• Title/Summary/Keyword: Quality of Medical Care

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Quilitative certificational plan of mudanpi (목단피(牧丹皮)의 품질인증(品質認證) 방안(方案))

  • Lim, Joong-Keun;Roh, Seong-Soo;Kil, Ki-Jeong;Seo, Bu-il;Seo, Young-Bae
    • Journal of Haehwa Medicine
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    • v.13 no.2
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    • pp.169-178
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    • 2004
  • Now many sustitution and false articles is used in korea instead of mudanpi. To use mudanpi correctly, we will make a quilitative certificational plan of mudanpi to investigate all of lieraturea, records and documents. And we could reach conclusions as folloews. 1. Source Source of mudanpi is cortex of Paeonia suffruticosa Andrews(Family:Ranunculaceae) in korea and china. It needs an attention to distinguish into because there is a substitute and a rank in china. 2. process We have to work before harvesting fresh roots is dry perfectly. If outer skin dried moisture a little, cut off outer skin vertically at sunny day, remove a heart and sever, immedietly dry. When working, we have to take care of because of easy discoloration with moisture. 3. Quality (1) Functional standards A diameter is large, it do not exist a heart of wood, a bark is thick and powdery. Section surface is light white color and rich odor with many light crystals. (2) Physicochemical stamdards We think that it needs to raise a contant of paeonol at all kinds of testing standards. A contant of paeonol is at least more than 2.5%. A part of wood indicate a heart of wood which has no medical effects, but is a relatively heavy part. So a standart of wood must be lowered sifnificantly less than 1.0%. It must be content of ash is less than 6.0%, Content of acid-nonsoluble ash is less than 1.0%. A fixed quantity of paeonol is more than 2.5%. Contens of heavy metal has to detect less than 30 ppm and there is no reminding agriculural medince.

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The effect of 5 different personalities on job stress in physical therapists

  • Kim, Eun Hyeong;Jang, Ho Young;Lee, Suk Min
    • Physical Therapy Rehabilitation Science
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    • v.7 no.4
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    • pp.191-196
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of 5 different personalities on job stress in physical therapists. Design: Descriptive cross-sectional study. Methods: Structured self-report questionnaires consisted of demographic items, 5 types of personalities, and occupational stress. A questionnaire was distributed to 420 physical therapists working in Seoul and Incheon who had voluntarily agreed to participate in the study after the purpose of the study was explained. Of the 420 questionnaires, 405 questionnaires were collected and showed a recovery rate of 96.4%, of which 28 cases were excluded, leaving a total of 377 questionnaires being used for analyses. Pearson correlation analysis was performed to investigate the correlation of job stress and five personalities types. In addition, multiple regression analysis was performed to investigate the effect of general and occupational characteristics of physical therapist on job stress and the effect of personality type on occupational stress. All statistical significance levels were set at p<0.05. Results: The highest number of subjects, which were the physical therapists, showed the tendency to have a sincere personality, followed by affinity, openness, extroversion, and neuroticism. Physical therapists reported to be the most stressed in the order of professional role conflict, overload of work, work relation with a physician and supervisor, interpersonal relationship with patient and caregiver. The higher the level of affinity and sincerity, the lower the amount of stress received by the therapist from the interpersonal relationships between the patient and caregivers. On the other hand, the greater the level of openness and sincerity, the lower the stress levels related to professional role conflict. Conclusions: This study showed that the personality type and job stress of physiotherapists had a statistically significant effect. It is very important for physiotherapists to find their own way of coping with stress, which is satisfactory and appropriate for their job, because it is related not only to individual problems but also to the quality of patient care and medical services. Therefore, it is necessary to continue conducting research on how to relieve the stress levels of physical therapists according to their personality characteristics.

