• Title/Summary/Keyword: Unit Factors

Search Result 2,378, Processing Time 0.026 seconds

Effects of Communication Skills and Humanistic Knowledge on Professional Quality of Life in Intensive Care Unit Nurses (중환자실 간호사의 의사소통능력과 인문학적 소양이 전문직 삶의 질에 미치는 영향)

  • CHO, Gyoo Yeong;Ha, Myung Nam;Seo, Mi Kyung
    • Journal of Korean Critical Care Nursing
    • /
    • v.13 no.2
    • /
    • pp.45-59
    • /
    • 2020
  • Purpose : The purpose of this study was to identify relation of the communication skills, humanistic knowledge and professional quality of life and to investigate the enhancing ways of professional quality of life in intensive-care unit nurses. Methods : The study design was a descriptive survey from 152 intensive-care unit nurses, from December 1 to 30, 2019. The data analysis was with ANOVA, Scheffé test, Pearson's correlation coefficient and Multiple regression using the SPSS/WIN 23.0 program. Results : The factors affecting compassion satisfaction were communication skills (β=0.42, p=.001), satisfaction for working (β=0.61, p=.001), marriage (β=0.23, p=.005), humanistic knowledge (β=0.47, p=.008) and these factors explained 35.6%. The factors affecting secondary traumatic stress were job stress (β=0.19, p=.011), number of patients per nurse (β=-0.36, p=.004) and these factors explained 9.4%. The factors affecting burnout were job stress (β=-0.25, p=.001), communication skills (β=-0.29, p=.001), working period(β=-0.18, p=.010), satisfaction for working (β=-0.31, p=.001), self care (β=-0.11, p=.033) and these factors explained 36%. Conclusion : Therefore, it is necessary to develop solution to improve professional quality of life in intensive-care unit nurses. It needs to develop programs to improve communication skills and humanistic knowledge in order to enhance compassion satisfaction and to improve communication skills to prevent burnout.

Risk Factors of Delirium Among the Patients at a Surgical Intensive Care Unit (일 종합병원 외과계 중환자실 환자의 섬망 발생 요인)

  • Chun, You Kyoung;Park, Jeong Yun
    • Journal of Korean Critical Care Nursing
    • /
    • v.10 no.3
    • /
    • pp.31-40
    • /
    • 2017
  • Purpose : This study examined the prevalence of delirium-related factors in a surgical intensive care unit (SICU). Methods : This retrospective study enrolled 73 patients who were admitted to an SICU from October 1, 2016 to March 20, 2017 and who had been hospitalized for more than 72 hours. Data was collected by reviewing electronic medical records. Results : Delirium occurred in 46 (63.0%) patients. Its related factors were age, education, mechanical ventilator, sleep, narcotics, physical restraint, and central line catheters. Conclusion : The results indicate that sleep and physical restraint are significant factors related to delirium occurrence. The results of this study can help in developing guidelines for the prevention of delirium.

  • PDF

A Study on Implementation Delay Factors of the Block-unit Housing Renewal Project - Focused on the Incheon Metropolitan City - (가로주택정비사업의 사업시행 지연요인에 관한 연구 - 인천광역시 사례를 중심으로 -)

  • Han, Young Hoon;Na, In Su
    • Journal of KIBIM
    • /
    • v.12 no.4
    • /
    • pp.32-40
    • /
    • 2022
  • The block-unit housing renewal project was presented as an alternative method to overcome the side effects of large-scale renewal projects while improving poor residential conditions. However, projects implementation is prolonged and even the pace of projects, which was considered an various incentives, is being delayed for the most part. In this study, delay factors are drawn by eight; conflict among association members, contract delay of joint implementation, participation paucity of constructor, inadequate project guidelines, alteration of project plan, lack of renewal project professionals, stricter loan restriction of HUG, lack of capacity of project operator. We categorized those eight factors to three aspects such as implementation, participants and proposition and suggested improvement alternatives according to three aspects.

