• Title/Summary/Keyword: Standard of Care

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The Evaluation of Air Quality in Educational Child Care Centers (영유아 교육시설에서의 실내공기질 평가)

  • Lim, Ji-Hye;Pang, Seung-Ki;Shon, Jang-Yeul
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.9 no.1
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    • pp.1-10
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    • 2010
  • It is indispensable for child care centers to investigate and manage indoor air quality (IAQ) because they perform education and day care for children who usually have weak immunity. Nevertheless, there is insufficient research being done, given its importance. This study aims to investigate indoor pollutants' concentration and to seek the causes in order to improve the air quality conditions. Also it aims to secure data which can be used for further researches. Measurements were performed for air temperature, relative humidity, carbon dioxide, carbon monoxide, fine particle mass, formaldehyde and volatile organic compounds. Temperature, humidity, CO and CO2 were measured 30times(1min/time) and PM10 was measured 10times (3min/time). Formaldehyde and volatile organic compounds were measured and analyzed based on The Indoor Air Quality Official Test Method. The results show that the temperatures were within the comfort zone in over half of the centers. CO2 was found to be the main pollutants as its concentration exceeded the IAQ standard. The concentrations of TVOC and PM10 exceeded the standard, by 32% and 24% respectively, whereas those of HCHO and CO were under the standard. HCHO and CO concentrations were under the guideline. 24% of child care centers for education were found to exceed the standard in 2 or more of the pollutants. 82% of were found to exceed the standard by 1 or more. Therefor it is requested for IAQ to manage and improve in child care center for education.

A Study on the Projected Workforce of Home Health Care Specialists in Korea (가정전문간호사 인력 수요추계에 관한 연구)

  • Oh, Pok-Ja
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.9 no.1
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    • pp.37-45
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    • 2002
  • Purpose: The purpose of this study was to suggest the projected workforce of home health care specialists in Korea. Method: Need model. ratio methods and expert opinion were used for projecting the number of home health care specialists. Result: 1) In 2002. there are 13 programs which offer one year home health specialist training. From those programs. they produced 3860 registered home health care specialists. 2) In 2002. there are 89 hospitalbased home health service units and 220 active home health care specialists. 3) In case of hospital- based home health service. average of 4 services per month for average of 3 months was assumed as workforce standard. 4) In case of community-based home health service. average of 4 services per month for 12 months was assumed as workforce standard. 5) The number of home health care specialists required to meet the demands for home health care population in 2000 and 2005 was estimated at minimum of 20.361 to maximum of 31.360 and 21.989 to 34.080. respectively. Conclusion: Community home health care agencies are needed to meet the demands of home health care.

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Perception of Patient Safety Culture, Knowledge and Performance of Standard Precaution among Long-Term Care Hospitals Nurses (요양병원 간호사의 환자안전문화 인식, 표준주의 지식 및 수행도)

  • Byun, Sang-Hee;Kang, Da-Hai-Som
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.231-240
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    • 2019
  • The purpose of this study was to explore and describe the relationship of the perception of patient safety culture, knowledge of standard precaution and performance of standard precaution among long-term care hospital nurses. Participants were 134 nurse in long-term hospital. Data were collected with structured questionnaires from January 2 to June 4, 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. The perception of patient safety culture were significantly correlated with knowledge of standard precaution(r=.192, p=.027), performance of standard precaution(r=211, p=.014). Therefore, in order to enhance the perception of patient safety culture and performance of standard precaution of long-term care hospital nurses, it would be necessary to enable health-care associated infections by themselves by cultivating standard precaution knowledge through systemic education and by enabling the establishment of affirmative patient safety culture.

Knowledge of and Compliance with Standard Precautions by Nurses in Intensive Care Unit (중환자실 간호사의 표준주의에 대한 지식과 이행도)

  • Cho, Gwi-Lae;Choi, Jeong-Sil
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.73-81
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    • 2010
  • Purpose: This study was done to identify the intensive care unit nurses' knowledge of and compliance with the standard precautions (universal precaution) as stated in infection control guidelines. Method: From September 14 to September 28, 2006, data were collected via a questionnaire survey from 189 Intensive Care Unit nurses working at three university branch hospitals and one general hospital in Gyeonggi province. Results: The mean knowledge score was 18.8/20.0 (93.9%). The mean compliance score was 3.4/4.0 (85.8%). Two factors influencing compliance were perception of the standard precautions and experience of needle stick injuries over the past year (p<.05). Two factors influencing knowledge were support of co-workers in the use of protective devices and the availability of hand-washing device or waterless alcohol gel (p<.05). Conclusion: In order to improve knowledge and compliance with standard precautions, all factors of importance for knowledge and compliance must be taken into consideration in the clinical work place and in education.