Hermeneutic Phenomenological Study on Caring Experience of the Mothers of Children with Epilepsy (뇌전증 자녀를 둔 어머니의 돌봄 체험에 관한 해석학적 현상학 연구)

  • Joung, Woo Joung;Yi, Myungsun
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.71-85
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    • 2017
  • Purpose: The purpose of this study was to develop a deeper understanding of the experience of mothers caring for children with epilepsy. Methods: Data were collected through individual in-depth interviews and observation from 12 mothers of children with epilepsy. Data were collected from December, 2014 to February, 2015 and analyzed using van Manen's hermeneutic phenomenological methodology to identify essential themes of their experience. Results: The essential themes that fit into the context of the 4-existential grounds of time, body, other people, and space were: Lived time-ongoing influence of the past, living in insecure present, fearful future with no answer; Lived body-bonded body, burned out state; Lived other-burden but also support, shrunken down; Lived space-narrowed range of activity, widened horizon. Conclusion: The findings in this study show in-depth understanding of the hardships of mothers who are caring for children with epilepsy. The beauty and greatness of these mothers are revealed through the analysis of various phenomenological materials such as literary and artistic work reflecting socio-cultural context, as well as vivid care experiences of mothers of children with epilepsy. This will be helpful in increasing understanding of the nature of caregivers' experience for medical professionals dealing with patients and caregivers. Also it helps to improve the understanding of the disease among the general public, followed by a more warming and caring attitude towards patients and family members. Finally, it will enhance psychological well-being and overall quality of life of the epileptic children and their families.

Impact of Highway Construction on the Regional Economy: Gangil-Chuncheon Highway (고속도로 건설이 지역경제에 미치는 기여도 분석연구: 강일~춘천 고속도로)

  • Na, Sung-Yong;Lee, Du-Heon;Kim, Hyun-Woo
    • Journal of the Korean Society of Industry Convergence
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    • v.25 no.6_3
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    • pp.1183-1190
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    • 2022
  • Recently, the Ministry of Strategy and Finance announced a plan to reduce the proportion of economic evaluation in non-metropolitan areas and strengthen balanced development evaluation through the reorganization of the preliminary feasibility study system. In addition, the social value of the quality of life, such as job, environment, and safety, which may be affected by the implementation of transportation facility investment projects, was reflected as the main item of policy evaluation. In this study, the ripple effect of the project in terms of social value was reviewed for the Gangil-Chuncheon. The effect of highway opening was investigated by reviewing the feasibility report, post-evaluation report, and statistical indicators. Recently, the Gangil-Chuncheon highway is getting used by around 110,000 people per day. The number of tourists in Chuncheon rapidly has increased from 5 million a year to more than 11 million now. In addition, it was confirmed to produce effects such as population migration, net inflow and land price increase, improvement of living convenience, and expansion of emergency medical care. Although this ripple effect was influenced by various socio-economic factors as well as the opening of the highway, it is clear that it is difficult to occur without the opening of the highway. It is judged that the evaluation of indirect benefits and social values due to the opening of the highway can be quantified through continuous research and data construction. Post-evaluation of construction works, including project efficiency evaluation and ripple effect evaluation, is performed for construction works with a construction cost of more than 50 billion won. In the future, we will continuously improve the evaluation system in order to evaluate the indirect benefits and social values of public investment projects.

Current Status and Policy Recommendations of Oriental Public Health Programs (한방 공공보건사업의 운영실태와 정책과제)

  • Chang, Dong-Min
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.101-112
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    • 2007
  • Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.

