• Title/Summary/Keyword: Small and Medium Hospitals

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The Gender Difference between Diet Therapy Satisfaction and Awareness of Nutrition Education of Inpatients in Some Small and Medium-Sized Hospitals in Southern Gyeonggi Area (경기남부지역 일부 중소병원 치료식 환자의 성별 급식만족도와 영양교육에 대한 인식 비교)

  • Rhie, Seung-Gyo
    • The Korean Journal of Community Living Science
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    • v.23 no.1
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    • pp.61-77
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    • 2012
  • This study was carried out on hospitalized patients receiving diet therapy satisfaction and awareness of nutrition education in small and medium-sized hospitals in southern Gyeonggi area. By the face-to-face interview with questionnaire method, the survey was carried out on 150 subjects (99 males and 51 females). The patients (64.7% of males, 52.9% of females) heard the description of diet therapy without the aid of written manual. Patients were moderately satisfied by food that was rated based on these indicators: tastiness (2.45), saltiness (2.23), smelliness (2.23), and appetizing appearance (2.39) as a 4 point scale. Most of the patients (80.8% of males, 69.8% of females) wanted to continue diet therapy. The importance of diet was correlated with the tastiness, saltiness, and appetizing appearance of diet. And the help of dietitians' explanation was correlated with appetite. 55.6% of males and 35.4% of females received nutrition education before (p<0.05). The number of times nutrition education was received was once for male (33.3%) and three times for female (44.4%). Most nutrition education satisfaction that was calculated on a 4 point scale was well understood (3.03), recognized importance (3.44 for males, 2.78 for females) and help for disease management (p<0.01). Also they were satisfied with the explanation of disease (3.20). Nutrition education satisfaction was correlated positively with explanation about food related to disease, the current dietary treatment, how to prepare diet recipes, and dietitian's kindness, but negatively with satisfaction with explanation of diet therapy, and the description and help for disease management. In conclusion, the most important factor in practicing diet therapy was meeting with the dietitian. Intensive nutrition education after the patient's discharge is necessary for patients to continue diet therapy.

Survey on Online Continuing Education Requirements according to Practical Experience of Nurses at Small and Medium Sized Hospitals (중소병원 간호사의 실무 경험에 따른 온라인 보수교육 요구도 조사)

  • Eun, Young;Kang, Han Sol;Jeon, Mi Yang
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.197-205
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    • 2016
  • Purpose: The purpose of this study was to conduct a comparison analysis on requirements of online continuing education requirements according to practical experience of nurses at small and medium-sized hospitals. Methods: Data had been collected with 236 nurses from May to June, 2015. The data were analyzed with the use of SPSS. Results: Among them, 45.8% participated in online continuing education. Nurses in beginning level required musculoskeletal diseases (20.9%), care for injuries and stomas (5.8%), and surgical disease and operation care (4.7%). Competent nurses required musculoskeletal diseases (19.7%), cerebrovascular diseases (9.9%), emergency care and CPR (8.5%), and medical nursing (8.5%). Skillful nurses required cerebrovascular diseases (13.9%), care for internal diseases (8.9%), and rehabilitation care (8.9%). Among the educational contents of diseases, the items that were significantly different according to practical experience were operation management ($x^2$=23.92, p<.001) and drug care ($x^2$=7.85, p=.020). Among continuing education methods, the items that were significantly different were video ($x^2$=16.81, p<.001), webtoon ($x^2$=8.96, p=.011), and test ($x^2$=10.56, p=.005). Among continuing education evaluation methods, the items that were significantly different were multiple-choices ($x^2$=9.43, p=.009) and OX ($x^2$=6.47, p=.039) based quizzes. Conclusion: Based on the study results, it is necessary to develop a differentiated continuing education program according to practical experience of nurses.

Factors that Affect the Confidence of Performance of Nurses at Small and Medium-sized Hospitals in the Control of Infections Caused by Multidrug-Resistant Organisms (중소병원 간호사의 다제내성균 감염관리 수행자신감에 미치는 영향요인)

  • Choi, Mi Jung;Lee, Mi Hyang;Jeong, Sun Young;Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.3
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    • pp.321-329
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    • 2020
  • Purpose: This study was conducted to assess the factors that affect the confidence of nurses at small and medium-sized hospitals in the control of infections caused by multidrug-resistant organisms and to establish basic data for the interventional strategy to improve the nurses' execution of the control of infection caused by multidrug-resistant organisms. Methods: A total of 154 nurses working at four small and medium-sized hospitals situated in City C were selected as participants of this study. Data were collected using a structured questionnaire and analyzed using the IBM SPSS 21.0 software. Results: Confidence in controlling infections caused by multdrug-resistant organisms had a positive correlation with the level of knowledge of this control and the health beliefs of the nurses. Factors that affect nurses' confidence in controlling infections caused by multidrug-resistant organisms included perceived benefits (β=.431, p<.001) and knowledge (β=.354, p<.001) with an explanatory power of 36.4%. Conclusion: It was found that the nurses have higher confidence in executing their duties with higher perceived benefits of and knowledge about the control of infections caused by multidrug-resistant organisms. As such, it is deemed necessary to establish strategies to elevate the advantages of and knowledge about infection prevention activities at the time of training/education on controlling infections caused by multidrug-resistant organisms.

