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수술실 간호사의 업무스트레스와 피로 (Job Stress and Fatigue of the Nurses in the Operating Room)

  • 정종희;강희영
    • 한국콘텐츠학회논문지
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    • 제13권12호
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    • pp.291-298
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    • 2013
  • 본 연구는 수술실 간호사의 업무스트레스와 피로와의 관계를 규명하기 위한 횡단적 서술적 조사연구이다. 연구대상은 G시와 C도에 소재한 2개 상급종합병원과 5개 종합병원의 수술실 간호사 124명이었고 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson's correlation으로 분석하였다. 연구 결과 수술실 간호사의 업무스트레스는 3.64(0.45)점, 피로 점수는 3.46(0.60)점이었다. 수술실 간호사의 업무스트레스는 병원 종류에 따라서 통계적으로 유의한 차이가 있었고, 수술실 간호사의 피로 정도는 병원 종류, 근무배경, 주관적 건강상태에 따라서 통계적으로 유의한 차이를 보였으며, 수술실 간호사의 피로는 업무스트레스와 통계적으로 유의한 순상관관계가 있었다(r=0.47, p=<.001). 그러므로 본 연구는 수술실 간호사의 업무스트레스와 피로의 관련성을 파악한 점에서 의의를 지니며, 향후 수술실 간호사를 위한 업무스트레스 중재프로그램의 개발에 있어 기초자료가 될 것으로 기대한다.

음압격리병실에서의 기침 토출입자의 입경에 따른 확산 및 침적에 대한 수치해석 연구 (A Numerical Study on Coughed Particle Dispersion and Deposition in Negative Pressure Isolation Room according to Particle Size)

  • 정민지;홍진관
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권2호
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    • pp.37-44
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    • 2018
  • Purpose: This study investigates the influences of coughing direction and healthcare worker's location on the transport characteristics of coughed particles in airborne infection isolation room (AIIR), which is commonly called negative pressure isolation room, with a downward ventilation system. Methods: Computational Fluid Dynamics (CFD) was used to simulate the airflow and for tracing the behavior of particles. Results: The results show that the airflow pattern and coughing direction have a significant influence on the characteristics of particle dispersion and deposition. When healthcare workers are in the isolation room with the patient who is lying on the bed, it is recommended to be located far from the anteroom to reduce the exposures from infectious particles. And when the patient is lying, it is more effective in removing particles than when the patient is in Fowler's position. Although it is an isolation room that produces unidirectional flow, coughing particles can spread to the whole room and a large number of particles can be deposited onto patient, bed, side rails, healthcare worker, ceiling, floor, and sidewall. Implications: Following the patients' discharge or transfer, terminal cleaning of the vacated room, furniture, and all clinical equipment is essential. Also, it is necessary to establish detailed standard operating procedure (SOP) in order to reduce the risk of cross-contamination.

응급실 급성심근경색증 환자의 체류시간에 영향을 미치는 요인에 관한 연구 (A Study of Factors that have Influence on the Length of Stay in the Emergency Room of Patients who have Acute Myocardial Infarction)

  • 정혜경;김해준;윤석준;이준영;이희영
    • 한국의료질향상학회지
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    • 제10권1호
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    • pp.42-56
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    • 2003
  • Background : The purpose of this study is to investigate the influencing factors on the length of emergency department stay of patients with acute myocardial infraction. Methods : we reviewed medical records of all patients who were Hospitalized with acute myocardial infraction from March 1, 2002 to February 28, 2003. Results : The average length of stay in the emergency room of the subjects was 182.74 minutes. After the emergency room treatment, 48.1% of the subjects were transferred to intensive care unit. The hospitalization through emergency room mostly took place in the office hours. There were more patients on Monday. The influencing factors on the length of stay in the emergency room of patients with acute myocardial infraction were emergency room arrival time which was classified in seasons, treatment hours of specialized doctors, medical care insurance and required time of radiologic examination. Conclusion : In order to reduce the length of emergency room stay, it might be an available solution secure enough spaces, facility, and staff of the radiologic test only for the patients of the emergency room. And the effective use of emergency facility and space, establishment of standardized treatment guideline, and provision of emergency treatment support system are also needed.

