• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.29-39
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• 2021

Purpose: As the need for a hospital specializing in infectious diseases has increased, construction is being promoted. Hospitals specializing in infectious diseases receive some state subsidies, but in the case of private hospitals, hospital operation efficiency should be considered to prevent cost loss. Therefore, we aim to derive a building plan for a general ward in a hospital specializing in infectious diseases that can be used not only in normal times but also in times of crisis. Methods: In this study, relevant literature review and field interviews were conducted with medical staff working in facilities designated as infectious disease hospitals. Results: The general ward building plan of the hospital specializing in infectious diseases was classified into three categories and presented. 'Spatial composition' for nursing unit and ward zoning, 'Spatial plan' for ward space conversion in normal times and crises, 'Bedroom plan' for effective dimensions and area of the ward. Implications: It can be used as a guideline when designing an infection-facility ward. And it can be a basis for inducing improvements to prevent infection in the ward of existing medical facilities.

• 대한간호학회지
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• 제9권2호
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• pp.17-26
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• 1979

This research is to prevent the infection of maternity in the hospital by examining the microbes contaminations in maternity through airbone microbes and those who are engaged in the ward of O.B. ＆ G.Y. and to furnish the basic data available to hospital management. The bacterial growth of airbone microbes contaminations in nosocomial air and who thor the nasal cavity of passers by (doctors, nurses, parturient women) who went to the ward of O.B. ＆ G.Y. contaminated or not were examined in“E”Univ. Hospital from July to August, 1979 by using thioglycollate broths and agar plates. The following results were obtained: 1. The average colony number of airborne microbes revealed as follows the pediatric ward (36 colonies), the internal ward (33 colonies), the ward of O.B. ＆ G.Y. (30 colonies), the ward of surgery (24 colonies), delivery-waiting room (11 colonies), and the delivery room (3 colonies). 2. The bacterial growth beforenoon differed from that of afternoon. Namely, the latter (24 colonies) was higher than the former (21 colonies). 3. The type of strains isolated from the air of the ward revealed staphylococci (82%), Gram negative bacilli (18%), fungi (17%), Gram positive diplococci (13%), and Bacillus subtilis (2.8%). 4. The strains isolated in the delivery-waiting room revealed staphylococci (66.7%), Gram negative bacilli (33.6%), and revealed staphylococci (75%), Gram positive diplococci (8.3%), and fungi (8.3%), in delivery room. 5. Most of strains isolated in the ward of O.B. & G.Y. revealed staphylococci (100.0%), Gram positive diplococci (8.3%), and Gram negative bacilli (6.7%). 6. The strain isolated in the surgical ward revealed staphylococci (91.7%), fungi (33.3%), Gram positive diplococci (25%), Gram negative bacilli (25%) and Bacillus subtilis (8.3%). 7. The strain isolated in the pediatric ward revealed staphylococci (75%), fungi (25%), Gram positive diplococci (8.3%), Bacillus subtilis (8.3%), and Gram negative bacilli (8.3%). 8. The strain isolated in the internal ward revealed staphylococci (91.7%), fungi (33.3%), Gram positive diplococci (25%), and negative bacilli (16.7%). The strains isolated from the nasal cavity of those doctors and nurses who and enaged in the ward of O.B. & G.Y. revealed staphylococci (80%), Bacillus subtilis (10%), and Gram negative bacilli (10%), from doctors and Gram positive diplococci (10%), instead of Gram negative bacilli (10％), from nurses. 10. The strain isolated from nasal cavity of parturient women on admission revealed staphylococci (90%), and Gram negative bacilli (10%), but after admission revealed staphylococci (70％), Gram positive diplococci (10%), and Gram negative bacilli (10%). 11. Of the total 91 staphylococci isolated from the air of the ward, the Coagulase pastive was 36 (39.6%), and the negative 55 (60.4%), As a result of the coagulase experiment of the staphylococci isolated from the nasal cavity of those who are engaged in the ward of O.B. ＆ G.Y. all were revealed as negative that belonged to non-pathogenic. 12. Consequence of the biochemic examination of the gram negative bacilli isolated from the air of the ward the aerobacter aerogens revealed was (16.7%) E-coli 5％ in the nasal cavity of those came and went to the of O.B. ＆ G.Y. and Aerobacter aerogens 7.5%.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권4호
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• pp.61-69
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• 2022

Purpose: In response to the rapid spread of COVID-19 in 2020, the government supported facilities and equipment through the 'Urgent Isolation Ward Expansion Project'. Design and remodeling of efficient negative pressure isolation facilities had to be done in a short period of time, and the performance gap between facilities was very large because the types of hospitals and wards of existing medical facilities were diverse. In order to secure the stability of isolation wards between medical facilities and reduce the facility gap, guidelines for planning isolation wards considering the diversity of each hospital should be appropriately presented. In consideration of these points, this study aims to provide basic data for future remodeling guidelines for each plan type of the negative pressure isolation ward first. Methods: We analyzed the plans before and after the change of 13 case hospitals that performed the urgent care bed expansion project for COVID-19 confirmed patients. Before the remodeling, the current status of the facility was analyzed according to the type of corridor, the location of the nursing station, and the location of the elevator. After remodeling, the flow of medical staff and patients, the flow of entry and exit of clean and contaminated items, and the space of negative pressure and non-negative pressure areas. Results: The ward type was divided into three types according to the corridor type and room arrangement: double loaded corridor type with two side wards, race track type with one side ward, and race track type with two side wards. Based on these three types, the standard floor plan type of the isolation ward was proposed in terms of the location of the elevator bank and Nurse station. Implications: When the existing general ward is converted into a negative pressure isolation ward, this study can be a basic data to present customized guidelines for each ward type.