A Convergence Effect of Positive Psychological Capital and Psychological Well-being on Work Engagement of Medium and Small Hospitals Nurses (중소병원 간호사의 긍정심리자본과 심리적웰빙이 직무열의에 미치는 융합적 영향)

  • Kang, Jung Mi;Kwon, Jeong-Ok
    • Journal of the Korea Convergence Society
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    • v.8 no.4
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    • pp.89-99
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    • 2017
  • This study was to identify the convergence factors that affect work engagement in medium and small hospitals nurses, The research method were self -report questionnaire was completed by 198 nurse three hospitals in B city between April 18th to April 30th, 2016. and date analyzed using the IBM SPSS/WIN 22.0 program. As a result, work engagement was positively correlated with psychological capital and psychological well-being, significantly affecting Convergence Factors analysis showed that with positive psychological capital(${\beta}=.363$, p<.001) and psychological well-being(${\beta}=.300$, p<.001) explained 52.7%, level of education(${\beta}=.102$, p=.040), job satisfaction(${\beta}=.109$, p=.044), nursing satisfaction(${\beta}=.137$, p=.022) explained 4.4% of the work engagement. Based on this, It is necessary to develop and verify program to enhance the positive psychological capital and psychological well-being of medium small hospital nurses.

The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals (중소병원 간호사의 경력정체, 자기효능감, 직무배태성과 이직의도와의 관계)

  • Kim, Yu-Mi;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.5078-5090
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    • 2013
  • This study was to identify the relationship among small-medium sized hospitals nurse's career plateau, self-efficacy, job embeddedness and turnover intention. The study was conducted through a survey on 217 nurses in five small-medium sized hospitals in J city. The data were collected from August 5, 2013 to August 20, 2013. The data were analyzed by SPSS/WIN 18.0 program. The mean score of turnover intention was 3.07. The positive correlations between career plateau and turnover intention were found, but the negative correlation between self-efficacy, job embeddedness and turnover intention were found. The significant factors influencing turnover intention were job embeddedness, present clinical career, career plateau and work unit. To decrease turnover intention, therefore, nursing managers need to develop the nurse retention program for increasing job embeddedness and apply to nursing field.

The Influence of Awareness of Healthcare Accreditation, Job Stress and Organizational Commitment on Turnover Intention of Small and Medium sized Hospital Nurses. (중소병원 간호사의 의료기관인증제 인식 및 직무스트레스, 조직몰입이 이직의도에 미치는 영향)

  • Choi, In;Hwang, Hye Min;Kim, Juok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.160-168
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    • 2017
  • This study examined the awareness of the healthcare accreditation system, job stress, organizational commitment, and the turnover intention to determine the effects of these factors on the turnover intention of small and medium sized hospitals. A total of 202 nurses who worked in hospitals with less than 500 beds located in Gyeonggi-do, participated in this study. Questionnaires were given to the nurses who experienced healthcare accreditation, and data were collected between 1 December 2015 and 30 March 2016. As a result, the factors and general characteristics, influencing the turnover intention were found to be age (F=4.68, p<.001), marital condition (F=3.92, p<.001), and department of work (F=3.23, p<.008). The turnover intention was negatively correlated with the awareness of the healthcare accreditation system (r=-.46, p<.001) and nursing organizational commitment(r=-.35, p<.001), but positively correlated with the job stress (r=.21, p=.002). Regression analysis showed that the turnover intention of nurses from small and medium sized hospitals had 22.0% on the organizational commitment, department type, and job stress. Therefore, to decrease the nurses' the turnover intention, managers of small and medium sized hospitals need to draw up measures to support job involvement and policy improvement. The results also showed the difference in turnover intention according to the department type. Accordingly, there is a need for a differentiated approach according to the department of work, such as a special unit, ward, and outpatient department.

