• 제목/요약/키워드: Quality of Hospital Services

검색결과 601건 처리시간 0.022초

뇌혈관질환 환자의 간호진단과 연계된 간호중재의 중요도와 수행도 분석 (Comparison of Importance and Performance of Nursing Interventions linked to Nursing Diagnoses in Cerebrovascular Disorder Patients)

  • 김영애;박상연;이은주
    • 성인간호학회지
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    • 제20권2호
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    • pp.296-310
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    • 2008
  • Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.

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치과 병·의원 내 치과위생사 간 의사소통에 대한 질적 연구 (A qualitative study on communication among dental hygienists in dental hospitals and clinics)

  • 최경선;문상은;김윤정;김선영;조혜은;강현주
    • 한국치위생학회지
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    • 제21권5호
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    • pp.645-653
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    • 2021
  • Objectives: This study aimed to offer basic resources needed to solve conflicts and problems of communication among dental hygienists working in dental clinics by comprehending and analyzing their in-depth communication experiences. Methods: Individual depth interviews were conducted with 10 dental hygienists who had over one year of clinical experience and worked in dental clinics in Gwangju, from September 16 to October 15, 2020. Colaizzi's phenomenological analysis was performed. Results: The results of the interviews were grouped into four central categories: lack of communication due to differences in position, relationships they want to avoid, return to joint work, beginning of new communication. The participants of this study experienced difficulties in communicating with dental hygienists in the clinical field, but they overcame the conflicts by trying to understand others by putting themselves in others' shoes. Conclusions: This study is expected to contribute to providing good quality medical services to patients by promoting effective communication among dental hygienists.

임상간호사의 일터영성과 감성지능이 조직시민행동에 미치는 영향 (The Influences of Workplace Spirituality and Emotional Intelligence on the Organizational Citizenship Behavior for Clinical Nurses)

  • 유명숙
    • 보건의료산업학회지
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    • 제10권2호
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    • pp.59-70
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    • 2016
  • Objectives : This study was done to identify the influences of workplace spirituality and emotional intelligence on the organizational citizenship behavior of clinical nurses. Methods : The subjects were 230 clinical nurses, working over 6 months in four general hospitals in three cities. Data were obtained from March 20 to March 30, 2016, with a self-report questionnaire, and analyzed using the IBM SPSS 21.0 program. Results : The factors related to the organizational citizenship behavior of nurses were workplace spirituality(${\beta}$=.36), emotional intelligence(${\beta}$=.29), 40 years of age or higher(${\beta}$=.26), working in a special ward(${\beta}$=.11), and turnover intention(${\beta}$=.10). These variables explained 61.6% of the variance in organizational citizenship behavior of nurses. Conclusions : In order to improve the quality of nursing services and business performance in hospital organizations, it is necessary to enhance workplace spirituality and emotional intelligence. This would lead to promoting organizational citizenship behavior through the development and application of intervention programs from a nursing organization perspective.

물리치료환자 만족도 도구의 타당도 및 신뢰도 분석 (Validity and Reliability of a Measure of Patient Satisfaction with Physical Therapy)

  • 손애리;김미원
    • 대한물리치료과학회지
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    • 제9권2호
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    • pp.77-85
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    • 2002
  • Patient satisfaction is an important factor in evaluating the quality of care. Patient satisfaction may be used to evaluate provider services and facilities, and used to predict the patient returns to a facility. The patients decision whether the patient returns to a facility or whether the patient recommends the facility to other people may be affected by a variety of factors of patient satisfaction. This study is to develop and test of a translated and modified Goldstein's instrument that measures patient satisfaction among physical therapists patients and clients. A self-administered questionnaire survey was conducted in Seoul, Chung-Joo and Bu-Cheon cities. Survey data was obtained from 743 patients who visited the physical therapy practice at university hospitals, general hospitals and clinics. The instrument developed by Goldstein was used and translated into Korean. Several items were added to the instrument. Patient's opinions of service in each domain measured using 5-point Likert-type scales that ranged from strongly disagree to strongly agree. Principal components analysis with varimax rotation was used to indicate which questions examined similar components of patient satisfaction. Component analysis indicated eight scales (kindness, scheduling, recommendation, convenience of parking, privacy, and waiting time). Different types of validity were established well. The coefficient of reliability (Cronbach alpha =.97) obtained for the instrument was clearly within a desired range.

