• Title/Summary/Keyword: emergency data

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Differences in Awareness and Ethical Attitudes about Do-Not-Resuscitate among Emergency Departments' Team (심폐소생술 금지에 대한 응급의료종사자간 인식과 윤리적 태도의 차이)

  • Park, Hak-Young;Sung, Mi-Hae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.411-420
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    • 2011
  • Purpose: The aim of this study was to exam differences in awareness and ethical attitudes associated with Do-Not- Resuscitate (DNR) among emergency department's team. Method: The participants in this study were 402 emergency department's team working in the 41 hospitals. The data was collected by using "awareness measuring tool" by Kang (2003) and "ethical attitudes measuring tool" by Ko (2004) from May 1 to September 15, 2009. Collected data were analyzed by descriptive statistics, t-test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: 74.4% of subjects was responded that they had never been educated about DNR, but 73.9% of subjects was responded that they had experienced DNR in the emergency room. The majority of subjects responded that the patients and their families should make a decision about the DNR. There was a difference in an appropriate time for explanation of DNR among emergency department's team. There was a difference in ethical attitudes associated with Do-Not- Resuscitate among emergency department's team. Conclusion: For a professional and systematic approach to the problem, DNR guideline sufficient to elicit a social consensus is needed.

Impact of Response to Violence and Resilience to Burnout in Emergency Department Nurses (응급실 간호사의 폭력경험에 대한 반응, 회복탄력성이 소진에 미치는 영향)

  • Hwang, Su Yeon;Han, Ji Young
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to identify the relationship between response to violence, resilience and burnout and to investigate the factors that affect burnout in emergency room nurses. Methods: Data from 237 nurses in 15 emergency rooms were collected using a structured questionnaire. Data were analyzed using SPSS 23.0, and the analyses included descriptive statistics, t-test, Mann-Whitney test, ANOVA, Kruskall Wallis test, Pearson correlation, and hierarchical multiple regression. Results: Burnout was positively correlated with response to violence and negatively correlated with resilience in emergency room nurses. Response to violence (${\beta}=.466$, p<.001), resilience (${\beta}=-.308$, p<.001), and religion (${\beta}=-.131$, p=.011) were significant predictors of burnout, and they explained 39.9% of emergency room nurses' burnout. Conclusion: Response to violence and resilience were identified as significant factors affecting burnout in emergency room nurses. Therefore, it is necessary to develop strategies to cope effectively with violence and to develop programs that can strengthen resilience.

Analysis of Gyeonggi-do 911 emergency cases to identify emergency vulnerable area using clustering analysis (군집분석을 통한 응급취약지역의 유형화와 유형별 대응방안 제안: 경기도 119 구급사건 데이터를 기반으로)

  • Kim, Mirae;Kwon, Uijun;Geum, Youngjung
    • Journal of the Korea Management Engineers Society
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    • v.23 no.4
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    • pp.1-18
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    • 2018
  • Emergency response has been considered as an important task in practice, because it is directly associated with the survival of patients. However, it is very difficult to increase the number of fire stations due to the budget and efficiency problem. Under this circumstances, it is critical to consider the suitability of current arrangement for 911 fire station. This is especially true in Gyeonggi-Do where the characteristics of each sub-area are different. In response, this study aims to identify types of areas that are vulnerable for emergency situations, and try to find relevant solutions for each type. For this purpose, we collected 151,463 data for emergency declaration data which exceeds 10 minutes for its response. Total 19 clustering variables which are used as input variables are selected, considering the characteristics of each area. As a result of clustering analysis, three clusters are identified and analyzed. Finally, areas whose emergence response time is in top 10% are selected and analyzed. This paper is expected to find current issues and problems of emergency response for each area, and help to understand and solve the problem for the local government.

