• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.380-389
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• 2013

The nurse staffing level in the acute care hospitals affects patient safety and performance, and the nurse staffing legislation can be an important tool to guarantee the minimum nurse staffing. In Korea, although the medical law suggests the nurse staffing standards, it is necessary to revise the medical law for quality of nursing care and patient safety. Firstly, the nurse staffing standards in the current medical law enacted in 1962 needs to be revised to reflect changes in health care environment. Secondly, legal nurse staffing standards in the medical law are the minimum nurse staffing that medical institutions should comply with and thus must be managed so that all medical institutions should abide by them. Thirdly, the nurse staffing standards should apply on the basis of RN-to-patient ratios per shift in order to help patients understanding and ensure the easy management. Fourthly, the information of nursing staff level by the nursing unit and nursing shift in hospitals shall be released.

• Safety and Health at Work
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• v.11 no.1
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• pp.10-18
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• 2020

Background: The elevated risk of occupational infection such as tuberculosis among health workers in many countries raises the question of whether the quality of occupational health and safety (OHS) and infection prevention and control (IPC) can be improved by auditing. The objectives of this study were to measure (1) audited compliance of primary health-care facilities in South Africa with national standards for OHS and IPC, (2) change in compliance at reaudit three years after baseline, and (3) the inter-rater reliability of the audit. Methods: The study analyzed audits of 60 primary health-care facilities in the Western Cape Province of South Africa. Baseline external audits in the time period 2011-2012 were compared with follow-up internal audits in 2014-2015. Audits at 25 facilities that had both internal and external audits conducted in 2014/2015 were used to measure reliability. Results: At baseline, 25% of 60 facilities were "noncompliant" (audit score<50%), 48% "conditionally compliant" (score >50 < 80%), and only 27% "compliant" (score >80%). Overall, there was no significant improvement in compliance three years after baseline. Percentage agreement on specific items between internal and external audits ranged from 28% to 92% and kappa from -0.8 to 0.41 (poor to moderate). Conclusion: Low baseline compliance with OHS-IPC measures and lack of improvement over three years reflect the difficulties of quality improvement in these domains. Low inter-rater reliability of the audit instrument undermines the audit process. Evidence-based investment of effort is required if repeat auditing is to contribute to occupational risk reduction for health workers.

• Hospice
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• s.6
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• pp.3-6
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• 1996

• Hospice
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• s.5
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• pp.5-8
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• 1995

• Journal of Nutrition and Health
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• v.33 no.5
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• pp.548-555
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• 2000

The purpose of this study were to : a) establish quality managements standards and performance indicators in order to define the concept of the hospital food and nutrition services, b) develop a self evaluation tool for quality management applicable to dietetic department's CQI program on the basis of the estabilished quality management standers, c) investigate the factual quality of hospital food and nutrition services throught the result of the application study of the quality management tool and the perceived quality by the patients servery, and d) verify the validity of the quality management tool through analysing the correlation between the factual quality and the preceived quality. The quality management standards were classifie dinto 3 parts, 'Nutrition Care', 'Foodservice Operation', and 'Management Function'. There consisted of 72 quality management standards and 293 performance indicators. The developed quality evaluation tool using 5-Likert scale was performance at 45 general hospitals over 400 beds in Seoul and Kyungki-do. Also, 1,573 patients in 42 hospitals were participated in the patient survey. The result of quality evaluation tool application study showed that 17 standards were relatively high(more than 4.5) and 22 relatively low(less than 4.0) in score. The categorical mean scores of $\ulcorner$Nutrition Care$\lrcorner$, $\ulcorner$Foodservice Operation$\lrcorner$and $\ulcorner$Management Function$\lrcorner$ were respectively 60.7, 162.8, and 73.5 Each mean score was conversed to 81.0, 83.5, and 81.7 on the basis of 100 point scale, but the range of score was very wide between hospitals. The Cronbach's $\alpha$ was more than 0.6 in 59 quality management standards, this result verified reliability of the quality management tool was proved. The factual quality showed positive correlation with the perceived quality. Therefore, this result verified the criterion validity of the quality management tool.

• Korean Journal of Childcare and Education
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• v.9 no.3
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• pp.389-417
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• 2013

This study investigated the changes of chlidcare centers' status, establishment and licence standards, and childcare publicness 20 years after Infant and Early Child Care Act(IECC Act) was enacted in Korea. For this purpose, we examined the trends of establishment status and explored the changes of licence standards sorted as location, type, size, area, indoor-outdoor facilities, playgrounds, in accordance with the revision of the IECC Act from 1991 to 2013. In addition, we organized the concepts and standards for the public service of childcare. Finally, we presented some problems found in the IECC Act and the implementing rules about childcare center's establishment and licence standards. We provided some suggestions in order to improve the institution and ensure the publicness. Through these efforts, we tried to contribute the improvement of the quality of childcare in Korea.

