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Patient Safety Culture, Perception of Importance on Patient Safety Management, and Patient Safety Management Activities of Care Workers in Nursing Homes: Mixed-method Approach (노인요양시설 요양보호사의 환자안전문화, 환자안전관리 중요성 인식 및 환자안전관리활동: 혼합연구방법 적용)

  • Kim, Soon Ock;Kim, Jeong Ah
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.473-489
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    • 2020
  • Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

Providing family support and depression: Focussing on babyboom women (여성 베이비부머의 부양지원 제공과 우울)

  • Lee, Yeobong
    • Journal of Family Relations
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    • v.21 no.4
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    • pp.51-74
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    • 2017
  • Objectives: This study observes how providing family support - financial, emotional, and instrumental - is related to depression in babyboom women. Method: I analysed data from the Korean Longitudinal Survey of Women and Families 5th wave, collected by the Korean Women's Development Institute. The analysis was conducted using regression, t-test, Chi-square test, frequency analysis, and Pearson's correlation analysis. Results: Financial support for grown-up children, either married or unmarried, increases depression in babyboom women. In the dimension of instrumental support, caring for grandchildren reduces babyboom women's depression. It implies that contact with grandchildren is perceived as an emotional support rather than a physical burden. The results of this study also show that babyboom women are comforted by living with their own parents, but not by living with parents-in-law. The most impressive observation, however, is in the dimension of emotional support, which showed that the conversation with elderly parents reduces baby-boom women's depression, but that the conversation with married children increases it. The opposite directions in the effects seem to be related to the subjects of the conversations. The subjects of the conversation with children are mostly about problems and agenda of the children, while those with elderly parents are mainly about parents' health and care for each other. Conclusions: The results of the analyses suggest that babyboom women should become less involved with their grown-up children's lives. It also calls for the societal efforts to be put into building up the support system, especially for eco-boom generation, to reduce babyboomer's burden of supporting the children.

A Study on Dental Hygiene and Career Maturity of Students Based on Alderfer's ERG Theory

  • Han, Yang-Keum;Yeo, An-Na
    • Journal of dental hygiene science
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    • v.21 no.2
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    • pp.86-95
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    • 2021
  • Background: This study aimed to investigate the effects of department satisfaction and career maturity on the perceived health status, relationship, and self-efficacy of dental hygiene college students based on Alderfer's existence-relationship-growth theory. Methods: We obtained convenience samples of dental hygiene students in Daejeon and Chungnam areas; 241 questionnaires were collected from 250 persons considering the dropout rate and used for the final analysis except for 9 careless responses. The differences in perceived health status, relationship, self-efficacy, department satisfaction, and career maturity according to general characteristics were analyzed using a t-test, one-way analysis of variance and Pearson's correlation coefficients. Moreover, structural equation modeling was performed to confirm the variables. GFI, AGFI,CFI, RMR, RMSEA, TLI, and NFI indices were calculated to verify the fitness of the path model. Results: There were significant differences in self-efficacy, department satisfaction, career maturity according to grade, and significant differences in academic performance for all variables except relationship. The school system also had a significant effect on department satisfaction. Perceived health status, relationship, self-efficacy, department satisfaction, and career maturity demonstrated statistically significant positive correlations (p<0.05). The factors affecting department satisfaction were relationship and self-efficacy. The indirect and total effects of perceived health status and relationship on career maturity were not statistically significant; however, the indirect and total effects of self-efficacy on career maturity were statistically significant. Conclusion: It is necessary to develop teaching methods according to student management plans for dental hygiene by comprehensively perceived health status, relationship, and self-efficacy affecting department satisfaction and career maturity.

Effects of the Visual Analog Scale and Knee Function Index on the Muscle Strength and Muscle Endurance of the Knees of Male National Field-Hockey Athletes (국가대표 남자 필드하키 선수들의 무릎의 시각적 상사 척도와 무릎 기능평가가 무릎의 근력 및 근지구력에 미치는 영향)

  • Kim, Hyun-Chul;Park, Ki-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.103-109
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    • 2021
  • PURPOSE: This study examined the effects of the Visual Analog Scale (VAS) and knee function index on the knee strength and endurance in the national male field-hockey athletes. METHODS: Twenty-four male field-hockey athletes with a painful knee who trained at the national training center in 2019 were enrolled. The VAS and knee function index questionnaire were used to evaluate the degree of pain and functional state of the knee. The muscle strength and endurance of the knee were measured by Biodex (System 4, USA). The Pearson product moment correlation was performed to examine the effects of the VAS and knee function index the of knee on the strength and endurance. In addition, the VAS and knee function index and muscle strength and muscle endurance were examined to determine the relationship using Simple Linear Regression. The statistical significance level was α=.05. RESULTS: An analysis of the correlation between VAS and knee function index and muscle strength and muscle endurance revealed the VAS and knee function index to be statistically significant (r = .700). In addition, the extensor muscle strength, knee VAS (r = -.457), and knee function index (r = -.414) were also statistically significant. A 1-point increase in the VAS and knee function index was associated with an approximately 9.881 and 1.006 extensor muscle strength. CONCLUSION: The VAS and knee function index of field-hockey athletes are related to the strength of the knee extensors. Therefore, field-hockey athletes should develop a program to strengthen the extensor muscle strength of the knee.