The Work Experiences of Emergency Room Nurses during the COVID-19 Pandemic (COVID-19 대유행 상황에서 응급실 간호사의 근무 경험)

  • Hyeon, Yong Hwan;Chae, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.221-232
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    • 2021
  • Purpose: The purpose of this study was to explore emergency room nurse's work experiences during the COVID-19 pandemic. Methods: Data were collected from 15 registered nurses working in the emergency room between October, 10th and December 15th, 2020, through focus group interviews and in depth interviews. Collected data were analyzed using Colaizzi's phenomenological method. Results: The study derived four categories and eight themes. The four categories are 'sense of cringing with fear', 'nursing in chaotic situation', 'lonely struggles', and 'career growth as a nurse'. Emergency room nurses experienced fear and confusion in the COVID-19 pandemic, but overcame the crisis and had positive experiences of professional growth as a nurse. Conclusion: To protect emergency room nurses from infectious disease and improve their professional quality of life during the COVID-19 pandemic appropriate education and healthcare resource should be provided. It is necessary to reflect clinical worker's opinions and improve the delivery system of guideline to reduce confusion in the field and develop practical infectious disease control guideline. Furthermore, better working conditions, appropriate rewards and social and mental support should be provided for nurses in emergency room.

A phenomenological study on pre-hospital care of 119 EMT (119구급대원의 현장 및 이송 중 응급처치 경험에 대한 현상학적 연구)

  • Hye-ji, Kwon;Young-jeon, Shin
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.71-91
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    • 2022
  • Purpose: This study aimed to provide baseline data for implementing advanced life-support for 119EMTs. This is done with an in-depth examination of the emergency care experiences of the 119EMTs on-site and during transportation. Methods: Interviews were conducted with twelve 119EMTs, and the data were analyzed using the phenomenological method. Results: The 34 topics had 19 sub-components and were analyzed according to seven categories: 'A work environment where you cannot focus only on emergency care on-site and during transportation', '119EMTs struggling with manpower shortage', 'Current status of education blocking the upward standardization of 119EMT', 'Implementation of professional emergency care was held back due to the limited legal scope of 119EMT', 'Medical oversight makes it difficult to implement emergency care due to low flexibility', '119EMTs who cannot choose hospital selection and find it difficult to receive help', 'An evaluation system not reflecting reality at all that only leaves high scores'. Conclusion: This study was undertaken to implement specialized emergency care for 119EMTs; not only the necessity of reviewing the expansion of the work scope of 119EMTs but also the necessity of effective 'Medical Oversight system' reorganization raised as well.

A Systematic Review of Domestic Research on Clinical Practice in Emergency Medical Technicians

  • Lee, Chang Hee;Yoon, Byoung Gil
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.140-147
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    • 2022
  • This study analyzes research trends by systematically examining research about domestic emergency medical services' clinical practice, and it is aimed to present the basic data needs in development plan in clinical practice education in the future. The thesis was searched through the electronic data research (Science Direct, PubMed, Medline, and 55 academic DB interworking) from the library of Konyang University from 2010 to 2021. The main keywords were "Emergency Medical Technician(EMT) Student" and "Clinical Practice," and 6 pieces of researches were selected, finally. As the result of analyzing the qualitative level of selected research, all the 6 pieces of research subjects(100.0%) were pertinent to level IV(survey research) which is low-qualitative level. As the principal subjects, "Clinical practice experience" got the highest frequency as 6(100%), "Satisfaction of clinical practice" was 3(50%), "Self-efficient, Major satisfaction" and "Stress, Depression, Coping" showed 2 (33.3%), and "Change after clinical practice", "Clinical practice improvement plan" was 1(16.7%) each. From this time on, it is confirmed that the quantitative and qualitative growth in domestic emergency medical clinical practice is necessary. This is expected to contribute to establishing a practical and systematic development plan of clinical practice education.