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노인전문요양시설 입소노인의 거실이용실태에 관한 조사연구 (A Study on the Residents' Behaviors in Living Area of Special Nursing Homes for the Elderly)

  • 안병영;조준영;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권1호
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    • pp.31-38
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    • 2008
  • Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

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응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발 (Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room)

  • 정민진;신현아;김윤희;이지향;이승자;송미라
    • Child Health Nursing Research
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    • 제18권4호
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

급기가압 제연설비의 내부 유동특성에 대한 수치해석 (Numerical Analysis on Flow Characteristics in the Pressurized Air Supply Smoke Control System)

  • 고권현
    • 한국화재소방학회논문지
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    • 제31권4호
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    • pp.52-58
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    • 2017
  • 본 연구에서는 급기가압에 따른 건축물 내부의 공기유동에 대한 수치해석을 수행하고 거실, 부속실 및 계단실 간의 차압분포 및 유동 특성을 분석하였다. 유동 해석은 유효누설면적을 측정하기 위해 제작된 누기율 시험설비에 대하여 수행하였으며, 급기가압에 따른 각 실의 압력 및 유속분포 등을 분석하였다. 본 해석에서 공기의 누설은 유효누설면적을 갖는 얇은 틈새를 방화문과 창문에 위치시키는 방법으로 모사하였다. 이러한 방법을 이용한 해석은 계단실과 부속실 간의 차압에 대한 기존 실험의 결과를 적절히 예측하였다. 해석 결과를 통해 국부적인 누설이 급기가압 제연 설비의 전체적인 유동 패턴 및 압력 분포에 큰 영향을 미치지 않음을 확인하였다. 거실-부속실 문 단면에서의 평균속도가 방연풍속에 대한 국가화재안전기준을 만족하였으나 문의 상부와 같은 국부적인 위치에서 부속실로의 유출이 발생할 수 있음을 확인하였다.

인터벤션실의 오염실태 분석 및 평가 (Analysis and Evaluation of Pathogen Contamination Status in Interventional Angiography Room)

  • 김경완;임인철
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권3호
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    • pp.233-239
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    • 2022
  • In the radiology department, where radiation is used in medical institutions to perform examinations with various equipment, the field of surgical treatment is the intervention angiography room. Accordingly, strict infection control is required. The purpose of this study was to determine the contamination status by detecting pathogens before and after disinfection in the intervention angiography room, and to determine the degree of death by using a disinfectant, sodium dichloride isocyanurate, which is mainly used in the intervention angiography room. The subjects were 10 medical institutions of general hospital level or higher with an intervention angiography room in the P city, and 12 places with high contact frequency during examinations and procedures were sampled and requested to an analysis institution. As for the sample collection method, up/down, left/right directions were used to increase precision. Before disinfection, all procedures were completed, and after disinfection, exposure was performed using a disinfectant for at least 10 minutes, and detection was performed using a transport medium. As a result, in the pathogen analysis, most pathogens were detected in a humid environment or in a place with high contact frequency for microorganisms to thrive. The detected pathogens were found in the general environment or were human flora. It is a pathogen that does not cause disease under normal healthy host conditions. However, it was found to be an opportunistic infection that causes opportunistic infection depending on the case or situation in which the body's resistance is weakened. In addition, as a result of using the disinfectant mainly used in the intervention angiography room, it was found that more than 93.3% of them died. Therefore, the data of this study will be used as good basic data for the evaluation of pathogens in the intervention angiography room and will be of great help in infection control.

