• Title/Summary/Keyword: emergency room

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Relationship of Job Stress, Hardness, and Burnout among Emergency Room Nurses (응급실 간호사의 업무 스트레스, 강인성 및 소진 간의 관계)

  • Cho, Hang Nan;Kim, Soo-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.1
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    • pp.11-19
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    • 2014
  • Purpose: The purpose of this study was to examine the relationship of job stress, hardness and burnout among emergency room nurses. Methods: The subjects were 110 emergency room nurses from three university hospital and three general hospital, with more than 500 beds, in G city and J region. Data collection was done from October 11 to November 12, 2010. Results: The score of job stress was 3.8 out of 5 point, the score of hardness was 2.6 out of 4 point, and the score of burnout was 3.3 out of 5 point. Burnout was found to be in a significant positive correlation with job stress and significant negative correlation with hardness. The main predictors of burnout were to hardness, job stress and night duty, and these variables explained 45.2% about burnout. Conclusion: In conclusion, the higher job stress was in higher burnout and the higher hardness was in the lower burnout. It is necessary to create improvement ways and programs to reduce and prevent burnout of emergency room nurses.

Clinical Analysis of the Neck Lacerated Patients Visiting Emergency Room in Otolaryngological Field (응급실을 내원한 경부열상 환자에 대한 임상적 고찰)

  • 양인아;조경숙;차흥억;임순광
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.101-101
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    • 1993
  • The neck laceration is one of the most dangerous & emergent condition which is encounted by the otolaryngologist in emergency room. For the purpose of rapid & adequate management, we analyzed the clinical datum of 28 patients who visited our emergency room & were managed by the otolaryngologist from Jan.1987 to Mar.1993. The incidence was the highest in drunken males of third & forth decades who arrived at emergency room in night, especially AM 2:00. The most common cause & injured site were stabbing by broken glasses & Lt. submandibular area. Most patients were recovered by primary suture without any complications.

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Influences of Job Stress of 119 Briefing Room Workers on Depression (119상황실 근무자의 직무스트레스가 우울에 미치는 영향)

  • Park, Dae-Sung;Nam, Kun-Woo
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.2
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    • pp.85-97
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    • 2008
  • Purpose : This study was cross-sectional study to examine the influence of job stress in 119 briefing room workers and aimed to provide the important basic materials for improving working conditions of 119 briefing room workers and further studies. Methods : This study selected 271 workers of 119 briefing room at National Emergency Management Agency and fire stations, metropolitan cities and provinces to examine the influences of job stress of 119 briefing room workers on depression. and as a result of analysis, the following conclusions. Results : 1) The whole average of job stress measure was 3.30. The highest area was interpersonal relationship factor as 3.41, 'job characteristic factor' as 3.36 and communication factor' as 3.01. 2) Total score of whole items of depression was 11.88 and showed slight depression level. 3) There was static correlation between job stress and depression(r=44.7, p= .000). There were statistically significant static correlations between job stress factor and depression(r= .388, p= .000), interpersonal relationship factor and depression(r= .471, p= .000), and communication factor and depression(r= .386, p= .000). 4) There was statistically significant difference in the influence of job stress on depression(B=8.575, p< .001). Influence of job stress on depression was explained as $R^2=.200$. When job stress factors as independent variables were input, interpersonal relationship factor(B=5.062, p< .001) had the greatest influence on depression and there was no statistically significant difference in communication factor(B=2.490, p< .05). Conclusions : It is considered that development of the various programs including program for getting rid of job stress of 119 briefing room workers and counseling program will be needed. particularly, factors such as human relationships and communication in the area of job stress must be the first priority.

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Effects of community emergency medical resources on survival in out-of-hospital cardiac arrest (지역사회 응급의료 자원이 병원 밖 심장정지 환자의 생존에 미치는 영향)

  • Jo, Yoon-Joo;Kim, Kwang-Kee
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.205-221
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    • 2021
  • Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.

A Research on the Total Emergency Room Time for Child Patients under 14 years suffering from External Injuries using Medical Information (의료정보를 활용한 14세 이하 외상환자 응급실 총 경유시간에 미치는 요인)

  • Jeon, Eun-Ju;Kim, Kwang-Hwan
    • Korea Journal of Hospital Management
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    • v.13 no.4
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    • pp.27-45
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    • 2008
  • This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.

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Single Hospital-based Clinical Analysis of 1,119 Patients visited Oriental Medical Hospital Emergency Room (일개 한방병원 한방응급실 내원환자에 대한 임상적 분석)

  • Yoon, Da-Rae;Lee, Jee-Sook;Noh, Hyun-In;Yi, Seo-Ra;Ryu, Jae-Hwan
    • The Journal of Internal Korean Medicine
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    • v.33 no.2
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    • pp.188-196
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    • 2012
  • Objectives : This study was aimed to provide the basic characteristic of patients who visited an Oriental medical hospital emergency room. Methods : We performed a retrospective study on 1,119 patients who visited Kyunghee University Oriental Medical Hospital Emergency Room from June 1, 2011 to March 31, 2012. Results and Conclusions : 1. In distribution of sex, the rate of males was 44.1%, and that of females was 55.9%. The male to female ratio was thus 1:1.26. The patients' average age was 54.64 and the 6th decade of life was the peak age group. 2. Most of the patients visited the Oriental medical hospital emergency room between 11:00 and 23:00. 3. In distribution by days of the week, the most common was Sundays (24.5%), followed by Mondays (16.7%). 4. In the month distribution, the most was December (12.4%), followed by November (10.0%). 5. The patients were grouped as follows: neurological diseases 58.9%, musculoskeletal disease 27.5%, internal medical disease 10.4%, and others 3.2%. 6. Admission rate of patients being treated was 38.8%, and the admission to the intensive care unit (ICU) was 4.5%. of total visiting patients.

