• 제목/요약/키워드: The Ward

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간호·간병통합서비스병동과 일반병동 간호사의 직무만족, 간호전문직관, 간호근무환경 비교 (A Comparative Study on the Job Satisfaction, Nursing Professionalism and Nursing Work Environment of Nurses in Comprehensive Nursing Care Service Wards and Nurses in General Wards)

  • 심옥수;이현주
    • 융합정보논문지
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    • 제7권6호
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    • pp.25-33
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    • 2017
  • 본 연구의 목적은 간호 간병통합서비스병동의 간호사와 일반병동 간호사의 직무만족, 간호전문직관, 간호근무환경을 비교분석하여 기초융합자료를 제공하기 위함이다. 연구는 2016년 5월 1일부터 7월 30일까지 서울 경기지역 임상간호사를 대상으로 실시하였다. 자료는 SPSS WIN 23.0으로 분석하였다. 연구결과는 일반병동 간호사 100명과 간호 간병통합서비스병동 간호사 92명을 비교하였을 때, 일반병동에서 간호근무환경 점수(t=3.027, p=.003)와 직무만족 점수(t=2.451, p=.015)가 통계적으로 높게 나타났다. 일반병동간호사는 간호전문직관이 높을수록 직무만족(r=.605, p<.001)에 정적인 상관이 있는 것으로, 간호간병통합서비스병동 간호사 또한 간호전문직관이 높을수록 직무만족 (r=.642, p<.001)에 정적인 상관이 있는 것으로 나타났다. 향후 간호 간병통합서비스의 질적 보장을 위해서는 간호 간병통합서비스병동의 간호근무환경과 간호전문직관의 확립을 위한 전략이 필요하다.

K-Means 군집모형과 계층적 군집(교차효율성 메트릭스에 의한 평균연결법, Ward법)모형 및 혼합모형을 이용한 컨테이너항만의 클러스터링 측정에 대한 실증적 비교 및 검증에 관한 연구 (An Empirical Comparison and Verification Study on the Containerports Clustering Measurement Using K-Means and Hierarchical Clustering(Average Linkage Method Using Cross-Efficiency Metrics, and Ward Method) and Mixed Models)

  • 박노경
    • 한국항만경제학회지
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    • 제34권3호
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    • pp.17-52
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    • 2018
  • 본 논문에서는 K-Means 군집모형과 계층적 군집모형, 혼합모형으로, 아시아 38개 컨테이너항만 들의 2006년부터 2015년까지의 자료와 선석길이, 수심, 총면적, 크레인 수를 투입물, 컨테이너화물처리량을 산출물로 하여 국내대표 컨테이너항만 들(부산, 인천, 광양항)이 클러스터링 해야만 하는 항만들을 적출해 내는 측정방법을 보여 주고 비교, 분석, 검증하였다. 실증분석의 주요한 결과는 다음과 같다. 첫째, 10년간의 자료를 이용한 분석에서 클러스터링 후의 효율성 증가폭이 큰 순서대로 살펴보면 평균연결법[average linkage(AL)]은 42.04% 상승, Mixed Ward는 35.01% 상승, 경험법칙[rule of thumb(RT)]&Elbow는 30.47% 상승, Ward는23.65% 상승, Mixed AL는 23.25% 상승의 순서였다. 둘째, RT와 Elbow모형에 의한 국내항만들의 클러스터링을 살펴보면 (1)부산항은 두바이, 홍콩, 광저우, 칭타오, 포트 클랑, 싱가포르, 림찬방 (2)인천항은 하이파, 포트슐탄 카부스, 담만, 크호르 파칸, 탄중프리옥, 탄중퍼락, 동경, 나고야, 오사카, 카라치, 오아심, 마닐라, 다바오, 콜롬보, 킬롱, 방콕, (3)광양항은 아카바, 크호르 파칸, 광정우, 닝보, 칭타오, 포트 클랑, 카오슝, 림찬방 항과 클러스터링 해야만 하는 것으로 나타났다. 셋째, 최적 군집 수를 살펴보면 AL(6개), Mixed Ward(5개), RT&ELBOW (4개), Ward(5개), Mixed AL(6개)가 최적 군집 수인 것으로 나타났다. 넷째, 전문가 그룹에 의해서 선호되는 항만들과 본 실증분석결과에 의해서 도출된 국내항만들의 클러스터링 되는 항만들과의 일치성 여부는 부산항은 80%, 인천항은 17%, 광양항은 50%수준에서 일치하는 것으로 검증되었다. 본 논문이 제안하고 있는 정책적인 측면의 의미는 첫째, 항만정책입안자, 항만운영관리자들이 본 연구에서 사용한 모형들을 항만의 클러스터링에 도입하여 벤치마킹항만들을 선정해야만 한다. 둘째, 실증분석의 결과로서 도출된, 국내항만들의 참조항만, 클러스터링항만들에 대하여, 그들 항만들의 항만개발, 운영방안 등에 대한 내용을 비교 분석하고 벤치마킹이 필요한 부분은 신속하게 도입하여 실시하는 것이 필요하다는 점이다.

