• Title/Summary/Keyword: Self-Care Agency

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An Assessment of the Knowledge, Attitude, and Practice Toward Standard Precautions Among Health Workers From a Hospital in Northern Cyprus

  • Abuduxike, Gulifeiya;Vaizoglu, Songul Acar;Asut, Ozen;Cali, Sanda
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.66-73
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    • 2021
  • Background: The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. Methods: A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. Results: The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. Conclusion: The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.

Analysis of the relationship between developmental knowledge, development-supportive nursing competency, and development-supportive nursing performance of nursing students who experienced online alternative training in the neonatal intensive care unit (신생아 중환자실 온라인 대체실습을 경험한 간호대학생의 미숙아 발달지식, 발달지지간호역량 및 발달지지간호 수행간의 관계분석)

  • Ja Young Lee;Jae Woo Oh
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.11-21
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    • 2024
  • This study is a descriptive research study to examine the relationship between developmental knowledge of premature infants, development-supportive nursing competency, and development-supportive nursing performance among 103 nursing students who experienced online alternative training in the neonatal intensive care unit. Data collection was conducted from September 1, 2022 to September 31, 2022 using a self-administered questionnaire, and the collected data was analyzed using the SPSS statistical program. As a result of the study, it was found that nursing students' grade and development support nursing competency influenced the performance of development support nursing, and the explanatory power of the variable was 22%. In conclusion, in order to improve the developmental support nursing capacity of premature infants, it is believed that a systematic education program and clinical practice education content that considers the learning level of each grade should be developed.

The Effect of Parenting Stress on Infants' Social Competence: Mediating Effect of Parents' Self-Esteem (부모 양육 스트레스가 유아의 사회적 유능성에 미치는 영향: 부모의 자아존중감의 매개효과)

  • Jeong, Yeong Mi
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.181-186
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    • 2022
  • This study examines the effect of parenting stress on children's social competence in relation to parenting stress, children's social competence, and parents' self-esteem, The purpose of this study is to investigate whether parental self-esteem mediates the relationship between parenting stress and children's social competence. Frequency analysis and descriptive statistical analysis were performed on the data of the 7th year of 2014 Panel Study of Korean Children(PSKC), and Pearson's moment correlation coefficient was calculated for correlation analysis between variables. In addition, in order to verify the mediating effect of parental self-esteem in the relationship between parenting stress and the child's social competence, Process Macro Model 4 was applied to verify the mediating effect, The significance of the indirect effect was verified by the bootstrapping method. As a result of this study, first, the correlations between all latent variables showed significant correlations. Second, it was confirmed that mother and father self-esteem had a mediating effect in the effect of father and mother's stress on infants' social competence. These results suggest that in order to improve children's social competence, parents should be able to increase their self-esteem so that they can have faith and confidence in themselves and control their emotions well in parenting stressful situations.

Artificial Intelligence In Wheelchair: From Technology for Autonomy to Technology for Interdependence and Care (휠체어 탄 인공지능: 자율적 기술에서 상호의존과 돌봄의 기술로)

  • HA, Dae-Cheong
    • Journal of Science and Technology Studies
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    • v.19 no.2
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    • pp.169-206
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    • 2019
  • This article seeks to explore new relationships and ethics of human and technology by analyzing a cultural imaginary produced by artificial intelligence. Drawing on theoretical reflections of the Feminist Scientific and Technological Studies which understand science and technology as the matter of care(Puig de la Bellacas, 2011), this paper focuses on the fact that artificial intelligence and robots materialize cultural imaginary such as autonomy. This autonomy, defined as the capacity to adapt to a new environment through self-learning, is accepted as a way to conceptualize an authentic human or an ideal subject. However, this article argues that artificial intelligence is mediated by and dependent on invisible human labor and complex material devices, suggesting that such autonomy is close to fiction. The recent growth of the so-called 'assistant technology' shows that it is differentially visualizing the care work of both machines and humans. Technology and its cultural imaginary hide the care work of human workers and actively visualize the one of the machine. And they make autonomy and agency ideal humanness, leaving disabled bodies and dependency as unworthy. Artificial intelligence and its cultural imaginary negate the value of disabled bodies while idealizing abled-bodies, and result in eliminating the real relationship between man and technology as mutually dependent beings. In conclusion, the author argues that the technology we need is not the one to exclude the non-typical bodies and care work of others, but the one to include them as they are. This technology responsibly empathizes marginalized beings and encourages solidarity between fragile beings. Inspired by an art performance of artist Sue Austin, the author finally comes up with and suggests 'artificial intelligence in wheelchair' as an alternative figuration for the currently dominant 'autonomous artificial intelligence'.