Characteristics of Children Admitted to a Pediatric Emergency Department Following an Accident (사고로 소아응급실을 내원한 아동에 대한 실태 고찰)

  • Yun, O Bok;Kang, Hae Sook
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.79-91
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    • 2009
  • Purpose: The purpose of this study was to describe the characteristics of children who visited the pediatric emergency department (PED) following an accident. Method: Data were obtained from the medical records of 4,010 children who visited the PED from January 1, 2004 through December 31, 2006. Data were analyzed using SPSS WIN 13.0 version. Results: The percentage of children who visited the PED for treatment following an accident was 14.9%. There were more boys (63.5%) than girls. The largest age group for children visiting the PED was preschool aged children. Slip downs were the most frequent accident (37.1%). The face was the most frequently injured area of the body (26.0%). Most (93.3%) of the children who visited the PED were classified as non-emergency, 6.5% as emergency and 0.2% as urgent. About 70.0% of children were examined and 50% of children were medicated. Fifty percent stayed in the PED department for less than 2 hours, and 88.0% of children were discharged to home. Nine percent were admitted, and 2.2% were transferred to other hospitals. Conclusion: The results of this study suggest the need for accident prevention education for parents, and the need to develop effective education for clinical nurses working in PED.

Trends in Development of Intelligent Response Technology for 112 and 119 Emergency Calls (112, 119 긴급신고 대응 지능화 기술 개발 동향)

  • M.J. Lee;H.H. Park;M.S. Baek;E.J. Kwon;S.W. Byon;Y.S. Park;E.S. Jung;H.S. Park
    • Electronics and Telecommunications Trends
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    • v.38 no.3
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    • pp.57-65
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    • 2023
  • Emergency numbers, such as 112 and 119, are used in many countries to connect people in need with emergency services such as police, fire, and medical assistance. We describe development directions of intelligent response technology for emergency calls. The development of this technology refers to enhancing the efficiency and effectiveness of response systems by using advanced methods such as artificial intelligence, machine learning, and big data analytics. We focus on a system that assists the receptionist of an emergency call. In the future, the recognition rate and decision-making accuracy of intelligent response technologies should be improved considering characteristics of public safety and emergency domain data. Although the current technology remains at the level of assisting a receptionist, a fully autonomous response technology is expected to emerge in the future.

Analysis for the Effect on Satisfaction after Education of Cardiovascular Pulmonary Resuscitation in Emergency Medical Information Center (일부지역에서의 응급처치 교육전후의 효과분석)

  • Kim, Jin-Woo;Jo, Jean-Man;Kim, Chang-Kook;Lee, Mi-Ok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.55-78
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    • 2005
  • The purpose of this study is to analyze the effect on satisfaction after education of cardiovascular pulmonary resuscitation(CPR) in Daejon Emergency Medical information Center in Korea. The major instruments of this study were Korean Self-Analysis Student Opinionnaire. Questionnaire contains 12 items which measure student's satisfaction or attitude factor. To take the analysis of data, the total of 308 students were investigated in Medical Information Center in Dae-jon Metropolitan City from 2004. 2. September to 2004. 16. September. The data were analyzed by the path analysis SPSS program. The result are as follows: 1. After education of CPR, there was significant satisfaction of CPR knowledge P=0.0011). 2. After education of CPR, there was significant satisfaction of CPR skill(P=0.00001).

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A Study on Emergency Short Term Shelters (단기 아동보호시설 연구 - 아동상담소와 청소년쉼터를 중심으로 -)

  • Rhee, Ock
    • Korean Journal of Child Studies
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    • v.21 no.1
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    • pp.163-178
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    • 2000
  • Institutions included in this study of emergency short term shelters for children in crisis included 2 public counseling centers providing short term protection services for children and 12 emergency shelters for runaway children located in a metropolitan city in Korea. The institutions were examined with respect to their establishment, management, and programs. The researcher visited and interviewed workers employed in the institutions. In additions, 12 children who had been cared for emergency shelters were surveyed with open-ended questions. The data consisted of information on founders, locations, purpose, current management, personnel, length of care, and number and grouping of children. Programs and daily schedules were also examined. Effective models of emergency short term shelters were discussed on the basis of the collected data.

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