함정 Crew Mess Room 운용성 검증을 위한 혼잡도 평가 시뮬레이션 사례 연구 (A Simulation Case Study of Congestion Assessment for Validation of Naval Ship's Operability Performance in a Crew Mess Room)

  • 오대균;이동건
    • 한국시뮬레이션학회논문지
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    • 제19권4호
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    • pp.31-41
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    • 2010
  • 지금까지의 함정과 관련된 연구들은 전술 체계 및 함정 개발 위주로 진행되어 왔으며 승조원의 거주 생활 환경 개선에 대한 연구는 부족했다. 본 연구 대상인 함정 crew mess room은 승조원 불특정 다수가 이용하는 함정 내 대표적인 복지 시설물로 기존의 전술 전략 중심의 모델링 및 시뮬레이션 방법론의 적용은 어려움이 있다. 이에 시설물의 혼잡도 평가 및 운용 시나리오 검증을 위한 3차원 이산 사건 시뮬레이션 기반의 시뮬레이션 모델링 프레임워크를 제안하고 구체적인 사례를 통해 대기시간 이동시간, 이동거리 등의 결과 분석을 통해 이를 검증하였다. 제안한 혼잡도 평가 시뮬레이션 프레임워크는 함정 crew mess room과 같은 복지성격의 시설물의 모델링 및 시뮬레이션을 적용하기 위한 절차 및 시스템 구성 요소를 포함하고 있으며 이는 향후 시뮬레이션 연구 수행에 가이드 역할을 수행할 수 있다.

전문대학도서관의 공간구성 특성에 따른 이용만족도 연구 (A study on user Satisfaction of the Junior College Library based on its Characteristics of Space Composition)

  • 이수영
    • 교육시설 논문지
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    • 제24권6호
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    • pp.37-44
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    • 2017
  • This study is about user satisfaction of the Junior College Library based on its characteristics of space composition. For this, we studied characteristics of space composition targeting the libraries in colleges in Seoul and Gyeonggi-do. First, in case of study of characteristics of space composition for books and library data, student satisfaction for traditional and normal library areas was high. It means that the service based on library areas should start from normal library areas as well as there is a change about space as the type of data in libraries change to electric data and multimedia. Second, If we look at the space for a reader and a user, satisfaction for a normal reading room was high. we can also see that satisfaction for a computer room and a multimedia reading room was not higher but still high. Also, the reason why satisfaction for a multimedia reading room that provides various activities was high was that the complex of a library space is needed to provide users with various activities. Third, in case of space for programme function and meeting, satisfaction for the room of video information and the group study room was high. we can see that user satisfaction for the space got high basically when a user is satisfied with the proper information technology based on interaction Fourth, as a result of variance analysis of 3 spaces of Junior College Library and the services, the size of the space of service does not influence user satisfaction directly. Even the space is small, if it decorates variously like with a lighting for a user, a window seat to meet the nature of users and has specific factors such as space reservation using internet, user satisfaction is high. If we summarise the result of this study, to make user satisfaction for speace in a Junior College Library higher, not just we need to try to make it extend as a educational, a cultural place but we also need to accept the student's requirement that the space also needs to be extend as a complex cultural space.

신생아실 실습경험에 대한 남자 간호학생의 인식유형 (Perspective Patterns of Male Nurse Students on Practice Experience in the Newborn Baby Room)

  • 이지원;백경선
    • 한국간호교육학회지
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    • 제11권2호
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    • pp.232-239
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    • 2005
  • Purpose: This study is to use perspective patterns of male nurse students in new born room practice experience as a fundamental data which can be helpful to use theories with technique in the science of nursing for children. Method: The study was using the Q-methodology. Q-methodology was used 33 Q-samples selected, This study was analyzed by personal interviews from July to Nov 2005. 20 male students of nursing Dept. in J college were selected as p-samples based on 33 Q-samples. Result: The first type is the positive receivers ; they accept environmental changes positively in practice of new born baby room. The second is the life respecter ; they learn the mysteries and importance of life. The third type is the sexual identity founder ; they set up identify the sexual roles. Conclusion: As stated above, their newborn baby room practicing experience can be divided into 3 types. we suggest as follows: 1. qualitative research about practice experience of male nurse students should be needed. 2. newborn baby room practice of male nurse students teaching program should be developed.

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