A comparative study on denture cleansers for food stain removal on the denture of elders in domiciliary care (재가복지 노인의치 세정제의 음식물 세정효과 비교연구)

  • Lee, Nam-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.331-336
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    • 2018
  • Oral health is an essential requirement for maintaining and promoting health and quality of life while aging. It is known that there is a deep connection with hygienic management of dentures. However, despite the emphasis on the importance of clean management of dentures, there is a lack of quantitative research on denture-related detergents. Therefore, the purpose of this study is to evaluate food stain removal performance of three denture cleansers containing proteolytic enzymes. In addition, this study provides basic data on self-cleaning methods using detergents and suggests ways to improve effective treatment for oral health of elders in domiciliary care. In order to obtain quantitative data concerning food stain removal performance of each proteinase denture cleaner, the test evaluation method proposed by the Korean Consumer Agency, ISO 20795, was used. A total of 18 specimens were discolored for 48 hours in water dissolved with turmeric, and then washed with each denture cleaner for 24 hours. The cleaned denture specimens were measured quantitatively using a spectrophotometer to measure the color values of the denture specimens before the discoloration as well as the color values of the discolored specimens after cleaning with the denture cleanser. The experimental values were analyzed through one-way ANOVA with post-hoc Tukey's test, and statistically significant differences were found among the experimental groups. It was found that C had statistically significant stain removal performance compared with A and B(p<.05). All experiments were conducted for a total of 21 days, from July 3- 23, 2017. This study confirms that denture cleansers is a beneficial self-denture management method for domiciliary seniors. Therefore, it is necessary to extend accessibility for denture cleansers in order to to optimize domiciliary care for elderly oral hygiene and health.

Temperament and Social Support in Relation to Hope of Institutionalized Children (시설 보호 아동의 기질과 사회적 지지가 희망에 미치는 영향)

  • Lim, Jung Ha;Moon, Chi Yun
    • Korean Journal of Childcare and Education
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    • v.8 no.2
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    • pp.63-80
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    • 2012
  • This study examined the relationship among temperament, social support and hope of institutionalized children. A total of 198 children, aged 10 to 13, recruited from 20 institutions in Seoul participated. Demographics, temperament, social support from friends, institution-family and school teacher, and hope were assessed by self-report. Results showed that in bivariate level, temperament and social support were significantly associated with level of hope. However, hierarchical multiple regressions indicated that children's hope was predicted only by age and social support from friends, institution-family and school teacher. That is, temperament was not contributed to predict hope, whilst social support contributed unique variance to the prediction of hope, controlling for age. The more social support the children felt they had, the higher levels of hope they reported. Further analyses revealed that support from friends, institution-family and school teacher were influential factors in explaining hope agency, while support from institution-family and school teacher were influential factors in explaining hope pathway of institutionalized children, controlling for age.