지역거점 공공병원 병동부의 시설기준 변화와 건축계획 개선에 관한 연구 (A Study on the Changes of Facility Guidelines and Improvement of Architectural Planning on the Wards in the Public District General Hospitals)

  • 김기연;최광석
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권3호
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    • pp.7-15
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    • 2018
  • Purpose: The purpose of this study is to suggest the improvement of the architectural planning of public hospitals by analyzing the contents of the architectural planning and the trend of the recent ward planning. Methods: The study method was the drawing analysis of the wards in the public hospitals where facilities were improved including the ward-related literature survey. The scope of the study was the general wards. Results: As a result of the study, the area composition of the ward area, the number of beds per nursing unit, the floorplan types, and the unit space planning which is included the room composition, the room size, the bed clearance areas, and the improvements of the nursing space were suggested. Implications: The result of this research would be useful as a reference to design nurse area in the wards.

종합병원 병동부 간호 이동 동선을 고려한 가시 특성 분석 모델에 관한 연구 (A Study on the Visibility Analysis Model for the Ward of General Hospital Considering Nurse's Circulation)

  • 김서영;권지훈
    • 대한건축학회연합논문집
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    • 제20권6호
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    • pp.71-80
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    • 2018
  • The path and visibility of nurses in general hospital wards have been treated as architectural planning factors. However, the analysis approach of existing studies shows limitations that only fixed physical elements are considered without considering the behavior of users using space. Consider factors for analysis of ward and models based on this study model. Select a case hospital to apply the analysis technique and conduct the nurse questionnaire and route survey of the hospital. Establish a framework for analysis model applied with the path of nurse movements. The analysis model applies to the case hospital. The analysis results are aggregated to derive design suggestion for reference to the spatial improvement of the ward. Visible visibility to observe the bedside in the nursing station, visibility to observe the beds in the nurse's path, and visibility to observe patients moving in the nurse's path were derived from visual access frequency and exposure frequency. The survey of nurses' movements at the site allowed the nurses to calculate the distance required to move. Reflecting the path of nurse movement, a model was presented for a comprehensive analysis of nursing distance and nursing visibility, which could lead to improvement in the observation and visibility of nurses and the layout of patient rooms or day rooms.

AlTiN코팅공구를 사용한 플라스틱금형강의 기계가공성 평가 (Machinability Evaluation of the Plastic Mould Steel using AlTiN Coated Tool)

  • 이승철;조규재
    • 한국생산제조학회지
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    • 제18권6호
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    • pp.629-635
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    • 2009
  • In this research, KP-4, one of the plastic mold steels, was coated with the AlTiN from one layer to four layers by the PVD method in the $\Phi$ 8mm cemented carbide ball end mill. Coated KP-4 was processed with various conditions. For example, slope of $15^{\circ}$, $30^{\circ}$ and $45^{\circ}$ the spindle rotation speed was changed from 10,000rpm to 16,000rpm, the tool feeding speed was changed from 1,300mm/min to 1,700mm/min, the depth of cut was also changed from 0.3mm to 0.9mm, and etc. Cutting component force according to the coating layer number, and surface roughness were studied. The cutting component force showed a good agreement better the up ward direction than the down ward direction under all experimental conditions. In case of the condition per the material shape, it was lessen when the tool have larger angle because the average effective diameter of the tool is larger. The surface roughness showed good condition in case of the up ward than the down ward direction. And, in the 3rd layer of AlTiN coating, it showed the most suitable condition.

