of 230 nursing assistants working at six hospitals whose wards were over 200 participated and were assessed with a rating 1 or 2 in 2013 in B city. Data were collected using questionnaires from March 2 to March 26 in 2017. The collected data were analyzed by the SPSS/WIN 20.0 program using number, percentage, mean, standard deviation, t-test, ANOVA, $Scheff{\acute{e}}$ test, correlation coefficient, and multiple regression. In conclusion, the findings show that patient safety care activities were better performed by nursing aides than direct care workers. Higher education and a higher number of patient safety training programs and patient safety care activities were frequent. In addition, nursing assistants' knowledge of patient safety affected attitudes toward patient safety, and attitudes affected patient safety care activities. Therefore, an actual regular training program for patient safety should be executed over five times a year to improve patient safety perception. Furthermore, a hospital system including adequate working time needs to be improved. Based on the results of the study, patient safety in long-term care hospitals should be improved, and this study could be utilized as basic data to develop a training course for improvement of knowledge and attitudes of nursing assistants toward patient safety.

• Journal of Korean society of Dental Hygiene
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• v.16 no.6
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• pp.1033-1045
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• 2016

Objectives: This research was conducted to recognize dental health care employees' awareness of patient safety culture and to examine the association between awareness of patient safety culture and patient safety activities. Methods: The subject of this research includes the dental health care employees from 11 different dental hospitals in the nation, dental offices in the 6 different general hospitals in Seoul, and 4 different private dental offices in 2014. A self-reported questionnaire was completed by 485 dental health care employees from March 17 to April 3, 2014. Multiple regression models were used in the analysis. Results: First, the dental health employees' awareness of patient safety culture was 3.25 on average. The extent of patient safety activities was 2.75. The behavior of the supervisor/manager and the adequate explanation showed positive correlation with r=0.213 (p<0.001). The process of communication and the preventative inspection of the medical equipment showed negative correlation with r=-0.258 (p<0.001), and especially the awareness of patient safety culture and the infection control exercise showed the most significant correlation (r=0.293, p<0.001). Second, hospital environment factor of patient safety perceptions positively were related to most of patient safety management activities after controlling several covariates. Conclusions: The result of this research showed that most of the patient safety culture perceptions positively were correlated with patient safety activities. We also found that proper hospital environment, simple communication process, and positive perceptions for patient safety level were more likely to perform patient safety management activities after controlling several covariates. Improving the patient safety perceptions of dental hospital workers is an important consideration.

• The Journal of the Convergence on Culture Technology
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• v.10 no.2
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• pp.149-157
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• 2024

Despite continuous efforts by healthcare institutions and professionals, incidents threatening patient safety continue to occur. Policies related to patient safety are being strengthened, and nursing students are recognized as key personnel in patient safety management. Identifying factors influencing patient safety management behavior can enhance competency in patient safety management and prevent and improve patient safety incidents. Therefore, the purpose of this study is to clarify the impact of nursing students' knowledge, attitudes, and performance confidence related to patient safety management on their patient safety management behavior. A descriptive survey study was conducted, and data collection targeted 138 fourth-year nursing students in K region from October 25th to October 28th, 2022. Statistical analysis was performed using SPSS 25.0 program. The research findings showed that knowledge, attitudes, and confidence regarding patient safety management were positively correlated with patient safety management behavior. Factors influencing patient safety management behavior were identified as patient safety management education experience (β=.22, p<.001) and confidence (β=.66, p<.001). Based on these results, it is suggested that educational programs aimed at improving patient safety management behavior among nursing students should focus on enhancing patient safety management education experience and confidence.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.38C no.12
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• pp.1095-1105
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• 2013

This paper proposes the RDMS(Rough Set Theory based Disease Monitoring System) which efficiently manages diseases in Healthcare System. The RDMS is made up of DCM(Data Collection Module), RDRGM(RST based Disease Rules Generation Module), and HMM(Healthcare Monitoring Module). The DCM collects bio-metric informations from bio sensor of patient and stores it in RDMS DB according to the processing procedure of data. The RDRGM generates disease rules using the core of RST and the support of attributes. The HMM predicts a patient's disease by analyzing not only the risk quotient but also that of complications on the patient's disease by using the collected patient's information by DCM and transfers a visualized patient's information to a patient, a family doctor, etc according to a patient's risk quotient. Also the HMM predicts the patient's disease by comparing and analyzing a patient's medical information, a current patient's health condition, and a patient's family history according to the rules generated by RDRGM and can provide the Patient-Customized Medical Service and the medical information with the prediction result rapidly and reliably.