Calculating the Unit Cost Factors for Decommissioning Cost Estimation of the Nuclear Research Reactor (연구용원자로 해체비용 산정을 위한 단위비용인자 산출)

  • Jeong, Kwan-Seong;Lee, Dong-Gyu;Jung, Chong-Hun;Lee, Kune-Woo
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
    • /
    • v.4 no.4
    • /
    • pp.385-391
    • /
    • 2006
  • The estimated decommissioning cost of nuclear research reactor is calculated by applying a unit cost factor-based engineering cost calculation method on which classification of decommissioning works fitted with the features and specifications of decommissioning objects and establishment of composition factors are based. Decommissioning cost of nuclear research reactor is composed of labor cost, equipment and materials cost. Labor cost of decommissioning costs in decommissioning works are calculated on the basis of working time consumed in decommissioning objects. In this paper, the unit cost factors and work difficulty factors which are needed to calculate the labor cost in estimating decommissioning cost of nuclear research reactor are derived and figured out.

  • PDF

An Analysis on the Influence Factors relative to Reliability of Standard Production Unit System (표준품셈의 신뢰성에 대한 영향요인 분석)

  • Kim, Yong-Woo;Shin, Won-Sang;Son, Chang-Baek
    • Proceedings of the Korean Institute of Building Construction Conference
    • /
    • 2011.05a
    • /
    • pp.187-189
    • /
    • 2011
  • Standard production unit system has been used as accumulated standard for the cost estimation of public construction projects. However, it is difficult to estimate reasonable cost due to adaptation of a uniform standard and reflect changes in the technology. The purpose of this study is to provide basic data for improvement of standard production unit system through the identifying problems and analysing its influence on enactment and/or revision work of standard production unit system.

  • PDF

A Comparative Study on the Apartment Unit Plans According to the Living Environment Elements of Housing in Korea and China - Focused on Apartment cases in Seoul and Shanghai - (한.중 공동주택의 생활환경요인을 통한 단위평면 비교 연구 - 서울과 상하이 전통, 근대, 현대 공동주택 사례를 중심으로 -)

  • Liang, Fei;Yoon, Hea-Kyung;Park, Hyeon-Soo
    • Korean Institute of Interior Design Journal
    • /
    • v.19 no.2
    • /
    • pp.136-143
    • /
    • 2010
  • This study aims to seek a direction of development in apartment interior planning method, considering residential condition and historical planning schemes in South Korea and China. In this study, South Korea and China's traditional housing and modern apartment unit was studied to identify environmental attributes of residence. For Korea, Banga, where upper class residents lived, and modern urban Hanok were chosen to be analyzed. For China, two types of housing wear studied: Sahapwon, original form of China housing, and Yinong house which is a typical Sanghai house. First, the elements of living environment in two major cities; Seoul and Sanghai was defined to analyze factors of traditional houses in both cities. Depending on those factors, relationship among traditional and modern housing types were compared and analyzed, focusing on unit plan case studies for a better understanding of living environment in South Korea and China. From this study, similarities and differences between apartment plans in Seoul and Shanghai was examined according to their residential style, surrounding natural environment and lifestyle factors. In Seoul's apartment, spacial composition and movement lines were mainly formed around the public space in Seoul, while public space of living and dining room was located at housing entrance area in the Shanghai's residential system, configuring narrow form of housing unit. In respect of the natural environment, the unit plan of rectangular form in Seoul was more efficient in day lighting and wind circulation than the unit plan of narrow form in Shanghai. It was also found that cultural differences of stand-up and seat life style influenced on the composition of unit plans in Seoul and Shanghai.n Apartment cases in Seoul and Shanghai.