Relationship between Social Support and Self-care of Patients with Hypertension (고혈압 환자의 사회적 지지와 자가간호행위와의 관계)

  • Woo, Min Soo;Min, Hee Jeong;Sung, Song I;Lee, So Yun;Lee, Chae Lin;Jang, Hyo Jeong
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.2
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    • pp.49-56
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    • 2020
  • Purpose: This descriptive correlational study was done to analyze the relationship between social support and self-care in hypertensive patients aged 30 years or older. Methods: Data were collected from April 09 to April 16, 2020 through an online survey (Naver Form) at Internet cafes and SNS Eighty 80 adults aged 30 or older who had been diagnosed with high blood pressure at a medical institution participated in the study. Data were analyzed using t-test, one-way ANOVA, Scheffé's test and Pearson correlation coefficients with SPSS statistics 26.0. Results: The study results showed that social support for hypertensive patients was significantly higher for men (t=-2.17, p=.033), according to religious status (t=-2.33, p=.023), and the number of people in the household (F=6.05, p=.001). In addition, there was a significant positive correlation between social support and hypertensive self-care (r=.24, p=.036). Conclusion: The results confirm that the social support of patients with hypertension is related to self care for hypertension management. As the number of elders and single-person households who cannot manage their health well increases, it is necessary to establish a long-term and continuous social support system for these clients.

Comparison of Occupational Stress and Health Problems between Leavers and Stayers: Focused on Novice Nurses (이직자와 재직자의 직무스트레스와 건강문제 비교: 신규간호사를 중심으로)

  • Ki, Jison;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.23 no.2
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    • pp.91-99
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    • 2021
  • Purpose: This study aimed to identify occupational stress and health problems as well as turnover reasons among leavers in novice nurses and to estimate factors which might affect turnover by comparing them to stayers. Methods: In this study, secondary analysis of data gathered from the Shift Work Nurse's Health and Turnover studies, was carried out. The data were collected from 204 stayers who have been working for 18 months since 2018 and 48 leavers who left within the same period at two tertiary hospitals in Seoul. The reasons for turnover, occupational stress, and 8 types of health problems were recorded. The data were analyzed using SAS 9.4 to obtain descriptive statistics. In parallel, Pearson's chi-squared test, Fisher's exact test, and independent t-test were also conducted. Results: The main reasons for turnover were job stress and difficult interpersonal relationships in the workplace. Occupational stress of leavers was higher than stayers, especially in the subscales of interpersonal conflict, organizational system, lack of reward, and occupational climate. Among the 8 types of health problems, the depression prevalence of leavers was higher compared to stayers and showed marginal significance. Unexpectedly, the sleep disturbance prevalence of stayers was significantly higher compared to leavers. Conclusion: To reduce the turnover rate of novice nurses, education on how to cope with occupational stress is needed. A customized program for novice nurses to overcome the difficulties of interpersonal relations would be helpful.

Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand

  • Nawarat, Jiraphat;Chaipinyo, Kanda
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.4
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    • pp.334-341
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    • 2022
  • Objectives: This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods: The MPASS was developed using published data on mobility-related activity and participation timing in elderly individuals, and then reviewed by community physical therapists. Content validity was established by reaching a consensus of experienced physical therapists in a focus group. The MPASS was scored for 32 participants with stroke (mean age 61.75±4.92 years) by 3 individual testers. Reliability was examined using the intraclass correlation coefficient (ICC), internal consistency using the Cronbach alpha coefficient (α), and convergent validity using the Pearson correlation coefficient (r) to compare the MPASS to the Modified Rivermead Mobility Index as a referent test of mobility. Results: The MPASS consists of 8 items, and its scoring system provides information on the ability of people with stroke to reach a movement level enabling them to live in society, including interactions with other people and safe living in the community. The interrater and intra-rater reliability were excellent (ICC, 0.948; 95% confidence interval [CI], 0.893 to 0.982 and ICC, 0.967; 95% CI, 0.933 to 0.989, respectively). Internal consistency was good (α=0.877). The convergent validity was moderate (r=0.646; p<0.001). Conclusions: The newly developed MPASS showed acceptable construct validity and high reliability. The MPASS is suitable for use in people with stroke, especially those who have been discharged and live in the community with the ability to initiate sitting.