• 대한간호학회지
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• 제25권4호
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• pp.641-652
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• 1995

Working as nurses, authors found that some patients were not content with their hospital life. Some patients wanted to move to another ward, and others complained about their ward atmosphere. In spite of patients' discomfort, nurses didn't know what made some patients complain about their ward. So, authors tried to find factors that influence atmosphere of hospital wards of the neurosurgery patients. To know the atmosphere of wards, authors selected five neurosurgery ward of a university hospital in Seoul. Observation took a month. An author observed using molar approach, in the morning, in the day time, and in evening time. Authors used concealment /no intervention technique. An author checked condition of people in the wards, and observed their verbal and nonverbal communication behavior their activities and environmental characteristics, and interpreted their meaning through ethnographic research methodology by Spradly. Authors found there was an important factors that influence the atmosphere of ward. It was a human and his attitude. At least one person who was willing to help others made ward atmosphere better. Helping others physically whenever needed, sup-porting the depressed emotionally, offering foods, or talking to others friendly brought good atmosphere. On the contrary, if everyone was indiffernt to others, the atmosphere became cold. Self-centered or selfish behaviors such as occupying too much area, using the toilet too long, covering other's suction bottle without permission and seeing others delicate or urinate were hurtful. In addition to the attitude of patients and their families, unkindness of medical teams including nurses and doctors and tasteless meal caused bad ward atmosphere. Based on this research finding, authors suggest the followings. A For the better atmosphere of ward 1. Nurses should try to make the ward atmosphere better by introducing new patient to older ones. 2. Every ward should have dividing curtains to keep patient's privacy. 3. All hospital personnel should be kind enough to make patients feel that they are repected. 4. Hospital should serve high quality meals to patients. 5. Patients had better stay with those in the similar condition. B. For the future studies 1. Repeated researches are necessary to check reliability of this results. 2. Researches for patients in different area such as ICU, or hemodialysis unit are necessary.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.124-132
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• 2017

본 연구는 소아병동간호사와 일반병동간호사의 간호근무환경, 직무스트레스 및 이직의도 차이를 비교하는 서술적 조사연구이다. 연구대상은 G광역시 소재 200병상 이상의 중소병원과 종합병원 및 대학병원에서 근무하는 경력 1년 이상의 간호사 174명을 대상으로 하였다. 자료 수집은 2016년 8월부터 구조화된 설문지를 이용하여 간호근무환경, 직무스트레스, 이직의도를 측정하였다. 연구결과 소아병동간호사와 일반병동간호사간에 간호근무환경은 유의한 차이가 없었고, 직무스트레스는 유의한 차이가 있었다. 특히, 소아병동간호사가 간호근무환경이 나쁠수록, 직무스트레스가 높을수록 이직의도가 더 높은 것으로 나타났다. 소아병동간호사는 일반병동간호사보다 직무스트레스가 더 높은 이유는 아동의 건강문제 뿐 아니라 그 가족으로 부터 받는 스트레스가 가중되기 때문이므로 소아병동간호사의 직무스트레스를 줄일 수 있는 의사소통, 자아성취감을 높일 수 있는 전문가 교육 등 다양한 방안이 요구된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.67-77
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• 2016

Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권2호
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• pp.7-16
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• 2019

Purpose: The courtyard in the ward can light and ventilate in the central space and corridor of the ward. It is possible to improve the disadvantages of the existing double-corridor ward. Also, there is the advantage in that patients are able to contact with nature indoors and cause positive activities. So, the purpose of this study is quantitatively analyze the floor area and the average distance of nurse working of the courtyard in ward. Methods: The subjects are converted through the same criteria setting. And it investigate and analyze the influence of the courtyard in the ward through the analysis of the spatial composition. Result: The factors that affected the floor area increase are the planning courtyard, the corridor type and the dispersion of the medical rooms. The average distance of nurse working is more influenced by the nursing management system of the hospital than by the courtyard. So, It can improve according to the position and number of nurse station. Implications: It can be used as a primary data for courtyard plan in the ward for positive patient environment plan considering the floor area, average distance of nurse working.

