• Title/Summary/Keyword: Small and Medium-Sized Hospitals

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Comparative Evaluation of Measures against the Spread of Air-borne Infections in a Large National Hospital and Small and Medium-sized Clinics in Korea (국내 대형병원과 중·소규모 의원의 공기감염 확산 방지 대책의 비교 평가)

  • An, Jiwon;Yang, Young Kwon;Won, An-Na;Hwang, Jung Ha;Park, Jin Chul
    • Journal of Korean Living Environment System
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    • v.25 no.1
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    • pp.90-97
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    • 2018
  • The purpose of this study is to compare and analyze the air infections in middle and small hospitals with the facilities of large national hospitals that have air-borne infection isolation (AII) wards through actual condition investigation and airflow analysis simulation (CFD) and to provide basic data for prevention. The method and scope of the study are as follows. First, through literature review, data related to prevention of infection spread in domestic medical institutions were investigated. Second, we conducted a survey on the status of isolation facilities to prevent the spread of infectious diseases in large hospitals and small and medium - sized clinics in Korea. Third, airflow analysis simulation (CFD) was carried out using the isolation ward of the nationally designated inpatient ward and the data of the plane and facility system of the small clinic. As a result of the study, it is found that regulations applicable to small and medium-sized clinics are insufficient. In addition, the simulation results show that the infectious disease virus is likely to spread to other patients in the hospital.

Effects of the Positive Psychological Capital, Professional Self-Concept and Self-Leadership on Nursing Work Outcome : Focused on the Nurses in Small and Medium Hospitals (긍정심리자본, 전문직 자아개념, 셀프 리더십이 간호업무성과에 미치는 영향 : 중소병원 간호사를 중심으로)

  • Yang, Hee-Mo
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.87-97
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    • 2018
  • The purpose of this study was to investigate factors affecting nursing work outcome of nurses in small and medium-sized hospitals. The data were collected from 131 nurses working in the four small and medium-sized hospitals located K city using self-reported questionnaires and October 3 2016 to November 1 2016. Nursing work outcome had a significant positive effect on positive psychological capital, professional self-concept and self-leadership. The multiple regression analysis shows that the factors affecting nursing work outcome were positive psychological capital and self-leadership, and their explanation was 44.5%. Based on this research, it is believed that to improve nursing work outcome of nurses in small and medium hospitals, it will be necessary to develop diverse programs to lead nurses themselves positively, responsibly and autonomously.

The Influence of Nursing Professionalism, Learning Agility, and Nursing Practice Environment on Nurses' Performance in Small and Medium Hospitals (중소병원 간호사의 간호전문직관, 학습민첩성, 간호근무환경이 간호업무성과에 미치는 영향)

  • Kim, Hye-Young;Lim, Su-Jin
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.197-207
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    • 2023
  • Purpose: This study attempted to discern the factors that influence nursing professionalism, learning agility, and the nursing practice environment on the performance of nurses. Methods: Data were collected from 202 clinical nurses who both consented to participate and who have worked for more than one year in one of five small- and medium-sized hospitals located in three regions of Korea. The data were analyzed using the SPSS/WIN 26.0 statistical programs. Results: The nurses' performance showed a statistically significant correlation with nursing professionalism (r=.50, p<.001), learning agility (r=.54, p<.001), and nursing practice environment (r=.37, p<.001). Factors affecting the results of nurses' performance in relation to the subjects are those of learning agility (β=.33, p<.001), nursing professionalism (β=.25, p<.001), clinical career (β=.24, p=.001), education level (β=.16, p=.011), and nursing practice environment (β=.15, p=.016). Conclusion: To improve the performance of nurses in medium-sized hospitals, it is necessary to develop a nursing practice environment, programs, and strategies for enhancing nursing professionalism and learning agility.

Management of Distributed Nodes for Big Data Analysis in Small-and-Medium Sized Hospital (중소병원에서의 빅데이터 분석을 위한 분산 노드 관리 방안)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.376-377
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    • 2016
  • Performance of Hadoop, which is a distributed data processing framework for big data analysis, is affected by several characteristics of each node in distributed cluster such as processing power and network bandwidth. This paper analyzes previous approaches for heterogeneous hadoop clusters, and presents several requirements for distributed node clustering in small-and-medium sized hospitals by considering computing environments of the hospitals.

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Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals (중소병원 간호사의 낙상예방행위와 관련 변인 간의 구조 분석)

  • Park, Ji Hyun;Son, Jung Tae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.4
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    • pp.269-281
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    • 2018
  • Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

The Effect of the Medium and Small Hospitals Nurses Role Conflict on Organization Effectiveness of Positive Psychological Capital (중소병원 간호사의 역할갈등이 긍정심리자본과 조직효과성에 미치는 영향)

  • Hwang, Kyeong-Mi
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.60-73
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    • 2019
  • This study is a descriptive research study to identify the role conflicts, positive psychological capital, organizational effectiveness, and factors affecting organizational effectiveness of nurses in small hospitals. The subjects of the study were nurses working in three small and medium-sized hospitals located in A city and 255 copies were used for final data analysis. The results showed that the roles of role conflict, isolation, role ambiguity, and resource shortage had a significant negative effect on organizational effectiveness. Role ambiguity and resource shortage of role conflict were significant (-) on positive psychological capital. Positive optimism, positive self efficacy, hope and optimism have a positive (+) effect on organizational effectiveness. Based on the results of this study, it is necessary to develop a variety of programs to reduce role conflict and demonstrate positive psychological capital in order to improve the organizational effectiveness of nurses in small and medium-sized hospitals.

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.