• Title/Summary/Keyword: Patient-Centered

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Roentgenological Evaluation of Radiographic position of the Chest (흉부촬영(胸部撮影)에 있어 환자자세(患者姿勢)에 관(關)한 영향(影響))

  • Shin, Gwi-Soon;Kim, Young-Hwan;Huh, Joon
    • Journal of radiological science and technology
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    • v.2 no.1
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    • pp.59-69
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    • 1979
  • For the clearer visualization of the lung apices in the routine chest P-A view, we have analysed the films at the different positions and different directions of the central X-ray beams. The brief results are as the follows. 1. Best visualization of the lung apices are made with the following position of the patient and central ray. Central ray is directed to the median sagittal plane at the level of the 5th thoracic vertebra with the palms of the hands placing at the greater trochanteric area of the both femurs. 2. The position of the sterno-clavicular joint shows no alteration between the radiographs with the central beam to the film center and to the 5th thoracic vertebra, and position of the hands at the greater trochanters or iliac crests. 3. No relationship exists between the center of the film and the position of the hand. The central beam is projected more inferiorly when the beam is centered to the film center than to the 5th thoracic vertebra. 4. The scapulae are rotated sufficiently anteriorly and more inferiorly, with placing the palms at the greater trochanters, directing central ray to the 5th thoracic vertebra, and with close contact the lung apices to the cassette.

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Technological Trend of Functional Clothing by Analysis of Korean Patent (국내 특허분석을 통한 기능성이 적용된 의복의 기술 동향)

  • Kim, Ho Jung
    • Fashion & Textile Research Journal
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    • v.16 no.1
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    • pp.160-166
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    • 2014
  • Patent and utility indicate international competitiveness in the knowledge-based society of the $21^{st}$century where both the quantity and quality of the nation's scientific intelligence and innovative technology represent key criteria to evaluate its strength. Thus, discerning the trends of patents is inevitable for further development. This research is centered on apprehending the technological current of the functional clothing of Korea, through an analysis of patents and utility models. The number of patent applications in Korea was low until the mid-1990s. However, it began to grow rapidly in the 2000s and the number of patents surpassed the number of utility starting in 2006. The technological level of invention in this field has been turned into a higher level. The IPC code with the strongest application was the field related to temperature controllable clothing (A41D 13/005), followed by surgeon or patient apparel related fields (A41D 13/12), and reflective or luminous safety devices (A41D 13/01).The main technological idea was to give functionality that could protect the human body from various hazards and represents the goal of various applied techniques. About 66% of domestic patent applications belong to individuals; however, the proportion of corporate or institutional applications(including universities) remains poor. Consequently, more systematic and long-term support for research on patents is required.

A Study on the Evaluation and Improvement of Healing Environment for Public Hospital wards considering Elderly Inpatient Characteristics - Focused on the Public Hospitals in Yeongnam area (노인환자 특성을 고려한 공공병원 병동부의 치유환경 평가 및 개선방안에 관한 연구 - 영남지역 사례를 중심으로)

  • Han, Sukbum;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.7-15
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    • 2014
  • Purpose: This study is to propose direction for healing environment design in hospital architecture considering the characteristics of elderly patients. The primary goal of a public hospital is providing cheap health care and quality service chance to the underprivileged and elderly in the dead zone. Compared to the rapid increase of the aged population and chronic diseases, Ministry of Health & Welfare is currently planning model of health promotion hospital in development plans of local based public hospital. Due to the increased elderly medical expenses, elderly patients' high utilization is considered. Methods: The literature on the design factors of healing environments were investigated. based on this, analyzed drawings of surveyed hospitals ward in architectural characteristics and observe and evaluate directly healing environment design through field surveys. Results: The design of hospital environment affects patient's therapeutic effect. There is no any official formula for hospital design but environment that architect create could be a big part of the healing process. To increase the quality of the environment, apply the characteristic factors and harmonize well as a human-centered healing environment. Implications: Healing environment design for the elderly is first necessary condition due to high proportion of elderly patients.

