• Journal of the Korean Dietetic Association
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• v.20 no.4
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• pp.235-246
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• 2014

The purpose of this study was to evaluate nurses' perception of clinical nutrition services. A cross-sectional survey design was performed. The research was accomplished by using questionnaires developed for this study and administered from September 12 to December 31, 2013 to 343 nurses at 43 tertiary hospitals and 20 general hospitals. The percentage of nurses who recognized clinical nutrition certificate as issued from nation was 27.8%. The mean scores of perceived usefulness on clinical nutrition services was 4.23/5.00, whereas that of perceived implementation was 3.76/5.00. The mean scores of necessity of disease-specialized clinical dietitian at capital hospitals were significantly higher for obesity (P<0.01), cancer (P<0.05), and infant & childhood disease (P<0.01) than at local hospitals. The rates of nurses' experience in group education on cancer at capital hospitals (21.7%) was significantly higher than that at local hospitals (10.3%) (P<0.05). The mean scores of perceived importance of clinical nutrition services were 4.46/5.00 for 'group nutrition education', 4.46/5.00 for 'individual consultation', and 4.40/5.00 for 'nutrition management for enteral nutrition (EN) patients'. The most common reason why clinical nutrition services are important was 'improving malnutritional status'. To activate clinical nutrition services especially at local hospitals, clinical dietitians should give systematic assistance to patients and also institutional supports are needed.

• Journal of Digital Convergence
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• v.12 no.6
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• pp.491-500
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• 2014

This study aimed to assess the influence of burnout with satisfaction of basic psychological needs among nurses. From oct, 25, 2013 to nov, 25, 2013, participants included 160 nurses from 6 major general hospital located in urban areas in Korea. Data for basic psychological needs and burnout were collected through a self-reported questionnaire and were analyzed with independent t-test and analysis of variance, Pearson's correlation analysis, and multiple linear regression analysis. This study shows negative correlations between burnout and autonomy(r=-.45, P<.001), competency(r=-.52, P<.001), relatedness(r=-.49, P<.001). The variables predicting burnout were autonomy(${\beta}=-.26$), competency(${\beta}=-.30$), relatedness(${\beta}=-.12$), age(${\beta}=-.17$), number of service years(${\beta}=.09$). These variables accounted for 34.3% of the variance of burnout in nurses. Our results indicated that it is necessary to increase basic psycological needs to decrease burnout. Therefore nursing managers should develop programs in order to increase autonomy, relatedness and competency.

• Journal of Digital Convergence
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• v.12 no.7
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• pp.337-348
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• 2014

The purpose of this study was to analyze major factors of turnover intention among job stress, job satisfaction and organizational commitment in hospitals. The data were collected from 2 university hospitals and 2 general hospitals workers in Busan and Gyeongnam area from July. 3 to July. 19, 2013. The main results were summarized as follows. Job stress was a direct impact on job satisfaction, organizational commitment and an indirect impact via job satisfaction. It was a direct impact on employees turnover intention and an indirect impact via job satisfaction, organizational commitment. Job satisfaction was a direct impact on organizational commitment and an indirect impact on employees turnover intention via organizational commitment. Organizational commitment was a direct impact on employees turnover intention. Finally, in order to decrease turnover intention, controling job stress is important. Hospital staffs should develope programs for hospital employees to reduce job stress and enhance their ability.

• Journal of Digital Convergence
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• v.15 no.6
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• pp.481-491
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• 2017

The purpose of this study was to investigate the degrees of life quality, anger expression and suicidal ideation of Korean special mission national merit(Performer), and to identify the effects of life quality and anger expression on suicidal ideation of the subjects. The general characteristics as well as life quality, anger expression and suicidal ideation of 362 Korean veterans were collected from March 2016 to May 2016, and the collected data were analyzed with SPSS 23.0 Statistics Program. The result showed that life quality was inversely correlated with anger expression(r=-.151, p<.001) and suicidal ideation(r=-.539, p<.001), and anger expression was positively correlated with suicidal ideation(r=.601, p<.001). Life quality and anger expression were significant predictors of suicidal ideation with 42.9% explanatory power. In order to prevent the suicide of the Korean special mission national merit(Performer), it is necessary to develop a national adaptation program to improve the life quality and to develop an effective anger control education program considering the characteristics of them.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.281-291
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• 2017

This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(${\beta}=-.345$), depression(${\beta}=-.279$), physiological index(${\beta}=-.117$) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction.

• Journal of dental hygiene science
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• v.5 no.4
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• pp.239-244
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• 2005

The purpose of this study was to delve into the work values of dental hygiene students. The subjects in this study were 465 students who attended three different colleges in Gyeonggi province. After a survey was conducted, the collected data were analyzed with SPSSWIN 12.0 program. The findings of the study were as follows: (1) As for the type of work values, the largest group of the students investigated attached importance to pay and reputation, as they gave a mean of 4.18 to those things. In detail, they put the most emphasis on economic compensation since they gave it a mean of 4.42. (2) Regarding their detailed outlook, there was significantly strong positive correlation between their view of achievement and of competency, between their view of economic compensation and of position, and between their view of recognition and of position. (3) As to the impacts of their general characteristics, their work values in pursuit of self-realization was statistically significantly different according to their motivation of choosing dental hygiene(P = .042). Their school(P = .011), academic school year(P = .023), actual work experience as a dental hygienist(P = .045) and motivation of choosing dental hygiene (P = .023) made a statistically significant difference to their contribution- oriented view of occupation. And their work values that accentuated pay and reputation varied statistically significantly with their school(P = .000) and academic school year(P = .000).

