• 대한임상검사과학회지
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• 제52권1호
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• pp.83-89
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• 2020

북한과 남한은 임상검사실 인력구조에서 차이가 있다. 북한에서는 남한의 '임상병리사'에 해당하는 유사인력을 '실험의사(검사의사)'라고 호칭한다. 본 연구자들은 탈북 보건의료인의 증언을 바탕으로 한 선행연구를 고찰해 보면, 검사의사(laboratory doctor)의 신분은 의사(physician)와 준의(feldsher, physician assistant)일 것이라고 사료된다. 의사와 준의는 5.5년제 의학대학 및 3년제 의학전문학교에서 양성되고 있다. 북한의 보건의료인력체계는 남한의 경우처럼 보건전문가들의 전문영역별 업무나 교육, 자격 및 법률이 세분화되어 있지 않다. 대한임상병리사협회는 한반도 통일을 대비하여 유관 단체와 함께 정책연구를 통해서 북한 임상검사인력에 대한 직제 전문화 구축과 발전 방향을 상호 모색해야 할 것으로 사료된다.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.21-37
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• 2009

The purpose of this GWP project was two-fold:(1) to launch an organizational culture improvement for great workplace (2) to improve the perception of nursing personnel on communication and team work in a surgical nursing department of a teaching hospital in Seoul. Using one group pretest-posttest design, nursing personnel's perception on organizational culture related to communication and team work was evaluated. A 10-item, 5-point scale (1.5) survey was administered to 209 nursing personnel in January 2009 and again to 191 nursing personnel in October 2009. From January 2009, AMANNA team has taken activities focused on trust, pride, and fun. AMANNA is an abbreviation of Korean language, which means wonderful meeting and sharing in English. Monthly activities are as follows: choral concerts by nurse managers, welcome and farewell events, praising members for their services, explaining current circumstances, etc. Special activities are as follows: a New Year's greeting party, a spring picnic, beauty classes, a lecture on drug administration, cultural lectures using videos, and presentations of academic posters and another activity. The reliability of measurement was Cronbach's ${\alpha}$: 0.917(pretest), 0.954(posttest). Most nursing personnel's perception on organizational culture was improved (pretest mean=3.50 and posttest mean=3.78, p<.001). "A sense of belonging" showed the greatest improvement among the 10 items(3.18 vs. 3.56, p<.001). "Trust each other" showed the highest score (mean=3.98) in posttest. Frequency of participation and satisfaction showed a significant relationship(r=0.179, p=.021). We believe that this project has made a contribution towards a positive organizational culture. The keys to this initiative's preliminary success have been the leadership support and flexibility in implementing the interventions tailored to the hospital.

• 한국학교ㆍ지역보건교육학회지
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• 제16권1호
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• pp.93-105
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• 2015

Objectives: This study is for understanding the perceived job training of the public health promotion program officials and analysis the educational needs in order to serve as the basis for the development of the future educational programs. Methods: To this end, we have developed a survey based on references and consultations with experts. We had explained the purpose and the intent of the survey to nationwide public health directors in advance and an online questionnaire was conducted for health promotion program and service providing personnel; the results from a total of 763 survey respondents were used in the final analysis. Collected data were analyzed through SPSS Win 21.0. Results: The results shows that the tasks of public health promotion personnel are 'business practices,' 'planning and evaluation related work' and so on in order of importance while the duties of service providing personnel are 'counseling,' 'education' and so on. One of the factors affecting field applications of education is 'awareness of the connection between education and career development' which accounts for 33% of explanatory power; the selected six other factors constitute 41.7%. Necessary educational contents for public officials are 'public health service planning,' 'report writing skills' and 'project evaluation methods.' On the other hand, for service providers, the contents are 'counseling methods,' 'development of educational materials,' 'monitoring health status' and so on. Conclusions: In order for trained service personnel to accord with the changed health promotion environment and the demand of local residents, Public Health Promotion officials should increase educational opportunities based on the competencies for each job, provide continuous learning opportunities and information even after the training, and finally, create a system that can link to career development.