• Journal of Home Health Care Nursing
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• v.27 no.2
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• pp.210-218
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• 2020

Purpose: The purpose of this study was to analyze research trends, using the keyword home health care, in articles published in the Journal of Korean Academic Society of Home Health Care Nursing over the past 10 years. Methods: An analysis was conducted of 50 home health care-based studies chosen from among the 206 studies published in the Journal of Korean Academic Society of Home Health Care Nursing from 2010 to 2019. The analysis focused on research methodology and keyword. Descriptive statistics were used to examine the frequency distribution of research methods and keywords. Results: Study participation was mainly focused on nurses (52.0%). Most of the studies used quantitative methods (96.0%), and 43 studies (86.0%) used self-report structured questionnaires. The most commonly used data analyses methods were descriptive statistics, t-test, analysis of variance, correlation, and regression. Major keywords were home health nursing, elderly care facility, visiting nurse, home care service, home healthcare nurse, home care agencies, long-term care, and home care. Conclusion: The results of this study identified current trends and interests in the Journal of Korean Academic Society of Home Health Care Nursing. This study suggests that future studies include a variety of research methods and maintain appropriate standards of research ethics.

• Korean Journal of Childcare and Education
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• v.14 no.6
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• pp.219-239
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• 2018

Objective: This study aims to analyze the research trend of domestic child care education, and to seek directions for future research related to child care education based on analysis results. Methods: A total of 91 theses were selected in journals released in Korea from January 2006 to August 2018. The analysis standards for the research trend were established as research period, theme, target and method. Results: First, the amount of research on child care education has gradually increased since 2006. Second, action research for improvement was the most common research theme for child care education, while activities utilizing fairy tales and picture books were the most frequently used education activities. Third, research that targeted five-year-olds accounted for the largest part of research. Fourth, when it came to research type, most research was based on quantitative research. Conclusion/Implications: Based on the analysis results above, the direction for the development of future child care education and relevant research was discussed.

• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.717-731
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• 2020

Objectives: The purpose of this study was to develop applicable standards for clinical dental hygiene practice in Korea and to evaluate their validity. Methods: Based on the standards for clinical dental hygiene practice developed in the United States and Canada, the standards were adapted to be applicable in Korea. The validity of the standards was evaluated by a self-writing questionnaire among 14 professors and 10 clinicians using a developed tool for evaluating the standards. A focus group interview was additionally conducted for clinicians to increase the validity of the standards. Descriptive statistics and Mann-Whitney test were performed using SPSS 25.0. To analyze the content of the focus group interviews, content analysis was conducted. Results: The standards for clinical dental hygiene practice consisted of five elements of professionalism for dental hygienists and a total of 28 items to perform the five stages of dental hygiene process of care (assessment, diagnosis, planning, implementation, and evaluation) and included conceptual meaning, clinical significance, and application methods with examples for each item. Conclusions: The standards for clinical dental hygiene practice developed in this study could contribute to standardizing dental clinical practices provided by dental hygienists. It is necessary to consistently improve the standards that are highly practical, to prevent oral diseases and maintain oral health of the public, based on the results of this validity evaluation.

• Korean Journal of Child Education & Care
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• v.17 no.4
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• pp.1-30
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• 2017

The purpose of this study is to investigate the awareness of daycare teachers by the nursery school operation performance of the National Competency Standards(NCS). For this purpose, 35 public and private daycare center, home daycare centers and corporation daycare center teachers were randomly sampled in Busan Metropolitan City. We conducted a questionnaire consisting of 230 sub-elements based on 45 sub-competency unit elements extracted from 12 areas of job ability of the national competence standards. Final questionnaires were collected from 117 questionnaires of 28 national daycare teachers, 30 private daycare teachers, 30 home daycare teachers, and 29 corporation daycare teachers. As a result, there was a difference in the awareness of importance among the four groups in all 12 performance capability units. For the 12 job performance units, the importance was recognized in the order of corporate daycare center, national daycare center, home daycare center, and private daycare center. Among them, "Establishment of Child Care Center Management Policy", "Construction of Child Care Service", "Child Care Activity Management", "Infant and Child Playing Guide", "Body and Art Activity Guidance", "Language, Nutritional guidance" there were no differences in the awareness of the importance of corporate daycare teachers and national daycare teachers, and there was no difference between national daycare teachers and home daycare teachers. However, there was a difference between corporate daycare teachers and home daycare teachers.. There is also a difference in the awareness of importance between home daycare teachers and private daycare teachers. In the remaining five job competence units, "Child Care Assessment", "Support for Infant and Toddler Development", "Cooperation with the Home and Community", "Child Care Management", and "Child Care Research", corporation daycare centers, national daycare centers. There was no statistically significant difference in the awareness of importance, but there was a significant difference from the private daycare teachers. Also this tendency was consistently observed in 45 sub-capacity unit elements.