• Journal of dental hygiene science
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• v.14 no.2
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• pp.256-263
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• 2014

The purpose of this study was to examine the relationship among burnout, compassion fatigue, compassion satisfaction and social support of clinical dental hygienists. The subjects in the study were 313 dental hygienist who were randomly selected in dental clinic and hospital, which were located in Daejeon, South and North Chungcheong province. Data were gathered using structured questionnaires from June 17 to July 31, 2013. The major findings of the study were as follows: 1. As for burnout by general characteristics, there were statistically significant difference according to age, marital status, clinical career, agency work type and job position. 2. The relationship of burnout and other variables was analyzed, and compassion fatigue had a significant positive effect on burnout, and compassion satisfaction and social support had negative effects on burnout. 3. As a result of analyzing which variables affected burnout, it's found that burnout were under the influence of agency work type, compassion fatigue, compassion satisfaction and social support. These variables made a 56.9% prediction of burnout. These findings provide strong empirical evidence for the importance of compassion fatigue, compassion satisfaction and social support in explaining burnout of clinical dental hygienists. Therefore, the effective human resource management programs should be developed to consideration with the dental hygienist work environment and the quality of service.

• Korea Journal of Hospital Management
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• v.6 no.3
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• pp.109-129
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• 2001

The purpose of this study was the acquisition of the optimum scale of the apportionment of standard & high-class bed for the maximum profit representative of the desire of customers in a General Hospital with 1,100 beds located in Seoul. This investigation was proceeded by the analysis of the result of the simulation with the survey of both the patients' needs for bed and the degree of the medical service by the grade of the ward. And finally the consequence was obtained as follows: 1. The result of the investigation of the inpatients' preference for the grade of ward classes shows that a private ward reflected 4.3 percent, a semi-private ward 1.7 percent, a three-bed ward 0.1 percent, and a ward with six beds 93.9 percent each other. 2. A questionnaire poll was paralleled of service terms of a medical doctor and a nurse by ward class, the data were used for the standard of the allotment of labor cost by the ward class. The poll shows that the service tenn of a medical doctor and a nurse based on a ward with six beds by ward class showed 1.7 times in internal medicine and 1.9 times in surgery at a private ward; 1.4 times in internal medicine and 1.7 times in surgery at a semi-private room; and 1.2 times both in internal medicine and in surgery at a three-bed ward 3. The resultant findings revealed the most profit per bed and per patient in a private ward. However, an analysis of profit with a standard of unit area by ward class represented a higher profit in both the internal medicine and the surgery semi-private ward than other ward classes. 4. The result of the analysis through simulation based on the data of the prime cost per the ward class proved the optimum scale of the distribution of beds by class as follows: sixteen beds of the internal medicine and twenty three beds of the surgery in the private ward; two hundreds and two of the internal medicine and one hundred and ninety eight of the surgery in the semi-private room; three of both the internal medicine and the surgery each other in the three-bed ward; one hundred and ninety eight of the internal medicine and two hundred and fifty two of the surgery in the ward with six beds. The result of this research exhibits that the income and expenditure of the hospital could be improved by changing parts of wards into private ones(containing the maximum profit per a unit of width) in case the scale of the number of beds is reset with the consideration of the profit per the unit width. In the near future it's strongly expected that the research for the more scientific standard of the allotment of labour cost by ward class and for definition of the optimum scale of the number of beds that actualize the maximum profit with the change of the three elements of the prime cost: cost of materials; labor costs; management expenses.

• 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.

• The Korean Journal of Emergency Medical Services
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• v.15 no.2
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• pp.67-84
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• 2011

Purpose: The aim of this study is to present the basic data for qualitative improvement of emergency care for emergency patient by paramedic in fire station by understanding the level of awareness and practice in prehospital and transfer step, and understanding the level of emergency care and improvement of clinical knowledge through hospital clinical training. Methods: The researchers explained the objective for 143 persons who completed hospital clinical training from June 2nd, 2006 to October 23rd, 2009 among paramedic in fire station. The questionnaire in this research consisted of 80 questions. In the reliability for the awareness of emergency patient assessment, cronbach's $\alpha$ was 0.95, and in the reliability for emergency care fulfillment, cronbach's $\alpha$ was 0.93. reliability for clinical knowledge improvement is cronbach's $\alpha=.95$, and reliability for emergency care fulfillment is cronbach's $\alpha=.82$. Collected data was analyzed through SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, Paired t-test, t-test, Correlation Coefficient, and internal consistency reliability was analyzed by cronbach's $\alpha$. Results: 1) The paramedic awareness and practice difference for emergency patient is statistically signification for general patient assessment(t=14.159, p=.000), trauma patient assessment(t=11.288, p=.000), internal medicine patient assessment(t=10.898, p=.000), and it shows the level of practice is lower than the level of awareness. 2) The paramedic difference between the level of awareness and practice according to whether or not they have clinical career is not signification on awareness(t=3.119, p=.125), and is high on practice(t=3.119, p=.002). 3) The correlation between paramedic awareness and the level of practice shows positive correlation(r=.61, p=.000). The higher the awareness of emergency patient assessment is, the higher the level of practice is. 4) The difference between paramedic clinical knowledge improvement and the level of emergency care practice is statistically significant(t=3.351, p=.001). 5) 89.6%(128 persons) of paramedic replied hospital clinical training experiences are helpful for field activity. 92.3%(133 persons) replied they apply well for clinical knowledge learned during hospital clinical training and emergency care skills in the field. Conclusion: Paramedic in fire station must evaluate the patient's initial assessment and activate the transfer system to the emergency department. It is necessary to develop and implement the effective education program continuously. The education program should systemize currently operated hospital clinical training. emergency disease and symptoms emergency care method, and practice mainly skill education should be progressed. In the prehospital and transfer management, high quality of medical assessment is required to the emergency medical service system. Medical direction from the doctors can feedback the paramedic continuously and continuing education must be provided to the paramedic in fire station.