Educational Goals Extracted from Homepages of Pharmacy Schools in Korea (우리나라 약학대학의 홈페이지를 통해 고찰한 교육이념)

  • Lim, Yu Cheol;Ji, Eunhee
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.4
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    • pp.291-297
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    • 2016
  • Background: The current educational goals and missions of pharmacy schools in Korea were analyzed to examine the current orientation and future direction of pharmaceutical education. Methods: Educational mission statements were obtained from the homepages of 35 pharmacy schools and subjected to convert into codes. Themes and categories were induced using qualitative content-analysis from the codes and compared according to location of school (capital area versus province), public versus private, and date of initial enrollment (before versus in 2011). The themes and categories were compared with "the eight-star pharmacist" suggested by World Health Organization (WHO) and International Pharmaceutical Federation (FIP). Results: Twelve themes, 44 categories, and 496 codes were identified. Themes included pharmaceutical expertise, professionalism, contribution to society, basic educational ideology, sphere of activity, leadership, research, dealing with future change, problem-solving ability, self-management and development, cooperation, and respect for life. Mission statements of schools that initially enrolled in 2011 cited humankind level contribution (p=0.011), patient-centered care (p=0.026), and globalization (p=0.018) more frequently than those enrolled before 2011. Most schools mentioned about care-giver, researcher, and decision-maker which were stated in "the eight-star pharmacist". Conclusion: To meet the growing social requirements of a pharmacist's roles, wide-ranging active discussion on establishing educational goals should be made.

A Measurement Scale Development of Nursing Competence for Nurses Working in General Wards (일반병동 간호사의 간호역량평가 도구 개발)

  • Kang, Yoon-Sook;Lee, Suk-Jeong;Kim, In-Ja;Ahn, Kum-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.3
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    • pp.219-228
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    • 2008
  • Purpose: The purpose of this study was to develop a measurement scale of nursing competence for nurses working in general wards, and to test the validity and reliability of the scale. Method: A methodological study design was used, consisting of 3 steps as conceptual framework decision, measurement items development, and testing of validity and reliability. In order to verify content validity, 16 experts reviewed the concept of each competences and measurement items. The developed measurement items were tested from 301 nurses in one hospital. Factor analysis and item analysis were applied to establish the scale's construct validity and reliability. Result: The final scale consists of nine dimensions with 70 items. The overall scale reliability had a Cronbach's alpha of 0.98, and the demensions Cronbach's alpha ranged from 0.88 to 0.95. The factor loading of construct validity was from 0.40 to 0.83. The explained variance from the 9 extracted factors was 70.93% of the total variance, and final factors were labeled as critical thinking, resources management and professional development, ability of ward management, application of nursing process, ethical accountability, respectful consideration, patient centered approach, crisis management, and leadership. Conclusion: This measurement scale can be utilized to evaluate nursing competence for nurses working in general wards.

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Influence of Nursing Professionalism, Emotional Labor, and Empathic Concern on Customer Orientation among Clinical Nurses (임상간호사의 간호전문직관, 감정노동, 공감적 관심이 고객지향성에 미치는 영향)

  • Shin, Yeon Hee;Noh, Gie Ok
    • Journal of East-West Nursing Research
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    • v.24 no.1
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    • pp.20-27
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    • 2018
  • Purpose: This study was conducted to investigate nursing professionalism, emotional labor (surface acting, deep acting), empathic concern, and customer orientation, and identify factors contributing to customer orientation among clinical nurses. Methods: The participants in this study were 151 clinical nurses at the three general hospitals. Data were collected using self-administered questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression. Results: The significant predictors of customer orientation among clinical nurses were empathic concern (${\beta}=.43$, p<.001), nursing professionalism (${\beta}=.29$, p<.001), nursing career (${\beta}=.16$, p=.007), and deep acting (${\beta}=.14$, p=.021). Theses variables explained 47.6% of the variance of customer orientation. Empathic concern was the most influential variable. Conclusion: The results suggest that it is crucial to improve deep acting, empathic concern and nursing professionalism for increasing clinical nurses' customer orientation. Management-level leaders in the hospitals should develop strategies of promoting nursing professionalism, deep acting and empathic concern to improve customer orientation.