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외국인 암 환자를 위한 국내 방사선치료 영문 텍스트 가독성 분석 (Analysis of Readability of Text in English for Radiation Therapy for Foreigner Patient with Cancer in South Korea)

  • 김대건;김성철
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권6호
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    • pp.543-552
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    • 2022
  • This study compared and analyzed with the United States(USA) to evaluated the level of readability of radiotherapy information (English text) provide to foreign patients with cancer by medical institutions in South Korea (KOR). A total of 20 the KOR and USA medical hospitals in 10 each provide information for radiation therapy technology were selected. The readability was comparatively analyzed a total of three aspects (lexical, syntactic, cohesion and readability) by using a Coh-Metrix on-line web program. In readability respect, the mean of the Flesch Reading Ease (FRE) was lower in the KOR (8.3) than in the USA (23.2), Flesch-Kincaid grade level (FKGL) was higher in the KOR than in the USA (14.2) indicating that KOR was less readable than the US (p<.05). In both KOR and USA, the reading level (literacy) of the English text for the radiation therapy was found to be higher than high school (FRE level 50 or lower). Therefore, text information in English for the radiation therapy to foreign patients with cancer should be lowered to elementary school level and read to improve the quality of medical services.

Communication Competencies of Oncology Nurses in Malaysia

  • Maskor, Nor Aida;Krauss, Steven Eric;Muhamad, Mazanah;Mahmood, Nik Hasnaa Nik
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.153-158
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    • 2013
  • This paper reports on part of a large study to identify competencies of oncology nurses in Malaysia. It focuses on oncology nurses' communications-related competency. As an important cancer care team member, oncology nurses need to communicate effectively with cancer patients. Literature shows that poor communication can make patients feel anxious, uncertain and generally not satisfied with their nurses' care. This paper deliberates on the importance of effective communication by oncology nurses in the context of a public hospital. Four focus group discussions were used in this study with 17 oncology/cancer care nurses from Malaysian public hospitals. The main inclusion criterion was that the nurses had to have undergone a post-basic course in oncology, or have work experience as a cancer care nurse. The findings indicated that nurses do communicate with their patients, patients' families and doctors to provide information about the disease, cancer treatment, disease recurrence and side effects. Nurses should have good communication skills in order to build relationships as well as to provide quality services to their patients. The paper concludes by recommending how oncology nursing competencies can be improved.

치과기공사의 감염에 대한 인식과 관리 실태 연구 (A study on the perception and management of dental technician's infection prevention)

  • 한효진;윤영경;허예은;배은정
    • 대한치과기공학회지
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    • 제42권2호
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    • pp.173-185
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    • 2020
  • Purpose: The purpose of this study was to investigate dental technicians' awareness of infections and to enhance their interest and commitment towards infection prevention. Methods: A self-reported questionnaire survey was conducted among dental technicians. Total of 195 responses were used for analysis. A cross-tabulation analysis was used to compare dental technicians' awareness of infections according to their levels of education on infection prevention (α=0.05). Results: Dental technicians were educated on infection prevention (40.5%). Most participants received infection prevention education from school (29.8%). Dental laboratories had an infection control guideline (34.9%). Dental technicians were not aware of infection risks at their workplaces or believed that they were not at risk of infections at their workplaces (59.3%). Conclusion: Dental technicians must be consistently educated on infection prevention and control through systematic education at school and wider promotion through media. Research is needed to economically and efficiently improve equipment used by dental technicians and to protect them from infectious diseases. A budget for infection prevention must also be determined. Institutional measures such as providing support for dental technicians at the policy level and developing a basic infection prevention manual are necessary. Solving these issues not only protects dental technicians from infections but also allows them to provide high-quality medical services.