• Journal of Medicine and Life Science
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• 제21권1호
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• pp.1-10
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• 2024

The purpose of this study is to determine the issues of supplementation and improvement to prepare for the outbreak of new infectious diseases such as new variants of coronavirus disease 2019 (COVID-19) to guide work for a strategic new response to infectious disease. Public officials of Jeju Special Self-governing Province and health personnel responding to COVID-19, working at six public health centers in Jeju-do region were administered a survey about additional preparations to be made in the future, based on the period when COVID-19 was treated legally as a first-class infectious disease. Frequency analysis was conducted on the collected data. The Likert 5-point scale and Kruskal-Wallis test were used to compare the scores for effective response to emerging infectious diseases according to demographics. Among the important factors identified for effective response to new infectious diseases, 'facilitation of cooperation with public institutions' and 'facilitation of cooperation with private institutions' had the highest scores. In the future, when a patient presents with a new infectious disease, the step that needs to be supplemented in each phase of the public health center's response is 'immediate response team operation'. Further, public health centers responded that 'expansion of dedicated personnel related to infectious diseases' needs to be improved to respond to new infectious diseases. Along with the results of this study, considering the difficulties experienced by health personnel responding to new infectious diseases in preparation for future outbreaks of new infectious diseases, and to respond effectively, detailed and clear guidelines for responding to quarantine of patients of new infectious diseases will be needed.

• 경영과정보연구
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• 제17권
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• pp.107-133
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• 2005

The purpose of this study was to analyze a trend of profitability classified by characteristics of hospitals and to analyze related factors. The data for this study were derived from survey material conducted by the Korean Hospital Association on 33 hospitals in Korea between 1993 and 2002. Profitability was measured in the aspect of investment profit rate and operation profit rate with net profit to total assets, normal profit to total assets and operating margin to gross revenue as dependent variables. Independent variables were classified by general factors (ownership, number of beds, period of establishment, region), financial factors (total asset turnover, liabilities to total assets, current ratio, fixed ratio, inventories turnover, personnel costs per operation profit, material costs per operation profits), composition of manpower and facilities(personnel and area per beds), productivity index(the number of daily patients per medical doctor, the number of daily patients per nurse), the score of quality assurance activities. First, Concerning the specialists per beds or area per beds and profitability of hospitals there was not statistically significant. Second, Those hospitals having the most daily patients per nurse had significantly higher profitability than the others, but the number of daily patients per medical doctor had little effect on the profitability. Thirds, Those hospitals having a higher proportion total asset turnover tended to show significantly higher profitability compared to other hospitals, but the liabilities to total assets and liquidity ratio had a little difference to the profitability. Those hospitals having a higher proportion personnel costs per operation profit and material costs per operation profits tended to show significantly lower hospital profitability compared to other hospitals. Fourth, In regression analysis, hospital profitability had negative relationship with personnel costs per operation profit or material costs per operation profits. While it had positive relationship with total asset turnover, the number of daily patients per nurse. In conclusion, private hospitals had higher profitability than that of public hospitals. Though factors related to profitability of hospital were different according to ownership, it is important for securing appropriate profitability by operating appropriate number of nurse, raising total asset turnover, and reducing personnel costs, material costs per operation profits. This study can be used as a baseline data for planning of hospital management. But the study may be limited in that the results cannot be generalized due to its small sample size. However, this longitudinal observation of 33 hospitals over ten year period has significant merit alone.

• 한국콘텐츠학회논문지
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• 제18권9호
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• pp.399-410
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• 2018

본 연구는 일 지역공공의료기관을 대상으로 영국 디자인 카운슬의 서비스디자인 프로세스를 적용하여 고객경험기반의 결핵관리서비스를 디자인한 방법론적 연구이다. 본 연구는 환자를 포함한 결핵관리 일선에서 근무하는 직원들의 경험에 기반하여 결핵관리 문제점을 찾고 해결하는 서비스디자인 방법을 활용하여 일지역공공의료기관의 결핵관리서비스를 디자인하였다. 연구범위는 환자 내원 시점부터 퇴원 후 지역사회 연계까지로 서비스디자인을 위해 결핵진료와 관련된 이해관계자 12인으로 팀을 구성하고, 발견하기, 정의하기, 발전하기 및 전달하기의 4단계 과정을 거쳤다. 고객경험기반 결핵관리서비스는 환자가 병원에 내원한 순간부터 퇴원 후 지역사회 연계까지의 과정에 대하여 총 8개 항목 서비스를 포함하여 디자인되었다. 본 연구결과 서비스디자인 방법론은 환자를 포함한 다양한 이해관계자의 총체적인 맥락을 고려한 결핵관리 프로그램 개발에 매우 효과적이었다. 따라서 고객의 경험을 들여다보고 숨겨진 욕구를 찾아 최상의 만족을 제공하고, 이해관계자간 업무효율화의 실현이 필요한 다양한 건강관리서비스 프로그램 개발에 서비스디자인 방법을 활용해 볼 것을 제안한다.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2002년도 춘계학술대회 논문집
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• pp.21-29
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• 2002