Mediating effects of Critical Thinking Propensity between Perception of Patient Safety Culture and Practice of Standard Precaution of Nurses in Small and Medium Hospitals (중소병원 간호사의 환자안전문화 인식과 표준주의지침 수행도의 관계에서 비판적 사고성향의 매개효과)

  • Junghyun Choi
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.101-110
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    • 2024
  • This study was conducted to confirm the relationship between perception of patient safety culture, critical thinking propensity, and practice of standard precaution among nurses in small and medium-sized hospitals. The research subjects were nurses from three small and medium-sized hospitals located in S City and C City who understood the purpose of the study and agreed to participate. The final study subjects were 158 nurses. The data were collected from January 5, 2020 to March 31, 2020, and descriptive statistics, t-test, one-way ANOVA, correlation, regression analysis, and Sobel test of the collected data were performed using SPSS/WIN26.0 Program. As a result of the study, nurses' practice of standard precaution showed a significant positive correlation with perception of patient safety culture (r=.524, p<.001) and critical thinking disposition (r=.471, p<.001). Critical thinking propensity was found to have a partial mediating effect in the relationship between perception of patient safety culture and practice of standard precaution. Based on the results of this study, repeated research can be conducted in the future, and can be used to develop and apply educational programs that can improve nurses' practice of standard precaution.

Knowledge, Awareness, Safety-climate and Performance of Standard Precautions for Healthcare Associated Infection Control among Nurses in Small and Medium Hospitals (중소병원 간호사의 의료관련 감염관리를 위한 표준주의 지식, 인지도, 안전환경과 수행도)

  • Sim, Mi-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.425-435
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    • 2019
  • The purpose of this study was to examine the knowledge, awareness, safety-climate and performance of standard precautions for healthcare-associated infection control and to identify the factors that influence the performance of standard precautions among nurses in small- and medium-sized hospitals. The subjects of this study were 151 nurses who worked for more than 1 year in 6 small to medium-sized hospitals (less than 300 beds). The data was collected using self-report questionnaires from January 15 to February 15, 2018. The collected data was analyzed using the SPSS Statistics 22.0 program. The mean score for safety climate and performance of standard precautions showed significant differences according to the working department. There were significant positive correlations among knowledge, awareness, safety climate, and performance of standard precautions. The factors influencing the performance of standard precautions were safety climate and awareness. The explanatory power of the performance of the two variables was 23.3%. Based on the findings, it is necessary to improve the safety-climate and continuous educational program, and administrative support should be provided to improve nurses' performance of standard precautions for healthcare-associated infection control in small- and medium-sized hospitals.

A Study on the Architecture of Cloud Hospital Information System for Small and Medium Sized Hospitals (중소형 병원의 클라우드 병원정보시스템 서비스 체계에 관한 연구)

  • Lee, Nan Kyung;Lee, Jong Ok
    • The Journal of Society for e-Business Studies
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    • v.20 no.3
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    • pp.89-112
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    • 2015
  • Recently, the business environment of healthcare has changed rapidly due to the entering the mobile era, the intensifying global competition, and the explosion of healthcare needs. Despite of necessity in expanding new IT-based medical services and investing IT resources to respond environmental changes, the small and medium sized hospitals could not realize these requirements due to the limited management resources. CHISSMH is designed and presented in this research to provide high valued clouding medical services with reasonable price. CHISMH is designed and presented in this research to provide high valued medical services with reasonable price through cloud computing. CHISME is designed to maximize resource pooling and sharing through the visualization. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, provide high level services with reasonable pay-per-use price. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, and could provide high level services with reasonable pay-per-use price. CHISME is expected to be base framework of cloud HIS services and be diffusion factor of cloud HIS services Operational experience in CHISSMH with 15 hospitals is analyzed and presented as well.

A Study on the Factor of Retention Intention on Nurses in Small and Medium-sized Hospitals (중소병원 간호사의 재직의도 영향요인 연구)

  • Kim, Mi-Hye;Park, Jeong-Min
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.195-203
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    • 2020
  • Purpose: This study was a descriptive study to investigate on the effect of calling, self-efficacy, workplace bullying on retention intention among nurses in small and medium-sized hospitals. Methods: The research subjects were 224 nurses selected through convenient sampling from among those who have worked six months or longer in seven small and medium-sized hospitals located in G City. The data were collected using a structured questionnaire from July 17 to 30, 2018. The data was analyzed by descriptive statics, a t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and a stepwise multiple regression using SPSS/WIN 22.0 program. As a measuring tool, Calling was the Calling & Vocational Questionnaire (CVQ) developed by Dik, Eldrige and Steger (2008). Self-efficacy was developed by Sherer et al. (1982) and modified by Jeong Ae-soon (2007). Workplace bullying was developed by Einarsen, Raknes and Matthiesen (1994) in the Norwegian Negative Behavioral Experience Questionnaire (NAQ), and by Nam Woong et al. (2010). The retention intention was to use NRI (Nurses' Retention Index) developed by Cowin (2002) as a tool for Kim Min-jung (2006). Results: Factors affecting nurses' retention were analyzed. The analysis showed that retention intention was positively affected by self-efficacy (β=.24, p<.001), sense of calling (β=.23, p<.001) and annual wage (β=.21, p=.001) and negatively affected by workplace bullying (β=-.16, p=.008) on a statistically significant level, with an explanatory power of 28.6%.