• 종양간호연구
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• 제1권2호
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• pp.191-203
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• 2001

The health of a nurse is very important because her mental and physical health can influence toward nursing patients directly, Especially, Cancer patients are growing annually. Also, terminal cancer patients' nursing and dead place are increasingly using hospital and the period of nursing for cancer patients are increasing. Nursing for cancer patients are different with acute disease. Therefore, I analysed comparing nurses' health working in cancer and general ward so that nurses working at cancer ward could be developed as a professional nurse, and I wanted to establish the foundation of nursing administration and reasonable manpower management to supply good quality of nursing to patients. In my research, I selected 117 nurses working in cancer ward and 134 nurses working in general word to analyse the stress rate and nurse's health comparing nurses working in general ward and cancer ward. The survey was conducted of nurses working in cancer ward nurses in 2 university hospitals, nurses working in a cancer hospital, and general ward nurses working in 3 public hospital. Also, the data was collected from Sep. 13, 2001 to Sep. 28, 2001. As health measuring tool, I used Cornell Medical Index(CMI) which are developed to fit Koreans by Ko Ungrin and Park Hang-bas (1980) using Cornell Medical Services which were designed by Weiser, Brosman, Mittelman, Wechler, Wolff in Cornell University(1945). As working stress measuring tool, I used Questionaries which were designed by Kim Mae-ja and Ku Mi-ok(1984) and then developed by Bae In-sook(1996). For managing the data, I used frequency, percentage, ${\chi}^2$ verification, t-test, and F-test (ANOVA). And in the case of significant data(p<.05). I did Duncan's test for post verification. The mutual relation between health condition and working stress rate have been conducted using Pearson's Correlation Coefficient. Followings are the results of my research. 1. Two groups showed significant differency at age after testing homogeneous character between two groups (${\chi}^2$ =9.919, p=.007). 2. Comparing two group's health condition, cancer ward(average 19.35${\pm}$18.34) were higher than general ward(14.42${\pm}$10.59) and showed statistical significant differency(p=.009). And, comparing two group's mental condition, cancer ward(9.00${\pm}$9.79) were higher than general ward(7.13${\pm}$6.35) and statistically no differency. 3. After comparing two group's working stress rate, the rate of cancer ward nurse's working stress(3.36${\pm}$.50) is higher than general ward nurse (3.32${\pm}$.48). There are no significant differency. However, in the detailed verification test, there were significant differency at inappropriate compensation (t=3.254, p=.001) and medication issue (t=2.170, p=.031). 4. After comparing health condition at general points, physical health condition showed significant differency at age(p=.020), the number of children (p=.015), religion (p=.015), position(p=.005), career(p=.008), working satisfaction(p=.003), activity after office hour(p=.045); and mental health condition showed significant differency at position(p=.010), career (p=.017), working satisfaction (p=.003). 5. After comparing the working stress rate according to general points, there were significant differency at working satisfaction (F=5.285, p=.006), predicted nursing(F=3.822, p=.023). 6. At the relation of health condition and working stress rate between two groups. physical and mental condition showed significant relation with working stress rate. i.e, if a nurse's health condition is not good, she are feeling much more stress than others. After considering all the factors in my research, I found that the health condition and stress rate of cancer ward nurses is much higher than general ward nurses. Considering that cancer ward nurses is necessary to care for increasing cancer patients with mental and physical nursing, the less stress for cancer ward nurses is very important to develop nursing quality and working efficiency by keeping good health condition, specializing cancer ward nurses. Therefore, we need following studies to find the factors which are effecting to cancer ward nurses' health and specialization. Also, we need to improve managing working condition to decrease working stress by improving working condition.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.49-55
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• 2011

This study proposes proportions of functional areas in the ward of general hospitals, which are derived from 5 big university hospitals in order to establish the ward area standard for hospital design. The results of this paper are as follows. First, functional areas of hospital ward are composed of bedroom area, nursing area, training area, service area, and common area. Of course common area can be divided into first common area and secondary common area. The first common area(inter departmental common area) includes lobbies, elevator lobbies, corridors, restroom, and mechanical shafts. The secondary common area means the common area within special department such as ward or radiology department. Second, a standard method of calculating ward areas has been proposed: the standard is based on the center line of the wall between functional areas. Third, the proportions of 6 functional areas in ward are suggested.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권1호
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• pp.27-36
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• 2015

Purpose : Ministry of Health & Welfare started to 'Comprehensive care ward' project for patient hospitalization in order to help the economic and medical By providing comprehensive care services through professional nursing staff since 2013. Many physical environments changes are expected by providing comprehensive care services. The purpose of this study is to investigate the comprehensive care services and identify the problems of the corresponding physical environment usage. Methods : Data were collected through research, field surveys, and expert interviews to analyze and investigate the physical environment of the 'Comprehensive care ward'. Results : Physical environments changes in accordance with the comprehensive care services provided in 'Comprehensive care ward' are being only partially achieved. It have to considered not only ward environmental improvement for nursing services provided directly to the patient, but Including nurses warehousing space, work space. Implications : Comprehensive care ward project is scheduled to be operational even some wards throughout the hospital since 2018. This study is basic research for architectural planning of the future ward with comprehensive care services in public hospital.