• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.42 no.3
• /
• pp.95-108
• /
• 2019

Quality management has become an pervasive philosophy in most sectors of business. Specific movements such as statistical quality control, quality circle, total quality management, and quality management system have become embedded in business organizations. Only the companies with competitive edge can survive in the competition in global market. KSA(Korean Standards Association) established in 1962 has launched all kinds of quality education, quality standard certification service for business, and KNQA(Korean National Quality Award) system. This article considers quality competitiveness excellent company award among KNQA. We performed a statistical analysis of audit data for quality competitiveness excellent company for three years, from 2015 to 2017. By using ANOVA and two sample t-tests, the average scores of 13 evaluation fields were significantly different depending on company size and type. We proposed ways to improve the current hall of fame system. We discovered that the average scores of 13 evaluation fields in the audit data according to years and hall of fame status were not significantly different. We also showed linear relationships among 13 evaluation fields by correlation analysis and obtained an estimated linear regression equation : Business Performance, which is a comprehensive index, as a dependent variable was significantly related to Customer Focus and Product Liability as regressor variables among 13 evaluation fields by regression analysis.

• Korean Journal of Clinical Pharmacy
• /
• v.29 no.3
• /
• pp.193-201
• /
• 2019

Background and Objective: Since the introduction of hospital pharmacy residency programs in 1983, hospital pharmacists in South Korea have been expected to expand their roles. However, their services and the outcomes have not been fully understood. In this study, we conducted a systematic review of Korean hospital pharmacist-provided interventions with regard to intervention type, intervention consequences, and target patient groups. Methods: A literature search of the following databases was performed: Embase, PubMed, Medline, KoreaMed, RISS, KMbase, KISS, NDSL, and KISTI. The search words were "hospital pharmacist", "clinical pharmacist", and "Korea". Articles reporting clinical or economic outcome measures that resulted from hospital pharmacist interventions were considered. Numeric measures for the acceptance rate of pharmacist recommendations were subjected to meta-analysis. Results: Of the 1,683 articles searched, 44 met the inclusion selection criteria. Most articles were published after 2000 (81.8%) and focused on clinical outcomes. Economic outcomes had been published since 2011. The interventions were classified as patient education, multidisciplinary team work, medication assessment, and guideline development. The outcome measures were physicians' prescription changes, clinical outcomes, patient adherence, economic outcomes, and quality of life. The acceptance rate was 80.5% (p < 0.005). Conclusion: Studies on pharmacist interventions have increased and showed increased patient health benefits and reduced medical costs at Korean hospital sites. Because pharmacists' professional competency would be recognized if the economic outcomes of their work were confirmed and justified, studies on their clinical performance should also include their economic impact.

• Journal of Korean Academy of Nursing
• /
• v.49 no.4
• /
• pp.423-436
• /
• 2019

Purpose: The aim of the study was to explore nurses' experience of person-centered relational care in the context of critical care. Methods: Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through indepth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data. Results: Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced 'balancing emotions' and 'authenticity' in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory. Conclusion: The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

• Korea Journal of Hospital Management
• /
• v.24 no.3
• /
• pp.1-10
• /
• 2019

Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

• Journal of the Korea Convergence Society
• /
• v.10 no.8
• /
• pp.277-282
• /
• 2019

This study was conducted to compare the lap time of high school boys' K-2 1000m final at the $99^{th}$ National Sports Festival with the lap time of the World Championship final held in 2018 and to find an optimal pacing strategy to enhance the performance. The high school boys' average final record was 242.89 seconds, and the top international's 199.58 seconds. There was 43 seconds difference in records and by lap-time it were 9, 12, 9, and 13 seconds behind every 250m. World Championship players used the Super Fast-Even Pacing-Even Pacing-Spurt strategy. The $1^{st}$ to $3^{rd}$ ranked high school boys used Slow-Fast-Super Slow-Super Fast strategy, and $4^{th}$ to $9^{th}$ ranked boys used Fast-Slow-Fast-Slow strategy. The high school boys need to modify their pacing strategies to achieve world-class performance.

• Journal of Digital Convergence
• /
• v.17 no.8
• /
• pp.465-470
• /
• 2019

This study was conducted to analyze the lap time of the K-1 1000m final race of men's general division and to develop strategies to adjust the pace for the intervals to improve the performance. We measured the lap time of the final race of the 99 th National Sports Festival by 250m intervals and compared them with the data of the World Championship finals held in 2018. The final average record of domestic top-ranked players was 248.651 seconds, and the top international's 210.826 seconds. There was a time gap of 38 seconds in the record. In lap-time, it was 8, 11, 6, and 13 seconds behind every 250m. World Championship players used the Fast-Maintain-Maintain-Spurt strategy while domestic players used the pacing strategy of Fast-Slow-Fast-Slow. In order to improve the performance of domestic players, it is necessary to adjust overall pace control strategies to maintain the pace after the quick start and to spurt at the last lap.

