• The Journal of the Convergence on Culture Technology
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• v.8 no.2
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• pp.149-155
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• 2022

This is a descriptive study to investigate influencing factors of job satisfaction among nurses of comprehensive nursing care ward. The participants were 114 nurses working in comprehensive nursing care ward. Collected data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression analysis. The results showed that professional self-concept and teamwork were influencing factors of job satisfaction. Therefore, in order to improve job satisfaction of nurses in comprehensive nursing care ward, education and policy support to improve professional self-concept and teamwork. are needed.

• Women's Health Nursing
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• v.6 no.2
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• pp.258-268
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• 2000

This study was to investigate the relationship between hospital nurses 'knowledge of breast-feeding and their ability to provide care to breast-feeding mothers and their children. From Nov. 1 to 30, 1999, 105 nurses of the obstetric ward, delivery room, OPDs of obstetrics and gynecology, and nurseries of three general hospitals from Seoul and Pusan were evaluated. The results are as follows: 1.Mean score of nurse's knowledge to breast-feeding was 12.76. Mean score of performance of nursing activities was 109.80. 2.General characteristics and feeding characteristics were significantly related to nurse's knowledge to breast-feeding and performance of nursing activities related to breast-feeding. Nurse's knowledge about breast-feeding was significantly related to age, working ward, clinical experience, rank of position, experience of breast-feeding and experience education on breast-feeding. Performance of nursing activities for breast- feeding was significantly related to age, working ward, experience in other ward, marital status, and education on breast-feeding. 3.A positive correlation between nurse's know-ledge to breast-feeding and performance of nursing activities related to breast-feeding was statistically significant(r=.381, P<0.05).

• Journal of The Korea Institute of Healthcare Architecture
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• v.22 no.3
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• pp.35-44
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• 2016

Purpose: This study is focus on investigation of user's spontaneous behavior in the public space of ward where chronic patients are hospitalized. Methods: The notion and necessity of social healing environment is analyzed by literature review. User's location and behaviour are investigated for analyzing behavior by visiting the six wards. Results: The result 1) Stay is main behavior of users. 2) The frequency of stay is high in the place where are planned as the dayroom, the program room and the balcony. 3) In the corridor, the users are staying around court and single side corridor. And the users who are staying in the ward planned middle corridor and double corridor are spreaded all over the corridor. As the result of the analysis of correlation between frequency of user for stay and area of public space, 4) The area of the dayroom, the program room and the balcony is bigger, the frequency of users are higher. 5) There is no correlation between area of corridor and frequency of users. 6) When the density of user is highest in the place for stay, one person occupied $1.96m^2$. Implications: Hereafter the public space, which social healing environment is considered, is planned, this study could suggest the directions of architectural planning about area.

• The Korean Journal of Physiology and Pharmacology
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• v.25 no.4
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• pp.281-296
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• 2021

The beneficial effects of hypoxic preconditioning are abolished in the diabetes. The present study was designed to investigate the protective effects and mechanisms of repeated episodes of whole body hypoxic preconditioning (WBHP) in db/db mice. The protective effects of preconditioning were explored on diabetes-induced vascular dysfunction, cognitive impairment and ischemia-reperfusion (IR)-induced increase in myocardial injury. Sixteen-week old db/db (diabetic) and C57BL/6 (non-diabetic) mice were employed. There was a significant impairment in cognitive function (Morris Water Maze test), endothelial function (acetylcholine-induced relaxation in aortic rings) and a significant increase in IR-induced heart injury (Langendorff apparatus) in db/db mice. WBHP stimulus was given by exposing mice to four alternate cycles of low (8%) and normal air O₂ for 10 min each. A single episode of WBHP failed to produce protection; however, two and three episodes of WBHP significantly produced beneficial effects on the heart, brain and blood vessels. There was a significant increase in the levels of brain-derived neurotrophic factor (BDNF) and nitric oxide (NO) in response to 3 episodes of WBHP. Moreover, pretreatment with the BDNF receptor, TrkB antagonist (ANA-12) and NO synthase inhibitor (L-NAME) attenuated the protective effects imparted by three episodes of WBHP. These pharmacological agents abolished WBHP-induced restoration of p-GSK-3β/GSK-3β ratio and Nrf2 levels in IR-subjected hearts. It is concluded that repeated episodes of WHBP attenuate cognitive impairment, vascular dysfunction and enhancement in IR-induced myocardial injury in diabetic mice be due to increase in NO and BDNF levels that may eventually activate GSK-3β and Nrf2 signaling pathway to confer protection.