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노인복지시설의 호스피스 운영모형 개발

  • Yun, Eun-Gyeong
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.1-20
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    • 2002
  • The purpose of this study is to develop a management model to effectively provide hospice service of nursing home. In a method of study to achieve this purpose, a positive research and literature study have been performed at the same time. Concerning contents to be examined as a definition of notions and patterns about hospice for the aged, foreign hospice and structural elements of hospice management, a literature study to support a theoretical background has presented leading studies as an analysis form of this study through analyzing domestic and foreign literature, thesis, journal and so on. In order to attain the purpose of this study, the positive research is to carry out a survey of demand and desire of people who have already got hospice service in the first place as a fact-finding survey related to the subject of hospice service, investigate organizations to operate nursing home and hospice and relevant experts in the second place as a survey of supply system to provide hospice service, and develop an appropriate management model to connect the demand and supply of nursing home through it. Therefore, this study has developed a delivery system and a chart of the practical trend to be done minutely, presenting a model to manage a hospice of nursing home based on the above results. The management model externally has connected medical team of hospital with hospice team of home based on a community, and internally is composed centering on five elements such as administrative organization, manpower, program and contents of service, finances. In practical model of hospice management of nursing home, in order to plan a program, provide service and give a high-quality service to the aged, this study has presented a trend chart of service management on the basis of five structural elements, an analysis form of this study. In conclusion, this study could present data to develop a hospice in the field of nursing home for the aged by showing a model concerning a hospice management of nursing home, but in my opinion, a following study to be detailed and developed even more than this study should be continued.

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Analysis of Trend in Gerontological Nursing Researches in Korea -Focused on community nursing journals (국내 노인간호 연구동향 분석 - 지역사회 간호관련 학회지 중심으로 -)

  • Wang, Myoung-Ja;Lee, Myung-Hee;Chang, Kyung-Wha;Lee, Kyung-Jae;Chun, Sang-Hee;Lee, Jong-Yul;Yu, Kyung-Hui;Jeong, Tae-Ok;Park, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.228-236
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    • 2004
  • Purpose: This study attempted to see the trend of researches in nursing old people. Method: We analyzed a total of 105 articles that were published in The Journal of Korean Community Nursing, J. Korean Community Health Nursing Academic Society. The J. of Korea Acad. Soc. of Home Care Nursing from 1987 to June 2003. Result: 1. It was found that researches on old people nursing had increased every year since 1995 and most largely in 1995$\sim$1999. 2. It was known that the majority of researches were designed to be non-experimental and their subjects were old people over 65 living at home. 3. Nursing interventions used in experimental studies were music therapy and various health promotion programs. 4. Major research concepts are physical activities, mental health, physical health, medical management, social health, quality of life and family health. Conclusion: The number of studies has increased in community nursing journals, but there have been not many studies about polices and management for old people living in community society and suggestions of practical alternatives. Thus it is necessary to carry out more community nursing studies about management and education for old people.

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A study on the job analysis of dental hygienist in Gwangju (광주광역시 치과위생사의 직무분석에 관한 조사 연구)

  • Ha, Myung-Ok;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.5
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    • pp.807-817
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    • 2010
  • Objectives : The purpose of this study was to analyzes the job implementation of dental hygienist at dental hospital(university), dental clinic and general hospital in the city of Gwangju. Methods : The subjects in this study were dental hygienists who worked at dental hospital(university), dental clinic and general hospital in the city of Gwangju. A survey was conducted by post from June 10 to August 10. Out of the collected data, 204 answer sheets were analyzed. Results : 1. 'Medical & Dental history taking', 'Extra & Intra oral examination' and 'Dental hygiene care plane' in dental clinic were significantly higher than dental hospital(university) and general hospital(p<0.001). 'Remove of extrinsic stain' and 'Treatment of hypersensitivity tooth' in dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.001). 'Preventive dental caries treatment' and 'Diet control' were shown the low frequency of job implementation. 2. Almost task elements of dental assistance duty shown that dental hygienists under the 24 years old were significantly higher dental hygienists over the 30 years old(p<0.05) and dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.05) in frequency of job implementation. 3. 'Dental staff supervision', 'Patient management' and 'Dental chart arrangement' shown that dental hygienists over the 30 years old were significantly higher than dental hygienists under the 24 years old in frequency of job implementation(p<0.05). 'Infection control' of dental hygienists over 30 years old was significantly lower than dental hygienists under the 24 years old(p<0.001). Conclusions : The results of this study indicate that a scope of dental hygienists' job need to extend also in order to accomplish a job efficiently, is suggested that the effort is necessary to improve a quality of dental hygienist and to change of recognition of the dentist about dental hygienists' job.