• Journal of Korea Society of Industrial Information Systems
• /
• v.24 no.4
• /
• pp.79-98
• /
• 2019

In this paper, the security behaviors and attitudes related with the personal information of teenagers were investigated using empirical data based on rational behavior theory and protection motivation theory. An experiment for teenagers was conducted on Excel and the statistical packages (i.e., SPSS 21.0 and SmartPLS2.0.M3) to see how self-efficiency, security attitude, security intention and individual innovation affect their security behaviors. The experimental results showed that the security behaviors and attitudes of teenagers between internet and information devices are closely related, and the social influences can affect personal self-efficacy and security attitudes. Finally, we can know that teenagers should recognize the importance of security and protect their personal information safely through continuous education and training so that they can be linked to security behaviors.

• Journal of Korean Academy of Nursing
• /
• v.49 no.4
• /
• pp.472-485
• /
• 2019

Purpose: This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants' health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0. Results: Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group. Conclusion: The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

• Journal of Society of Preventive Korean Medicine
• /
• v.23 no.2
• /
• pp.53-65
• /
• 2019

Objectives : The study was aimed to analyze the College Scholastic Ability Test (CSAT) test-takers' favor of entering Korean Medicine college and their perception toward the Korean Medicine. The study will present information that can be used for university administrator and in medical education field. Methods : A questionnaire was developed, comprising categories about the favor of entering Korean Medicine college, the experience and reason of receiving Korean Medicine healthcare treatment, and the perception toward the Korean Medicine. Face validity and content validity of the developed questionnaire were tested before survey. Then the questionnaires were distributed to 168 CSAT test-takers. Results : The most positive reason of entering Korean Medicine college is the characteristic of job, while the negative one is of the characteristic of the discipline. Respondents who answered as positive toward Korean Medicine are more than those who answered as negative. The most positive reason of receiving Korean Medicine healthcare treatment and perceiving Korean Medicine positively is because of its medical effectiveness. The most negative reason is responded as et cetera in both categories. Conclusions : The results of the survey may indicate that by promoting recent research progresses in Korean Medicine and benefits from choosing a career as medical professions, more CSAT test-takers will have positive attitude toward Korean Medicine college entrance. Also by promoting the medical effectiveness of Korean medicine to CSAT test-takers, more CSAT test-takers will receive or have positive attitude toward Korean Medicine healthcare service.

• Journal of The Korean Society of Integrative Medicine
• /
• v.7 no.3
• /
• pp.85-94
• /
• 2019

Purpose: The purpose of this study was to observe the degree of mask contamination in dental hygienist for general and oral bacteria and to identify areas of mask contamination after treatment. Methods: Masks were collected with every fifty dental hygienists who currently working in the department of preventive dentistry, prosthodontics, and orthodontics in Busan. The mask bacteria were collected in specific upper and side parts of the mask. Hand germs were collected using sterile cotton swabs, and then placed in a sterile conical tube. These were transferred to the laboratory. Hand germs and mask bacteria were incubated with nutrient broth (NB) and brain heart infusion broth (BHI) for 24 hrs and each cultured with NB and BHI plate at $37^{\circ}C$ for 48 hrs. Collected data were analyzed using the SPSS Window 20. Results: The number of bacteria was observed in the order of the department of preventive dentistry ($10.1{\times}10^5CFU/ml$), prosthodontics ($14.7{\times}10^5CFU/ml$), and orthodontics ($23.3{\times}10^5CFU/ml$) in the hand. In general bacteria, the difference of contamination was seen by the parts of the mask, but there was no significant difference. However, the oral bacteria were observed highly contaminated upper part of the mask in preventive dentistry. The mask contamination according to the medical departments was observed. Especially, the contamination of mask in preventive dentistry was significantly higher than other departments in oral bacteria. Conclusion: This study suggested that correct mask replacement and recognition of contamination areas can contribute to the prevention of infectious disease. and it would be necessary to increase hand hygiene performance to prevent cross-infection with masks. Also, this study may give an idea for making guidelines for mask management and supporting to establish clear criteria for the education program of personal protective equipment.