• Journal of The Korea Institute of Healthcare Architecture
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• v.29 no.1
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• pp.53-62
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• 2023

Purpose: Recently, the number of severely mentally ill patients has been increasing rapidly in Korea, but there are no design guidelines for spatial planning of Korea's acute psychiatric wards. The study aims to clarify the areas and required rooms in Korea's acute psychiatric wards which are important in establishing the design guidelines for Korea's acute psychiatric wards. Methods: This study proposed a structural framework based on the results of investigating and analyzing the acute psychiatric ward guidelines in the UK, Australia, and the U.S. and the areas and the required rooms of the wards stipulated in the basic data for establishing acute psychiatric ward design guidelines in Korea. The design guidelines for overseas acute psychiatric wards are 'Adult Acute Mental Health' in the UK, 'Adult Acute Mental Health Inpatient Unit' in the Australia, and 'Specific Requirements for Mental Health Hospitals' in the United States. Results: As a result of investigating and analyzing the design guidelines for overseas acute psychiatric wards, the areas of wards applicable to acute wards in domestic psychiatric wards were access, patient, treatment, support, and employee areas. In addition, the required rooms for each area were defined around major considerations such as visibility, convenience, comfort, security, safety, patient observation, barrier-free design, and privacy protection. Implications: The results of the study will be presented as a structural framework and basic data for establishing design guidelines for Korea's acute psychiatric wards, which is still absent.

• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.628-638
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• 2003

Purpose: The purpose of this study was to develope a evaluation tool of the quality of nursing care for aneurysmal subarachnoid hemorrhage patients at Hunt & Hess Grade I~III. Method: The data was gathered from April 15, 2002 to June 14, 2002. The tool proceeded in six steps according to Bloch's framework. Result: The results of this study are as follows: 1) The quality evaluation tool for neurosurgery ICU consisted of 25 standards and 138 criteria. The quality evaluation tool for ward consisted of 27 standards and 144 criteria.; 2) The content validities of the tools for neurosurgery ICU and ward were 0.96 and 0.98, respectively.; 3) The Pearson coefficients for evaluating the interrated reliability of the tools for neurosurgery ICU and ward were r=0.9106 (p<0.1) and r=0.8807 (p<0.1), respectively.; 4) The ranges of corrected item-total correlations for evaluating the construct validity of the tools for neurosurgery ICU and ward were 0.0279~0.9354 and 0.0174~0.9682, respectively.; And 5) The ranges of Cronbach's ${\alpha}$ reliabilities for evaluating the internal consistency reliability of the tools for neurosurgery ICU and ward were 0.6040~0.8554 and 0.6212~0.9584, respectively. Conclusion: The tools developed in this study seem useful in evaluating the quality of nursing care for aneurismal subarachnoid hemorrhage patients at Hunt & Hess Grade I-III.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.3
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• pp.7-16
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• 2022

Purpose: This study aims to establish the basic directions of the modular airborne infection isolation(AII) ward. Considering a specific function and purposed use as a modular AII ward, it is a chance to derive an address of current modular technology by overview the limitation and improvement of the existing modular architecture. Methods: In addition to the literature analysis on the configuration system of mobile hospitals, research cases on the operational effectiveness of the domestic and foreign mobile construction systems are analyzed. Results: In order to meet the various and strict space guidelines of the AII ward and a chance to improve limitations of uniformed existing modulars, AII modular the negative pressurized care setting should be minimized a structural restriction for reflecting its system on a architectural plan. For this unique requirements, it could be possible to apply various space boxes called infill box which needs to secure a large-scale space. So, a rahmen structure system could be adaptable for this purpose. A dead space between beams of the rahmen structure is to be used for MEP installation. Partial separation, dismantling, and repair should be possible by separating the MEP and infill box from the structure. The infill box must keep 3.5m width under the current Road Traffic Act. Implications: It is necessary to utilize and develop an improved construction method that can reduce the problems of existing steel modular and PC modular.