A Study about Construction of Sasang Constitutional Nursing Theory: On the focus 『Dongyi Soose Bowon Sasang Chobongyun』 (체질적 간호 이론 정립을 위한 연구 『동의수세보원사상초본권(東醫壽世保元四象草本卷 )』 을 중심으로)

  • Yoo, Jung-Hee;Lee, Eui-Ju;Song, Il-Byung;Koh, Byung-Hee;Lee, Soo-Kyung;Lee, Hyang-Yeon
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.2
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    • pp.71-83
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    • 2004
  • 1. Objectives The purpose of nursing is to promote health and well-being for all persons. It is connected with Sasang Constitution theory have regard for viewpoint by other's a special quality & individual difference. A nursing is helping behavior to recover health, disease protection & self care ability through health education. There is need for Oriental nursing research continually. 2. Methods This study attempted to develop a fundamental nursing theory for Sasang Constitution on the focus "Dongyi Soose Bowon Sasang Chobongyun". Because the book is important to understand Lee Je-ma's early medical mind and thinking. 3. Results and Conclusions The Sasang Constitution theory lay great emphasis upon health caring medicine to promote health according to self Constitution at normal times, preventive medicine to manage byself body and mind in ordinary times. The way of Sasang Constitutional Nursing Theory is expected to set up a landmark stone in Korean nursing. It is also can product a new nursing theory. In view of 'Nature and Order' is explained inborned general human being who were gifted from nature. On the other hand, in view of 'Knowledge and Deed' based on Constitutions are explained autonomical human being. There are depend on independant control and make efforts themselves or not. It have a connected in four paradigm (human- environment-health- nursing) of nursing theory. The history taking stage claim caring of sick-people before. The ways of assesment for sick-people have to know a process of illness.

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Effect of Self-determination Motivation on Job Engagement and the Moderating Effect of Compensation Satisfaction in Dental Hygienists (치과위생사의 자기결정성동기가 직무열의에 미치는 영향 및 보상 만족도의 조절효과)

  • Kim, Min-Jeong;Kim, Ji-Young;Ryu, See-Won
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.173-184
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    • 2022
  • Purpose : The purpose of this study was two-fold: to identify the effect of dental hygienist's self-determination motivation on their job engagement and to analyze the moderating effect of compensation satisfaction that affect the relevance. Methods : Data were collected using a structured self-report questionnaire administered to 260 dental hygienists working in dental hospitals and clinics in Busan, South Korea. These were analyzed using IBM SPSS Statistics version 26.0 and SPSS Process Macro 3.5. A frequency analysis, including the respondents' general characteristics, frequency, percentages, and standard deviations, was performed. A regression analysis was also performed using SPSS Process Macro to verify the moderating effect of compensation satisfaction in the effect of self-determination motivation on job engagement. Results : The self-determination motivation of the dental hygienists had a statistically significant positive effect on their job engagement, which was the dependent variable. Higher intangible compensation satisfaction levels led to a stronger effect of intrinsic motivation but a weaker effect of extrinsic motivation on job engagement. Moreover, higher tangible compensation satisfaction levels strengthened the effect of intrinsic motivation on job engagement. Conclusion : Recently, the demand for oral health care has been increasing, Competition in the dental medical service market warrants, high-quality dental services based on accurate diagnosis and treatment. In this context, dental hygienists' job engagement must be improved. For this purpose, increasing the satisfaction of dental hygienists with self-determination motivation and appropriate compensation is effective. In addition, attention must be paid to the moderating effect of compensation satisfaction on the relationship between intrinsic motivation and job engagement. On the basis of the implications of this study, the results can be used as basic data for improving dental hygienists' welfare system and manpower management.