A Study on the Appropriateness of Health Insurance Fee in Main Nursing Practices (주요 간호활동의 건강보험 수가 적절성에 관한 연구)

  • Kim, Yunmi;Kim, Kyungsook;Park, Mi Mi;Kim, In Sook;Kim, Mi Young
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.236-247
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    • 2017
  • Purpose: This study was to present improvement strategy and the problems of the nursing fee in national health insurance system. Methods: A total of 23 nursing activities performed by nurses were selected. Data were collected the relative value score and criteria of the Health Insurance Review & Assessment Agency. Sixty clinical nursing experts panels were composed and nursing time surveyed self-reported method. The actual fee was calculated through the nursing time, relative value score and actual labor costs. Nextly, the labor costs analyzed was compared with that in the national health insurance. Results: Although the practices were mainly performed by the nurse, other occupations have been recorded as main practitioners and the time of the nursing activity is partially improperly reflected. Additionally, although the nurse practiced mainly in glucose (semi-quantitative) test, it was confirmed that the principal practitioner was described as a clinical pathologist. The the labor cost gap was estimated that is 9.3 times (median) and 11.9 times (average) in this analysis. Conclusion: This study suggests that it is necessary to legislate a policy that can improve the quality of clinical nursing by reinforcing the appropriateness and improving nursing fee through reflection of the actual time spent for nursing care.

How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?

  • Ruitenburg, Martijn M.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.18-31
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    • 2016
  • Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.

Evaluating Interactive Fatigue Management Workshops for Occupational Health Professionals in the United Kingdom

  • Ali, Sheila;Chalder, Trudie;Madan, Ira
    • Safety and Health at Work
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    • v.5 no.4
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    • pp.191-197
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    • 2014
  • Background: Disabling fatigue is common in the working age population. It is essential that occupational health (OH) professionals are up-to-date with the management of fatigue in order to reduce the impact of fatigue on workplace productivity. Our aim was to evaluate the impact of one-day workshops on OH professionals' knowledge of fatigue and chronic fatigue syndrome (CFS), and their confidence in diagnosing and managing these in a working population. Methods: Five interactive problem-based workshops were held in the United Kingdom. These workshops were developed and delivered by experts in the field. Questionnaires were self-administered immediately prior to, immediately after, and 4 months following each workshop. Questionnaires included measures of satisfaction, knowledge of fatigue and CFS, and confidence in diagnosing and managing fatigue. Open-ended questions were used to elicit feedback about the workshops. Results: General knowledge of fatigue increased significantly after training (with a 25% increase in the median score). Participants showed significantly higher levels of confidence in diagnosing and managing CFS (with a 62.5% increase in the median score), and high scores were maintained 4 months after the workshops. OH physicians scored higher on knowledge and confidence than nurses. Similarly, thematic analysis revealed that participants had increased knowledge and confidence after attending the workshops. Conclusion: Fatigue can lead to severe functional impairment with adverse workplace outcomes. One-day workshops can be effective in training OH professionals in how to diagnose and manage fatigue and CFS. Training may increase general knowledge of fatigue and confidence in fatigue management in an OH setting.

A study on preceptor's core competencies for junior 119 paramedics in prehospital field (후임구급대원을 위한 구급현장 프리셉터의 핵심역량에 대한 연구)

  • Kim, Eun-Ae;Yang, Jin-Cheol;Lee, Jeong-Hyeok;Jung, Sang-Woo;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.17-35
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    • 2021
  • Purpose: This study aimed to investigate basic data on preceptor's core competencies required for junior 119 paramedics to improve the quality of emergency care in the prehospital field. Methods: From February 23 to March 10, 2021, data were collected through structured mobile questionnaires from 163 paramedics working in Sejong, Daejeon, and Chung Nam fire stations. The data were analyzed using SPSS version 25.0. Results: The average score of core competencies for junior 119 paramedics accounted for the importance of core competency (3.92 points), level of competence (3.43 points), educational needs (3.65 points). Among them, the importance of a role model accounted for 4.02 points, the highest among the sub-areas. Additionally, there was a significant correlation (r=.686), which was the highest, between the importance and educational needs of core competency; therefore, higher the importance of core competency, higher are the educational needs. Conclusion: Preceptor's core competencies concern three domains: role model, socialization facilitation, and instructional design. It would be more effective for those with higher professionalism and professional self-development needs to be trained as a prehospital preceptor.