Nurse's Perception on Do-Not-Resuscitate Orders (심폐소생술 금지에 대한 간호사의 인식)

  • Jo, Jeong-Lim;Lee, Eun-Nam;Byun, Sook-Jin
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.11-24
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    • 2011
  • Purpose: The purpose of this study was to grasp the subjectivity of the nurses toward DNR (Do not resuscitation) order. Methods: Q methodology was employed to explore the nurses' subjectivity. Q population consisted of 292 statements that were obtained through individual in-depth interviews targeting 30 employees(nurses, doctors, staff members) and literature review. Finally, 30 nurses classified 34 statements using a 9 point scale. Results: The current survey that probed into the subjectivity of the nurses relative to DNR order abstracted four categories. The first type (restrictive acceptance type) perceived the determinants of DNR as the patient's hopeless state. The second type (evidence-based type) emphasized the decision based on the guideline. The third type (medical personnel-centered type) showed the characteristic that depends passively on the professional judgement. The fourth type (rationalistic type) emphasized rational characteristic that DNR decision needs to be made by considering several situations such as economic and psychological burden of family and the quality of life. Conclusion: These types of nurse's perception need to be considered in the nurses' continuing educational program in order to confront affirmatively and positively with ethical dilemma.

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Good Nursing Experience of Patients with Cancer in a Korean Cancer Hospital (암 병원 입원 환자들의 '좋은 간호(Good Nursing)' 경험)

  • Suh, Eunyoung E.;Yoo, Hye Jin;Hong, Jeong Hee;Kwon, In Gak;Song, Hyunju
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.51-61
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    • 2020
  • Purpose : This study aimed to explore and describe good nursing experiences of patients with cancer. Methods : Data were collected using individual in-depth interviews with 15 males and 8 females who were hospitalized in a Korean cancer hospital. The transcribed script was analyzed using Colaizzi's phenomenological method. Results : As a result, three theme clusters and nine themes were identified. The three theme clusters were as follows: "being kind and expert in every step along the cancer care trajectory," "taking an omnipotent mediator role supporting patients' well-being," and "providing professional care touching patients' mind and body." Three themes were assigned to each cluster to illustrate the given phenomena. Conclusion : Cancer patients wanted considerate understanding and sincere care from nurses while they experienced physical and emotional suffering owing to the cancer, treatment trajectory, and hospital system. To improve the quality of nursing care for cancer patients, patient-centered care combined with nurses' expertise in oncology care must be provided based on the insights from our study's findings.

A Study on Implementation of Efficient Patient Care Application System Using RFID (RFID를 이용한 효율적인 환자관리 애플리케이션 시스템 개발에 관한 연구)

  • Hong In-Sik;Baek Jang-Mi
    • Journal of Korea Multimedia Society
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    • v.8 no.8
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    • pp.1142-1151
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    • 2005
  • Various kinds of studies for building up U-Korea are now underway. Especially, RFID comes into the spotlight as a core technology of Ubiquitous. Though, the development of higher levels of application is far behind the hardware-based technology in RFID application system. For that reason, In this paper suggests technology using RFID on Ubiquitous and embodies the effective health care application which is one of the application services of user-centered environment It realizes the system which enables us to manage and send data about changing prescriptions and locations of patients effectively under the basis of RFID tag and mobile devices. It also provides the high quality of practical effectiveness of entire system throughout the realization of applications of application server and mobile device. on the basis of framework for providing the various kinds of services and physical elements.

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Adaptation Experience of Living Kidney Donors after Donation (생체 신장 공여자의 공여 후 적응 경험)

  • Kang, Da-Hai-Som;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.271-282
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    • 2016
  • Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.