간호·간병통합서비스병동 간호사의 직무스트레스가 소진에 미치는 영향: 감성지능의 조절 및 매개효과 (Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals)

  • 이유림;이윤미;장소은
    • 중환자간호학회지
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    • 제16권1호
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    • pp.44-55
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    • 2023
  • Purpose : This study aims to identify job stress, emotional intelligence, and exhaustion of the nurses in comprehensive nursing service units and then verify the moderating and mediating effects of emotional intelligence on the relationship between job stress and exhaustion. Methods : Participants are 118 nurses working in two general hospitals. The collected data are analyzed using the SPSS WIN 27.0 and AMOS 18.0 programs by assessing frequency and percentage, mean and standard deviation, independent t-test and one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis and bootstrapping. Results : Exhaustion has a statistically significant positive correlation with job stress (r=.40, p <.001) and a statistically significant negative correlation with emotional intelligence (r=-.26, p =.004). A partial mediating effect of emotional intelligence is found between job stress and exhaustion, however, there is no moderating effect. Conclusion : It is expected that to reduce the exhaustion of nurses in comprehensive nursing service units, it is necessary to assess job stress and emotional intelligence, and strengthen emotional intelligence along with job stress intervention.

치과 환자의 만족도에 영향을 미치는 요인 - 치과의원에서 기공실의 개설여부에 따라 - (Dental Patient's Satisfaction Degree Factors -Concerned with installation of dental clinics -)

  • 김남중;황경숙
    • 대한치과기공학회지
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    • 제22권1호
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    • pp.129-143
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    • 2000
  • With increasing number of dental patients, it is also increasing patient's desire to get better medical service. As the concern for improvement of dental medical service quality is growing, satisfaction degree of dental patients is becoming very important. This study was to investigate difference of patients' satisfaction degree concerned with installation of dental labs and the reason. The data for this study were collected through Self-Administered Questionnaires from 284 patients who had visited dental clinics more than two times. The results are as follows: Female respondents ratio was as twice much as male ones. And 54.2% of the respondents were found out to have completed university education. Dental clinics with dental labs scored higher than others in patients' satisfaction and recommendation willingness degree. Dental clinics without dental labs scored higher in patients' revisiting willingness degree. With simple Correlation Analyses it was found out that the most influential variable concerned with patients' general satisfaction degree was medical facility in dental clinics with dental labs, dentist ability to cure in dental clinics without dental labs. There were some discrepancies with other subordinate variables. Through Stepwise Multiful Regression Analyses it was found out that the most influential variable with patients' general satisfaction degree was dentist ability to cure in total and dental clinics without dental labs and medical facility in dental clinics with dental labs. There were also some discrepancies with other subordinate variables.

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An IoT-Aware System for Managing Patients' Waiting Time Using Bluetooth Low-Energy Technology

  • Reham Alabduljabbar
    • International Journal of Computer Science & Network Security
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    • 제24권3호
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    • pp.83-92
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    • 2024
  • It is a common observation that whenever any patient arrives at the front desk of a hospital, outpatient clinic, or other health-associated centers, they have to first queue up in a line and wait to fill in their registration form to get admitted. The long waiting time without any status updates is the most common complaint, worrying health officials. In this paper, UrNext, a location-aware mobile-based solution using Bluetooth low-energy (BLE) technology, is presented to solve the problem. Recently, a technology-oriented method has been gaining popularity in solving the healthcare sector's problems, namely the Internet of Things (IoT). The implementation of this solution could be explained through a simple example that when a patient arrives at a clinic for her consultation. There, instead of having to wait in long lines, she will be greeted automatically, receive a push notification telling her that she has been admitted along with an estimated waiting time for her consultation session. This will not only provide the patients with a sense of freedom but would also reduce uncertainty levels that are generally observed, thus saving both time and money. This work aimed to improve clinics' quality of services and organize queues and minimize waiting times in clinics, leading to patient comfortability and reducing the burden on nurses and receptionists. The results demonstrated that the presented system was successful in its performance and helped achieve high usability.