Initiation of Pharmaceutical Care Service in Medical Intensive Care Unit with Drug Interaction Monitoring Program (내과계 중환자실 약료 서비스 도입과 약물상호작용 모니터링)

  • Choi, Jae Hee;Choi, Kyung Sook;Lee, Kwang Seup;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
    • /
    • v.25 no.3
    • /
    • pp.138-144
    • /
    • 2015
  • Objective: It is to evaluate the drug interaction monitoring program as a pilot project to develop a pharmaceutical care model in a medical intensive care unit and to analyze the influencing factors of drug interactions. Method: Electronic medical records were retrospectively investigated for 116 patients who had been hospitalized in a medical intensive care unit from October to December in 2014. The prevalence of adverse reaction with risk rating higher than 'D' was investigated by Lexi-$Comp^{(R)}$ Online database. The factors related with potential drug interaction and with treatment outcomes were analyzed. Results: The number of patients with a potential interaction of drug combination was 92 (79.3%). Average ages, the length of stay in the intensive care unit and the numbers of prescription drugs showed significant differences between drug interaction group and non-drug interaction group. Opioids (14.4%), antibiotics (7.2%), and diuretics (7.2%) were most responsible drug classes for drug interactions and the individual medications included furosemide (6.4%), tramadol (4.9%), and remifentanil (4.5%). There were 950 cases with a risk rating of 'C' (84.6%), 142 cases with a risk rating of 'D' (12.6%), and 31 cases with a risk rating of 'X' (avoid combination) (2.8%). The factors affecting drug interactions were the number of drugs prescribed (p < 0.0001) and the length of stay at intensive care unit (p < 0.01). The patients in intensive care unit showed a high incidence of adverse reactions related to potential drug interaction. Therefore, drug interaction monitoring program as a one of pharmaceutical care services was successfully piloted and it showed to prevent adverse reaction and to improve therapeutic outcomes. Conclusion: Active participation of a pharmacist in the drug management at the intensive care unit should be considered.

A Study on Urinary Tract Infections in Intensive Care Unit Patients with an Indwelling Urinary Catheter

  • Seong, Hee-Kyung;Kim, Yoo-Ho
    • Biomedical Science Letters
    • /
    • v.7 no.3
    • /
    • pp.117-125
    • /
    • 2001
  • This study was performed in order to evaluate the risk factors for nosocomial urinary tract infection and the frequencies of organisms isolated, and to provide the epidemiologic and basic data of hospital acquired urinary tract infection in intensive care unit. A prospective analysis was performed with 1,235 urine samples following urinary bladder catheterization in 569 patients, who had no evidence of UTI at the time of catheter insertion, admitted to intensive care unit in Pusan P hospital between June 1997 and May 1998. To identify risk factors for UTI, clinical characteristics of infected patients were analyzed. We analyzed these data by percentage, chi-square and odd ratio. Obtained results were as follows: A total of 569 patients (male 341 and female 228) were an average age of 50.8 years and catheterization of 8.04 days. Incidence of UTI was 16.1% (199/1,235) and The risk factors of UTI were duration of catheterization over 7 days, no use of systemic antibiotics, summer and female, and During the first 7 days these risk factors were no use of systemic antibiotics, summer, place of first catheter insertion (ICU) and type of intensive care unit (NSICU). A total of 220 the isolated strains were Gram negative rod 83 (37.7%), yeast like fungi 74 (33.6%) and Gram positive cocci 63 (28.6%). The common organisms isolated were Enterococcus faecalis 23 (10.5%), Serratia marcescens 19 (8.6%), Pseudomonu spp.17 (7.7%), E. ooh 16 (7.3%), Staphylococcus epidemidis 11 (5.0%) mdklebsiellapneumoniae 8 (3.6%). Therefore, in these results 199 of 569 (35%) patients in ICU with indwelling urinary catheter developed UTI. The risk factors for UTI are prolonged duration of catheterization, no use of systemic antibiotics, summer, and female.