• Journal of Digital Convergence
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• v.16 no.3
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• pp.363-373
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• 2018

The purpose of this study was investigates the Autonomy and job satisfaction of the nurses in the hematopoietic stem cell transplantation ward. The data was collected by distributing structured questionnaires to 79 nurses at the hematopoietic stem cell transplantation ward at 7 university hospitals in D, B and U Metropolitan cites, from May 20 to June 4, 2013 and analyzed by t-test, ANOVA, Pearson correlation coefficient. The average autonomy level of nursing professionals was $165.47{\pm}19.56points$. The average nurse's job satisfaction was $3.15{\pm}0.35points$. The correlation between autonomy and nurse's job satisfaction showed to be not correlated. The correlation between autonomy and nurse's job satisfaction of the autonomy category(r=.273) and human interaction category(r=.257) showed to be correlated. It is necessary to developed education and policy programs for nurse's autonomy and nurse's job satisfaction at the hematopoietic stem cell transplantation ward.

• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.127-142
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• 2015

Purpose: The purpose of this study was to develop the adapted standard items of situation, background, assessment, recommendations (SBAR) processing for handover between nursing units in Korean hospitals and evaluate the validity and relevance of the standard items. Methods: A delphi method with 33 experts was used to evaluate content validity of the standard items. Then, 1,175 nurses working in general hospitals of more than 500 beds were recruited to evaluate the validity and relevance of the standard items for clinical implication. Results: Content validity was higher than 0.8. The highest scores for relevance among items in handover standards were state of consciousness in the assessment domain for a ward to a ward transfer ($3.82{\pm}0.40$), for a ward to an ICU ($3.85{\pm}0.38$), an ICU to a ward ($3.81{\pm}0.39$) and an ER to a ward ($3.85{\pm}0.37$). Congenital malformation was the highest relevance score for handover from a delivery room to a neonatal unit ($3.91{\pm}0.30$). Conclusion: This study evaluated validity and relevance of the essential contents for handover standards between units to improve communication quality among nurses. The findings of this study should also be applied in clinical nursing areas and the quality of information and effectiveness of usage of the standard should be evaluated.

• Acute and Critical Care
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• v.33 no.4
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• pp.252-259
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• 2018

Background: The aim of this study was to investigate the effects of using a systematic approach to tracheostomy care by a clinical nurse specialist and surgical intensivists for patients with a tracheostomy who were transferred from the surgical intensive care unit (SICU) to the general ward. Methods: In this retrospective study, subjects were limited to SICU patients with a tracheostomy who were transferred to the general ward. The study period was divided into a preintervention period (January 1, 2007 to December 31, 2010) and a postintervention period (January 1, 2011 to December 31, 2014), and electronic medical records were used to analyze and compare patient characteristics, clinical outcomes, and readmission to the SICU. Results: The analysis included 44 patients in the preintervention group and 96 patients in the postintervention group. Decannulation time ($26.7{\pm}25.1$ vs. $12.1{\pm}16.0days$, P=0.003), length of stay in the general ward ($70.6{\pm}89.1$ vs. $40.5{\pm}42.2days$, P=0.008), length of total hospital stay ($107.5{\pm}95.6$ vs. $74.7{\pm}51.2days$, P=0.009), and readmission rate of SICU decreased due to T-cannula occlusion (58.8% vs. 5.9%, P=0.010). Conclusions: Using a systematic approach to tracheostomy care in the general ward led to reduction in decannulation time through professional management, which resulted in a shorter hospital stay. It also lowered SICU readmission by solving problems related to direct T-cannula.