An Analysis of Relationships among Quality, Satisfaction and Utilization Perceived by Family Caregivers in Standard LTC Utilization Plan (가족수발자가 인지하는 표준장기요양이용계획서의 질과 만족도, 활용도 간의 관계분석)

  • Lee, Jung-Suk;Han, Eun-Jeong;Kwon, Jinhee
    • 한국노년학
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    • v.31 no.4
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    • pp.871-884
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    • 2011
  • Standard Long-term care(LTC) Utilization Plan is a kind of care plan, which aims to help beneficiaries and their family choose services to meet their care needs. The objective of this study is to determine the relationships among family caregivers' perceived quality, overall satisfaction and utilization in Standard LTC Utilization Plan. Data were gathered from family caregivers with beneficiaries who have used community service in long-term care insurance system. A national cross-sectional descriptive survey was conducted in December 2008, using proportionate quota sampling. Finally, 351 family caregivers completed questionnaires which included demographic characteristics, perceived quality(9 items), overall satisfaction(1 item) and utilization(2 items). Path analysis was conducted to find a causal relationship. This study shows firstly, the quality of Standard LTC Utilization Plan was categorized into three dimensions, that is, assessment of care needs, recommended care plan, and management of monthly benefits. Secondly, reliability and validity of quality items were satisfied. Finally, in the effect of perceived quality and satisfaction for utilization, assessment of care needs(indirect effect, path coefficients=0.077) and overall satisfaction(total effect, path coefficients=0.324) were statistically significant. The findings of this study would be helpful in developing the strategies, which is needed to improve the role of Standard LTC Utilization Plan.

Effects of Empowerment and Regarding Standard Precautions for Healthcare associated Infection Control in Healthcare Workers on Performances (의료종사자의 임파워먼트와 의료관련감염 관리 표준주의지침 인지도가 수행도에 미치는 요인)

  • Jung, Mi-Ra
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.243-250
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    • 2018
  • The purpose of this study was to examine relationships among empowerment, awareness and performance on standard precautions and identify the factors that affect performance of standard precaution in the health care workers. The data were collected from 200 health care workers working in the general hospital located Y city. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the awareness predict 49.0% (F=191.98, P<.001) in the performance of standard precaution. Therefore, it is necessary to develop awareness of the standard precaution strategy program for improving the performance of standard precautions in health care workers.

Meditation for Alzheimer's Disease: Systematic Review and Meta-Analysis

  • Lee, Go eun;Kim, Sang ho;Jung, In chul;Kang, Hyung won
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.237-249
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    • 2019
  • Objectives: Interest in the use of complementary and alternative treatments to treat dementia. Meditation is used to treat various symptoms of physical and psychological diseases. Some studies suggest that meditation might have positive effects on cognitive functions, especially attention, in the elderly. However, how meditation affects Alzheimer's disease (AD) patients remains unclear. In this review, we assessed the effectiveness of practicing meditation in combination with standard care in AD. Methods: We searched the CCRCT, MEDLINE, EMBASE, AMED and CINAHL databases on 30 May 2017. We included randomized controlled trials (RCTs) that used meditation in adult patients diagnosed with AD. We allocated patients to a meditation combined with standard care or a standard care-only group. Results: The two RCTs met the inclusion criteria. A total of 98 patients were included in the meditation with standard care and standard care-only groups in this review. All meditation programs in the included trials were based on practicing mindfulness. The results of our meta-analysis indicatedthat adjunctive mindfulness meditation programs exerted favourable but non-significant effects on cognitive function on the Mini Mental State Examination (MMSE) (MD=4.68, 95% CI -0.11 to 9.46; Z=1.92, p=0.06). Only one study assessed depression, anxiety, quality of life and stress. No adverse events related to meditation were reported in the included studies. Conclusions: Insufficient data iscurrently available to determine the effectiveness of practicing meditation on patients diagnosed with AD. Hence, further RCTs with high methodological quality and larger sample sizes are needed to effectively estimate the effects of meditation on AD.

