• Title/Summary/Keyword: Standard of Care

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The Foodservice Sanitation Status of the Child Care Centers at Asan City in Chungnam (영.유아 보육시설의 급식 위생실태 - 충남 아산 지역 중심으로 -)

  • Song, Eun-Seung;Kim, Eun-Gyung
    • Korean Journal of Community Nutrition
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    • v.15 no.6
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    • pp.806-819
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    • 2010
  • We investigated the foodservice sanitation status of the childcare centers in Chungnam Asan area to provide the information for sanitation guidelines and checklist in various operation types of childcare centers. Self-completed questionnaires were collected from the directors of 95 centers: national-public 9 (9.5%), corporation 10 (10.5%), private 52 (54.7%), and home care 24 (25.3%) types. The analyzed results are shown in foundation type; the investigated items are about critical hygienic problems and safety recognition level, presence of sanitation guideline, demand of dietian's employment and the role, hygienic management and education level, and the present and future of sanitary facility and equipment. From this study we found that home care center, which had low capacity, was comparatively poor at sanitation status, the use of hygienic standard and guideline, and safety recognition level. In our opinion, the use and application of same sanitation standard to any type and size of center is not appropriate and rational. The reestablishment of the sanitation guideline and checklist considering the conditions of various operation types would be necessary. Also periodic hygienic education by hygenic professionals, continuous parents' attention and cooperation of related government organizations are needed for improvement of foodservice sanitation status of childcare centers.

Clinical Effect of Traditional Chinese Medicine Shenhuang Granule in Critically Ill Patients with COVID-19: A Single-Centered, Retrospective, Observational Study

  • Feng, Jun;Fang, Bangjiang;Zhou, Daixing;Wang, Junshuai;Zou, Dengxiu;Yu, Gang;Fen, Yikuan;Peng, Dan;Hu, Jifa;Zhan, Daqian
    • Journal of Microbiology and Biotechnology
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    • v.31 no.3
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    • pp.380-386
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    • 2021
  • The coronavirus disease 2019 (COVID-19) pandemic has become a public health emergency of global concern. In China, traditional Chinese medicine has been widely administered to COVID-19 patients without sufficient evidence. To evaluate the efficacy of Shenhuang Granule (SHG) for treating critically ill patients with COVID-19, we included in this study 118 patients who were admitted to the ICU of Tongji Hospital between January 28, 2020 and March 28, 2020. Among these patients, 33 (27.9%) received standard care plus SHG (treatment group) and 85 (72.1%) received standard care alone (control group). Enrolled patients had a median (IQR) age of 68 (57-75) years, and most (79 [67.1%]) were men. At end point of this study, 83 (70.3%) had died in ICU, 29 (24.5%) had been discharged from ICU, and 6 patients (5.2%) were still in ICU. Compared with control group, mortality was significantly lower in treatment group (45.4% vs. 80%, p < .001). Patients in treatment group were less likely to develop acute respiratory distress syndrome (ARDS) (12 [36.3%] vs. 54 [63.5%], p = 0.012) and cardiac injury (5 [15.1%] vs. 32 [37.6%], p = 0.026), and less likely to receive mechanical ventilation (22 [66.7%] vs. 72 [84.7%], p = 0.028) than those in control group. The median time from ICU admission to discharge was shorter in treatment group (32 [20-73] days vs. 76 [63-79] days, p = 0.0074). These findings suggest that SHG treatment as a complementary therapy might be effective for critically ill adults with COVID-19 and warrant further clinical trials.

The Process Evaluation of Community Home Nursing Program (미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가)

  • Yi, Sung-Eun;Kim, Sung-Sil;Kim, Chun-Gil;Ahn, Yang-Heui;Yang, Soon-Ok;Park, Gyung-Suk
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.13 no.1
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    • pp.46-53
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    • 2006
  • Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

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The Study on Job Satisfaction of Care Helpers (요양보호사의 직무만족도에 관한 연구)