The Relationship between Learning Behavior and Academic Achievements of Pre-service Teachers in Online Learning Using LMS (LMS를 활용한 온라인 강의 환경에서 예비교사의 학습행태와 성취도의 상관관계)

  • Choi, Youngmi;Park, Namje;Kim, Chul
    • Journal of The Korean Association of Information Education
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    • v.26 no.2
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    • pp.85-95
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    • 2022
  • This paper sought to find significant learning behavioral indicators and their correlation with the academic achievements of elementary teacher candidates engaged in an online course using MS Teams during the COVID-19 pandemic. Focused on variables such as the number of visiting days to MS Teams, on-time online assignments, conversation activities, posts, and replies, MS Insights data in the LMS environment were collected in the fall term of the 2020 academic year and analyzed in Pearson correlation and multiple regression. The number of visiting days and on-time online assignments were significantly correlated with their grades, whereas the indicators including average weekly conversation activity, posts, and replies did not have a significant effect on the achievements. Furthermore, the results revealed that the subject's behavioral intention to submit on-time assignments significantly predicted learner achievements.

Long non-coding RNAs in Sus scrofa ileum under starvation stress

  • Wang, Shu;Ma, Yi Jia;Li, Yong Shi;Ge, Xu Sheng;Lu, Chang;Cai, Chun Bo;Yang, Yang;Zhao, Yan;Liang, Guo Ming;Guo, Xiao Hong;Cao, Guo Qing;Li, Bu Gao;Gao, Peng Fei
    • Animal Bioscience
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    • v.35 no.7
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    • pp.975-988
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    • 2022
  • Objective: In this study, we aimed to identify long non-coding RNAs (lncRNAs) that play important roles in starvation stress, analyze their functions, and discover potential molecular targets to alleviate starvation stress to provide a theoretical reference for subsequent in-depth research. Methods: We generated a piglet starvation stress animal model. Nine Yorkshire weaned piglets were randomly divided into a long-term starvation stress group (starved for 72 h), short-term starvation stress group (starved for 48 h), and the control group. LncRNA libraries were constructed using high-throughput sequencing of piglet ileums. Results: We obtained 11,792 lncRNAs, among which, 2,500 lncRNAs were novel. In total, 509 differentially expressed (DE)lncRNAs were identified in this study. Target genes of DElncRNAs were predicted via cis and trans interactions, and functional and pathway analyses were performed. Gene ontology functions and Kyoto encyclopedia of genes and genomes analysis revealed that lncRNA-targeted genes mainly participated in metabolic pathways, cellular processes, immune system processes, digestive systems, and transport activities. To reveal the mechanism underlying starvation stress, the interaction network between lncRNAs and their targets was constructed based on 26 DElncRNAs and 72 DEmRNAs. We performed an interaction network analysis of 121 DElncRNA-DEmRNA pairs with a Pearson correlation coefficient greater than 0.99. Conclusion: We found that MSTRG.19894.13, MSTRG.16726.3, and MSTRG.12176.1 might play important roles in starvation stress. This study not only generated a library of enriched lncRNAs in piglets, but its outcomes also provide a strong foundation to screen key lncRNAs involved in starvation stress and a reference for subsequent in-depth research.

Post-traumatic Stress Disorder and Burnout of Healthcare Providers who cared for Patients with Coronavirus Disease-19 (COVID-19) in a Tertiary General Hospital (코로나바이러스감염증 환자를 돌본 일개 상급종합병원 의료인의 외상 후 스트레스 장애와 소진)

  • Kim, Kyung Deok;Yi, Young Hee
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.101-114
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    • 2022
  • Purpose : This study aimed to identify post-traumatic stress disorder (PTSD) and burnout experienced by healthcare providers who cared for patients with Coronavirus Disease 2019 (COVID-19) and their influencing factors. Methods : Data were collected from 135 healthcare providers who cared for patients with COVID-19 in a tertiary general hospital from June 8 to September 2, 2021, using a questionnaire. Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, t-test, ANOVA and Scheffe's test, Pearson's correlation coefficients, and multiple regression were used for analysis using SPSS/WIN 27.0. Results : Participants' average PTSD score was 9.31 ± 11.80, and 8.9% were in the high-risk group. Participants' average burnout score was 51.77±21.28, and 62.2% were at high risk. PTSD scores differed significantly according to participants' age, education, job, position, and current workplace. Burnout scores differed significantly according to their age, gender, marital status, parental status, and education. There was positive correlation between participants' PTSD and burnout. The factors influencing participants' PTSD were term of self-isolation and age (R2=.09). There were no significant influencing factors on participants' burnout. Conclusion : This study reconfirmed that healthcare providers who cared for patients with COVID-19 experienced both PTSD and burnout, suggesting that interventions are needed such as regular pre-training or simulation training and establishing a support system.