Role of Magnetocardiography in Emergency Room (응급실에서 심자도의 역할)

  • Kwon, H.;Kim, K.;Kim, J.M.;Lee, Y.H.;Kim, T.E.;Lim, H.K.;Park, Y.K.;Ko, Y.G.;Chung, N.
    • Progress in Superconductivity
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    • v.8 no.1
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    • pp.40-45
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    • 2006
  • In emergency rooms, patients with acute chest pain should be diagnosed as quickly as possible with higher diagnostic accuracy for an appropriate therapy to the patients with acute coronary syndrome or for avoiding unnecessary hospital admissions. At present, electrocardiography(ECG) and biochemical markers are generally used to detect myocardial infarction and coronary angiography is used as a gold standard to reveal the degree of narrowing of coronary artery. Magnetocardiography(MCG) has been proposed as a novel and non-invasive diagnostic tool fur the detection of cardiac electrical abnormality associated with myocardial ischemia. In this study, we examined whether the MCG can be used fur the detection of coronary artery disease(CAD) in patients, who were admitted to the emergency room with acute chest pain. MCG was recorded from 36 patients admitted to the emergency room with suspected acute coronary syndrome. The MCG recordings were obtained using a 64-channel SQUID MCG system in a magnetically shielded room. In result, presence of CAD could be found with a sensitivity of 88.2 % in patients with acute chest pain without 57 elevation in ECG, demonstrating a possible use in the emergency room to screen CAD patients.

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A study on factors associated with job stress and drinking levels in emergency room nurses (응급실 간호사의 직무스트레스와 음주 관계 연구)

  • Kwak, Eun-mi;Lee, Joo Young;Yun, Heejang
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.145-152
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    • 2020
  • The objective of this study was to examine the degree of job stress and drinking levels among emergency room nurses and to investigate the association between these variables. Data were collected using self-reported questionnaires completed by 106 nurses working in emergency room of hospitals from 3 different cities. The collected data were analyzed using SPSS 21.0 program. The results showed that the mean job stress score was 45.93±6.81 points, while 18.9% of the subjects were in the disordered alcohol use group. Differences in drinking levels were found according to the work experience of the nurses (χ2=8.249, p=.041), while significant differences in job stress scores were found according to marital status (t=-2.72, p=.008) and desire to continue working (t=-2.272, p=.025). There was a significant correlation between job stress and drinking level (r=-.147, p= .000). Measures to lower job stress among emergency room nurses are need based on the findings in the study and it is expected that decreasing the drinking level of nurse would contribute to this.

The Association between Personal Health Behaviors and Emergency Room Visit among Elderly Patients with Diabetes (당뇨병 노인의 건강행위 실천과 응급실 내원 간의 관련성)

  • Kim, Su Hyun;Im, Ye-Ji
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.595-606
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    • 2021
  • This study was to understand the relationship between emergency room visit due to illness and personal health behaviors as well as population and illness characteristics of elderly patients with diabetes. This study was a descriptive correlation study that analyzed 956 respondents aged 65 or older and diagnosed with diabetes in the Korean Health Panel's data from 2014 to 2017. Data were analyzed using the SPSS 26.0 program with Mann-Whitney U test, chi-square test, and logistic regression analysis. The respondents who visited emergency room had fewer days of moderate-intensity physical activity and walking activity, were older, had activity restrictions due to disability, had depression, and had a large number of comorbid chronic diseases. In order to prevent elderly people with diabetes from visiting emergency room, it is important to encourage moderate-intensity activity and walking.

Characteristics of patients who visit the dental emergency room in a dental college hospital

  • Kim, Chihun;Choi, Eunhye;Park, Kyeong-Mee;Kwak, Eun-Jung;Huh, Jisun;Park, Wonse
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.1
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    • pp.21-27
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    • 2019
  • Background: Emergencies in dentistry can be classified as medical and dental. Medical emergencies occur mainly during dental treatment in patients with a systemic disease. Dental emergency departments are largely divided into dental emergency rooms located in dental college hospitals and medical emergency rooms located in medical institutions. This study aimed to analyze the characteristics of and provide help to dental emergency patients in a dental hospital. Methods: Overall, 1806 patients admitted to a dental emergency room at Yonsei University Dental Hospital for 1 year were included. The data collection period was from October 1, 2014 to September 30, 2015. An investigator reviewed medical records from the electronic medical record (EMR) system and radiographs. Results: The patients were 1,070 men and 736 women. The sex ratio was 1.45:1. The commonest age group was of 0-9 years, including 451 (25.0%) patients, followed by 20-29 years, including 353 (19.5%) patients, and 30-39 years, including 277 (15.3%) patients. Of the 108 patients transferred to the Severance emergency department, 81 had trauma, 19 were in pain, 4 were bleeding, and 4 had other complaints. Among chief complaints, 1,079 patients (60.3%) had trauma, 564 (31.5%) had pain, and 75 (4.2%) had bleeding. Twenty-three cases (1.3%) were caused by temporomandibular disorder (TMD). Conclusion: Dentists should be able to adequately assess patients in a dental emergency room and treat trauma, pain, and bleeding.