  • Yoo, Kwang-Soo
    • Journal of Korean Public Health Nursing
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    • v.26 no.2
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    • pp.341-353
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    • 2012
  • Purpose: The purpose of this study was to evaluate Job Satisfaction of Care Helpers. Method: Subjects included 306 Care Helpers. working at geriatric care facilities; these data were collected from May 4 to May 15, 2012. The SPSS WIN 12.0 program was used for statistical analysis of collected data, including actual number, percentage, average, standard deviation, t-test, one way ANOVA, and Cronbach alpha coefficient. Results: 1. The average Job satisfaction was 3.76 and the average of each job satisfaction was the task (3.83), co-worker (2.23), and job turn over (2.25). 2. The satisfaction of the job itself, depending on back ground, had a significantly effect on age, protective person for a day, duty pattern, contract pattern, and motive. 3. The job satisfaction of human relationships, depending on their back ground, had a significant effect on degree, care-giving experience, duty place, protective person for a day, duty pattern, contract pattern, and duty motive. 4. The Job satisfaction of job turn over, depending on back ground had an. effect on job satisfaction statistically: age, degree, duty place, protective person for a day, duty pattern, and motive. Conclusion: These results found showed to contribute to job satisfaction of care helpers.

Children's Social Competence According to the Day Care Quality (보육시설의 질에 따른 유아의 사회적 능력)

  • Lee, Sook;Oh, Sun-Young
    • Journal of the Korean Home Economics Association
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    • v.36 no.4
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    • pp.189-198
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    • 1998
  • The purpose of this study was to examine the children's social competence according to not only the day care centers overall, but subordinate quality. Subiects for this study involved auditions, observations, and the use of questionnaires. By using a SAS statistic program, the average, and the standard deviation, and the One-way ANOVA/Duncan test were obtained from the study: The following results were obtained from the study: 1. For the test of the day care centers overall and subordinate quality, an average of the centers whole quality scored 2.56 and the subordinate quality ranged from 1.94 to 2.88. 2. When the children's social copetence according to the day care centers overall quality was examined, high-quality centers ranked higher social competence of children than that of low-quality centers. 3. Finally, the children's social competence according to the day care centers subordinate quality was inspected. Here, the results showed a significat difference in the 'planning and operation of curriculum' and the 'interaction between terachers and children'. not unlike the above results, high subordinate-quality day care centers scored higher social competence of children than that of low subordinate-quality day care centers.

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Developing a Performance Appraisal Tool for Neonatal Intensive Care Unit Registered Nurses (신생아중환자실 간호사 업무수행 평가도구 개발)

  • Park, Kwang-Ok;Lee, Yoon-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.267-276
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    • 2011
  • Purpose: This study was done to develop a performance appraisal tool (PAT) for neonatal intensive care unit (NICU) registered nurses (RNs). Methods: The PAT was developed in three steps: 1) a standard of NICU nursing was established; 2) a draft was made; and 3) the PAT was ratified and its reliability and validity were tested. Results: The standard of practice of NICU nursing was predominantly based on role description and responsibilities for nurses. We identified 4 domains of nursing: professional practice, education, research, and leadership. The validity score for each item ranged from 3.93 to 3.27. The PAT consisted of 76 indicators, 49 reflecting components of professional practice, 5 related to responsibility for education, 3 representing research, and 19 relating to leadership. Cronbach's ${\alpha}$ averaged 0.99 for the 76 items. Conclusions: The PAT for NICU RNs that we created was found to be reliable and valid. This PAT would be very useful in evaluating nursing performance and facilitate the professional growth of nurses.

Effects of Perceived Patient Safety Culture on Safety Care Activities among Nurses in General Hospitals (지방 중소병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hye Young;Lee, Eun Sook
    • Journal of East-West Nursing Research
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    • v.19 no.1
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    • pp.46-54
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    • 2013
  • Purpose: An objective of this study was to investigate nurses' perceptions toward patient safety culture and to examine the factors affecting safety care activities. Methods: The participants were 429 nurses, at 6 hospitals located in regions, which have 150 to 300 beds, and HSOPSC (AHRQ, 2009) and questionnaire on safety care activities were used as measurement tools. Descriptive statistics, independent t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN version12.0 were used to analyze the data. Results: Supervisor manager expectations and actions promoting patients safety and frequency of events reported were the highest as positive responses, whereas staffing and nonpunitive response to errors showed the lowest scores as positive responses. Scores of medication surveillance is the highest while firefighting surveillance is the lowest in terms of safety care activities. Significant predictors influencing safety care activities were frequency of events report, handoffs and transitions, work unit a patient safety grade, organizational learning-continuous improvement, and teamwork across units. These predictors account for 23% of the variance. Conclusion: These results suggest that hospital policies and systems should be built to settle patient safety culture effectively. Development of standard manuals for safety care activities is another critical element for promoting patient safety.