가스계 소화약제시스템의 인명안전 또는 기타 안전관련으로 CO2 시스템과 청정약제시스템을 중심으로 기술해보았습니다. 인명에 대한 위험을 최소화하면서 CO2 소화시스템의 혜택을 얻기 위해서는 설계, 시공, 유지관리면에서의 인명안전에 대해 상당한 관심을 기울여야한다. 청정 소화약제를 통상의 거주구역에 사용할 경우의 주요요소는 독성문제이다. 할로겐화탄소약제 테스트에서의 주요 관점은 급성효과, 즉 단기간 노출의 경우이다. 주요급성효과에는 마취성과 심장감작성이 있다. 불활성가스약제의 경우 주요 신체적 영향으로는 산소농도의 저하문제를 들 수 있다.

• 경영과학
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• 제32권3호
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• pp.71-89
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• 2015

This research empirically investigated the influence factors on the activation of environmental innovations (EI) in Korean manufacturing firms. In this study, external factors (compulsory demand, government regulation, normative pressure and imitative pressure) and internal factors (environmental resources, top management support, integration of environmental tasks, capabilities of environmental personnel, and environmental strategy/environmental management systems) were totally considered. The results of a multiple regression analysis showed that influence factors such as top management support, environmental resources and integration of environmental tasks have a significant and positive impact on levels of EI. However, the effects of external factors were not statistically significant. We also examined whether capabilities of environmental personnel as well as environmental resources, which are directly related with degrees of EI, have a moderating impact on relationships between other internal factors and levels of EI. With a subgroup analysis, the moderating role of abilities of environmental personnel were empirically confirmed. Through a multiple regression analysis, the direct effects of external factors on the adoption or construction of internal factors were demonstrated. The effects of government regulation, normative pressure and imitative pressure on internal factors were significant and positive. It was also found that external factors have indirect effects on EI through internal factors. Finally, the results of multiple regression analyses indicated that EI positively influences the achievement of environmental competitive benefits, and environmental competitive advantages can improve the organizational performance of a firm.

• 한국농촌간호학회지
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• 제5권1호
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• pp.25-32
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• 2010

Purpose: The purpose of this study was to provide a fundamental data for improving nurses' working environment and securing quality of nursing care. Method: It was consisted of analyzing education system and employment status of nursing personnel, and focus group interviews in Cheju Island. Results: Total graduates were 4,139 by 2006 from two nursing schools in Cheju. Difficulties in working conditions from focal group interviews were classified into four categories; Lack of anonymity of nurses, the burden from performing nontraditional nursing roles due to shortage of physicians, irregularity of working schedule and too many night shifts for taking care of female colleague's condition related with pregnancy, and poor support for implementing and developing professional nursing. Conclusion: A survey revealing working condition of nursing personnel of all health care institutions in Cheju Island will provide the comparison between Cheju Island and other areas. It needs to cultivate the public opinion about the importance of quality of nursing care proceeded by the broad support for improving nurses' working environment. It is essential to support continuing education to bring professional nurses and establishing the system to utilize them to overcome the shortage of physicians in Cheju Island.

• 임상간호연구
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• 제17권2호
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• pp.138-149
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• 2011

Purpose: The objective of this research was to explore levels of patient safety and safe nursing activities depending on the level of nurse staffing, in order to provide effective management of nurse personnel. Methods: The research was conducted with 455 nurses from eight hospitals in B city. Data were collected according to the level of nurse personnel from second (nurse vs. patient ratio of 2.0-2.5) to fifth (ratio of 3.5-4.0) rank. The survey tools were, 'Questionnaire on Patient Safety, a Hospital Survey on Patient Safety Culture developed by AHRQ (2007), and 'Questionnaire on Patient Safety Nursing Act, in which the questions were selected from nursing-related items (Medication 6 & Safety Nursing Assurance Act 4) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. Data were analyzed with SPSS PC 12.0 program using descriptive statistics, $x^2$ test, ANCOVA and $Scheff{\grave{e}}$. Results: The nurses' overall cognition level on patient safety and safe nursing activities showed that nurses who are in the second and third rank had higher scores than those in lower ranks. Conclusion: The results of this study indicate that hospitals need a higher ratio level for nurse personnel in order to assure patient safety and safe nursing activities.