Self-Evaluation of the Quality of Center-Based Infant/Toddler Care (영아보육 프로그램의 질적 수준에 대한 보육시설의 자체평가)

  • Choi, Kyoung-Ae
    • Korean Journal of Child Studies
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    • v.25 no.5
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    • pp.129-145
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    • 2004
  • This research aimed to analyze the quality of center-based infant/toddler programs in Korea. Scale for infant and toddler programs divide accreditation standards into 4 areas(physical environment, curriculum, health care, management system) with 60 standards. Standards can be divided into basic criteria and general criteria. The subjects are 149 day care centers(44 infant day care centers and 105 day care centers), and raters(teachers or principal) assessed the quality of each item on a 5-point Likert scale. The results of this study are as follows: 1) Self-evaluation result have marked 3.67 as average(range : 2.32~4.90), which barely meets basic criteria level. 2) Physical environment area has received worst score(3.41) and Health care area has received best score(3.92). 3) Each standard's score indicate the quality of infant/toddler care program: Feed care(4.29), Affectionate teacher-infant interaction(4.14) were highly rated while Nature environment/anmal/plant(2.75) and Teacher's facilities(2.74) were rated low. 4) Some variation factors showed differences in the qualitative level; number of child, education level of principal.

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The Effects of the Pilot Program in Standard Curriculum of Hospice and Palliative Care Education (호스피스.완화의료 표준교육 프로그램 시범교육의 효과)

  • Kang, Jin-A;Yoo, Yang-Sook;Park, Jean-No;Kim, Won-Chul;Nam, Eun-Jeoung;Koh, Soo-Jin;Rhee, Young-Sun;Huh, Jung-Sik;Choi, Sung-Eun;Kim, Jung-Lee;Shin, Dong-Wook
    • Journal of Hospice and Palliative Care
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    • v.11 no.4
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    • pp.206-212
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    • 2008
  • Purpose: To evaluate the effectiveness of pilot program on standard curriculum of hospice palliative care education; a basic training program for physician, nurse, social worker and clergies at hospice institute. Methods: To develop an educational program, we used the Education in Palliative and End-of-life Care (EPEC) program as a paradigm and modified it to be suited in our situation: The standard curriculum consists of 19 modules, and it is designed to be applied to the teaching methods, including lecture, interactive lecture, small group discussions, and role play. To verify its contents and teaching methods, we implemented a pilot program which consisted of 3 modules, using various teaching methods; trigger video tapes, interactive lecture, small group discussions, and role play. Results: Overwhelming majority were satisfied with the teaching methods and learner-centered methods, and agreed that the contents were clinically relevant to the care of dying patients. They also indicated that their attitudes would likely change as a result of the education. Conclusion: The effects of the pilot program on standard curriculum of hospice and palliative care are very positive and has broader implications for improving hospice palliative care education. For successful implementation of the program, trainers must also be prepared to teach effectively. Also it must be accompanied with train-the trainer program.

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A Study on the Concept and Improvement Plan of Long-Term Care Service Quality -The Voice of Service Field for 'Good Care'- (장기요양서비스의 질 개념 정립과 향상 방안 -현행 전략의 한계와 '좋은 돌봄'을 위한 현장의 목소리-)

  • Seok, Jaeeun
    • Korean Journal of Social Welfare
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    • v.66 no.1
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    • pp.221-249
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    • 2014
  • This paper has the objectives to define the concept of 'Good Care' which is the service goal we are aiming essentially for the improvement of long-term care service quality, to find out the components for 'Good Care', and to explore the conditions that create a good care. In addition, we tried to find the answer about what is the best way to measure the service quality. For this, I referred the advanced researches which explored the fundamental properties of care and tried to find the answer from the accumulated wisdom of service field through the 5-year long term care service experience. As a result of research, the good care can be defined as helping someone to be able to maintain his own life as maximum as possible with the goal to assure total quality life. The most important condition for good care is making 'a good care relationship'. Without damaging the relationship between care provider and care receiver, the individualized service focusing on the demand of care receiver based on mutual reliability, mutual respect and smooth communication should be provided. For the evaluation system, it is reasonable to set the standard according to the size of each institution for the core quality of facility service and establish the certification system of absolute standard to carry out the quantitative evaluation rather than the relative evaluation in the whole. For the part over the absolute certification standard, it is reasonable for each institution to characterize its own characteristics autonomously and carry out the qualitative evaluation for this. For the evaluation of home visit care service, it is recommended to contain the evaluation contents such as user satisfaction, satisfaction of care worker, how well the case management system of home care service center is operated etc.

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