A Study on the Safety-related Criteria for the Interior Space Planning, Facilities and Fire-fighting Equipment in Child Care Centers (보육시설의 실내공간계획 및 설비와 소방설비의 안전성 관련 기준에 대한 연구)

  • Rhee, Jisook
    • Journal of Families and Better Life
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    • v.31 no.6
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    • pp.39-51
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    • 2013
  • Because of the increasing demand for day care centers, The Korean government has enforced childcare accreditation. The government has created the evaluation certification system for child care facilities. But the system includes variable items, and the physical rules are not sufficient for ensuring security and quality amenities. So this study, through literature search, examined the rules of Child Care Centers in the U.S. and compared them with those in Korea focusing on the provision of security and amenities. The standards found in 4 U.S. states were investigated, and the results are as follows. The rule pertaining to the size of indoor activity spaces in C.C.C. allows the spaces to be smaller in Korea than in the U.S. There is no specific criterion for infants and toddlers in our standard. When comparing the standards of Korea with those of the United States, Korea's standards do not state specific rules about child care facilities such as indoor furniture, finishes and space planning. Additionally, the binding force ensuring compliance with the standards of physical facilities is weak. Thus, the ratings of child care standards for the physical environment should be presented in detail. And if a center does not comply with the criteria, stronger penalties will have to be imposed.

Children's Daily Experience and School Adjustment by Children's Self-care (초등학교 1학년 아동의 자기돌봄경험에 따른 일상생활경험 및 학교생활적응에 관한 연구)

  • Kim, Kyoung-Eun
    • Korean Journal of Child Studies
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    • v.33 no.6
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    • pp.51-69
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    • 2012
  • The purpose of this study was to investigate the differences in children's daily experience and school adjustment of elementary school according to children's gender and self-care and to explore the relationship between children's daily experience and school adjustment. Data were collected from the NYPI panel survey of 2010. The data were analyzed by means of Cronbach's ${\alpha}$ tests, means, standard deviations, Two-way ANOVAs, and Pearson's Correlation. The results of this study were as follows : 1. There were some significant differences by gender and self-care in daily experience. Girls spent more time in watching TV but less time in games than boys. And self-care children spent less time in learning and reading, but more time in game and TV watching. Also there was a interaction effect of learning experience by gender and self-care. 2. There were some significant differences by gender and self-care in school adjustment. Girls showed more positive school adjustment than boys. And children who are cared for by their parents showed more positive learning and school rule adjustment. 3. There were some significant relationship between children's daily experience and school adjustment.

Behavior on Clothes Care of Female Consumers by Lifestyle Groups (성인여성의 라이프스타일에 따른 의복의 세탁관리행동)

  • 배정숙;조은영;박은희
    • Journal of the Korean Home Economics Association
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    • v.39 no.6
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    • pp.1-14
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    • 2001
  • The purpose of this research is to observe the differences in consumers behavior on clothes care based on their different lifestyles and different demographic characteristics. The research surveyed 267 women of 20 years old or older living in Taegu City. SPSS package was used for data analysis and frequency, percentage, average, standard deviation, factor analysis, cluster analysis, ANOVA(analysis of valiance). and Duncan test were used The results are as follows: 1. Lifestyle factors for the research object were found as 'Consumption-oriented','family-oriented', 'Economic-oriented','Leisure-oriented','conservatism-oriented'. The categories for analysis according to these factors are classified into 5 categories, category 1 is Leisure/Family-oriented group, category 2 Consumption/Leisure avoidance-oriented group, category 3 Economy/Family Apathy-oriented group, category 4 Conservatism-oriented group, and category 5 Consumption/Innovation group. Five factors for behavior on clothes care are found, including washing method, interest in detergent, environmental behavior, washing effectiveness, and management after washing 2. Behavior on clothes care based on lifestyle groups showed a meaningful difference according to the following: Interest in detergent(p<.05 level), environmental behavior(p<.01 level), and washing effectiveness(p< .01 level) 3. In demographic variations (such as age, monthly income, monthly expenditure on clothes), there is a meaningful difference in behavior on clothes care, such as interest in detergent or management after washing, according to different age groups. However, no meaningful difference is found in behavior on clothes care according to other demographic characteristics.

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