  • PDF

Risk Factors and Clinical Outcomes of Unplanned Reintubation after Planned Extubation in Adult Patients admitted to the Intensive Care Unit after Cardiac Surgery (성인 심장수술 후 중환자실에 입실한 환자의 계획된 발관 후 비계획적 기관 재삽관 위험요인과 임상결과)

  • Lee, Ju-Hee;Choi, Hye-Ran
    • Journal of Korean Critical Care Nursing
    • /
    • v.15 no.3
    • /
    • pp.88-100
    • /
    • 2022
  • Purpose : This study aimed to identify risk factors for unplanned reintubation after planned extubation and to analyze the clinical outcomes in patients admitted to the intensive care unit after cardiac surgery. Methods : The study examined patients who underwent intubation and planned extubation admitted to the intensive care unit after cardiac surgery between January 1, 2017, and December 31, 2021. The reintubation group comprised 58 patients underwent unplanned reintubation within 7 days of planned extubation. The maintenance group comprised 116 patients who did not undergo reintubation and were matched with the reintubation group using the rational for matching criteria. Data were collected retrospectively from electronic medical records. We used the independent t-test, Mann-Whitney U test, 𝑥2-test, Fisher's exact test, and logistic regression analysis with SPSS/WIN 27.0. Results : The multivariate logistic regression analysis demonstrated that albumin (odds ratio [OR]=0.38, 95% confidence interval [CI]=0.20-0.72), surgery time (OR=1.54, 95% CI=1.20-1.97), PaO2 before extubation (OR=0.85 per 10 mmHg, 95% CI=0.75-0.97), postoperative arrhythmia (OR=2.82, 95% CI=1.22-6.51), reoperation due to bleeding (OR=4.65, 95% CI=1.27-17.07), and postoperative acute renal failure (OR=2.97, 95% CI=1.09-8.04) were risk factors for unplanned reintubation. The reintubation group had a higher in-hospital mortality rate (𝑥2=33.74, p<.001), longer intensive care unit stay (Z=-7.81, p<.001), and longer hospital stay than the maintenance group (Z=-8.29, p<.001). Conclusion : These results identified risk factors and clinical outcomes of unplanned reintubation after planned extubation after cardiac surgery. These findings should be considered when developing and managing an intervention program to prevent and reduce the incidence of unplanned reintubation.

Estimation of Particulate Matter and Ammonia Emission Factors for Mechanically-Ventilated Pig Houses (강제환기식 양돈시설의 암모니아 및 미세먼지 배출계수 산정)

  • Park, Jinseon;Jeong, Hanna;Hong, Se-Woon
    • Journal of The Korean Society of Agricultural Engineers
    • /
    • v.62 no.6
    • /
    • pp.33-42
    • /
    • 2020
  • Emission factors for ammonia and particulate matters (PMs) from livestock buildings are of increasing importance in view of the environmental protection. While the existing emission factors were determined based on the emission inventory of other countries, in situ measurement of emission factors is required to construct an accurate emission inventory for Korea. This study is to report measurements of ammonia and PMs emissions from mechanically-ventilated pig houses, which are common types of pig barns in Korea. Ventilation rates and concentrations of ammonia and PMs were measured at the ventilation outlets of a weaner unit, a growing pig unit and a fattening pig unit to calculated the emission factors. The PMs emission was characterized with different aerodynamic diameters (PM2.5, PM10, and total suspended particulates (TSP)). The measured ammonia emission factors for weaners, growing pigs and fattening pigs were 0.225, 0.869 and 1.679 kg animal-1 yr-1, respectively, showing linear increase with pigs' age. The PMs emission factors for three growing stages were 0.023, 0.237 and 0.241 kg animal-1 yr-1, respectively for TSP, 0.017, 0.072 and 0.223 kg animal-1 yr-1, respectively for PM10, and 0.011, 0.016 and 0.151 kg animal-1 yr-1, respectively for PM2.5. PMs emissions were increased with pigs' age due to increasing feed supply and animal movement. The measured emission factors were smaller than those of the existing emission inventory indicating that the existing ones overestimate the emissions from pig buildings and also suggesting that long-term in situ monitoring at various livestock buildings is required to construct the accurate emission inventory.