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행복결정요인이 지역주민 건강인식에 미치는 영향 연구 (Study on Effect about The Determinants of Happiness to The Local Residents of Their Cognition of Health)

  • 남희은;백정원;류지선
    • 보건의료산업학회지
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    • 제5권4호
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    • pp.53-63
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    • 2011
  • This study focused on 'The Health' which should considered as a precondition for the local residents by reinvestigating the indicators of happiness after Young-Do ward formulate a community social welfare plan. There is purpose of this study as below. I searched an general attribute and the indicators of happiness, then looked how does results from questions about health and factors of the indicators of happiness can affects the health with some kinds of elements. Five hundred people from the inhabitants of Young-Do ward who is living in Young-Do district were separated by using the random sampling method as the subject of the study. The investigation took effect from October to November of 2010 and an investigator visited the inhabitants of a ward with structured questionnaire. An investigator had one-on-one talk with inhabitants of Young-Do ward while the investigation and I also collected the data through self-administered questionnaire as well. I found the physical elements influence in the health much more than the outside factors from the study. Higher satisfaction of their career, relationship between friends and co-workers, work environment and married life reflects the fact that higher self-contentment means high quality health level.

Feasibility to Expand Complex Wards for Efficient Hospital Management and Quality Improvement

  • CHOI, Eun-Mee;JUNG, Yong-Sik;KWON, Lee-Seung;KO, Sang-Kyun;LEE, Jae-Young;KIM, Myeong-Jong
    • 산경연구논집
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    • 제11권12호
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    • pp.7-15
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    • 2020
  • Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

특실병동 간호사의 실무적응과정에서의 의사결정 경험 (Decision Making Experience of VIP Ward Nurses in the Clinical Practice Adjustment Process)

  • 김춘미;김정수;김덕희
    • 간호행정학회지
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    • 제15권3호
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    • pp.391-402
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    • 2009
  • Purpose: The purpose of this research was to describe the decision making experience of VIP ward nurses in the clinical practice adjustment process. The research question was about "how nurses adjust their clinical practice to nursing situations and develop decision making process in a VIP ward." Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin(1998). The data was collected through in-depth interviews with 10 nurses from July to November, 2007. Results: The core category of nursing care decision making process was named as "adjusting with flexibility and deepened insight." The clinical practice adjustment process in nursing care decision making has progressed through four preceding interlocking phases: 1) dependent phase, 2) defensive phase, 3) independent phase, 4) integrative phase. These phases were classified by the level of nurses' dependency, proactivity, presupposition and integration. Conclusion: The result of this study indicated that nurse's decision making depended on their experiences and the nature of social context in which nursing occurs. Therefore, it is important to elaborate an effective training program for nurses to develop the phases of nursing care decision making.

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간호사의 인간관계 경험에 관한 연구 (Clinical Nurses′ lived Experience of Interpersonal Relations in the Ward Setting of the hospital)

  • 안양희;김대란;서복남;이경의;이은하;임은실
    • 대한간호학회지
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    • 제32권3호
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    • pp.295-304
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    • 2002
  • The purpose of the study was to describe the essential structure of the lived experience of clinical nurses' interpersonal relations among nurses, patients, and others in the ward setting of the hospital. Method: Six nurses who have experienced from 4 to 7 years on the same ward setting, were interviewed. The data were collected from September, 2000 to May, 2001 and analyzed using Colaizzi's (1978) method of phenomenology. Result: In this study, 7 themes were extracted: difficulty of interpersonal relations after being familiar with work, developing good relations with doctors, patients, and their significant others as experience increased, generation gap among individual nurses, evaluating other nursing colleagues on their past experience in ward settings, avoiding nurses with whom one was in conflict, sometimes, resolving conflict through getting together with colleagues informally, having a limited interpersonal network, experiencing becoming mature through struggling with the difficulty of interpersonal relations. Conclusion: Nurse managers need to provide resources, opportunities, and information to clinical nurses through fully understanding the characteristics of nurses' interpersonal relations. In addition, they should minimize the factors which intervene with good interpersonal relations among clinical nurses.