• Title/Summary/Keyword: high quality care

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A Study on The Effects of Hospice Care for the Quality of Life of the Terminally -Ill Patients (호스피스 간호가 말기 암환자의 삶의 질에 미치는 효과에 관한 연구)

  • 소외숙;조결자
    • Journal of Korean Academy of Nursing
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    • v.21 no.3
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    • pp.418-435
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    • 1991
  • The purposes of this study were to find out the effects of hospice care for the quality of life of the terminally - ill patients and to analyze the relationship between the effect of hospice care and the general characteristics of subjects. The subjects of the study were 32 terminally - ill patients hospitalized in the two general hospitals in Seoul, which have the hospice care unit. The data were collected using the questionnaire with interviews. They were done from Sept.28, 1989 to March 20, 1991. The tools used for the research were 17-item questionnaire regarding general characteristics, 42-item questionnaire about the quality of life (11- item for physical, 16 for psychosocial, and 15 for spiritual). The questionnaires were to measure the duality of life by means of the measure instruments of Betty R. Farewell(1989), Stein Kaasa(1988), Palm Pamela(1987), and Hwa-sook Choi(1987). 42 items were used after pre-test. In accordance with each purpose in this study, frequency and percentage were used on the general characteristics of subjects. ANOVA, t-test, and Pearson correlation were employed to evaluate the general characteristics of subjects and different level of quality of life before-and-after hospice care. The results of the study may be summarized as follws : 1. The effects of hospice care. Main Hypothesis : “The quality of life of the terminally - ill patients will be different from before-and-after hospice care” was supported(t=6.82, df=31, p= .000). Sub Hypothesis 1 : “The quality of life of the terminally - ill patients in the physical aspects will be different from before - and -after hospice care” was not supported(t=0.07, df=31, p= .946). Sub Hypothesis 2 : “The quality of life of the terminally - ill patients in the psychosocial aspects will be different from before-and-after hospice care” was supported (t=4.69, df=31, p= .000). Sub Hypothesis 3 : “The quality of life of the terminally - ill patients in the spiritual aspects will be different from before-and-after hospice care” was supported(t=6.64, df=31, p= .000). 2. Relationship between the general characteristics of subjects and the effects of hospice care. (1) The more the number of family, the higher the quality of life in the psychosocial aspects. (2) The higher the age of the patient, the lower the quality of life in the psychosocial aspects. (3) The high educational level of patients enjoy the high quality of life in general. (4) The high religious level of petients enjoy the higy Quality of life in the spiritual aspects. As a results of analysis above : 1. The most effective aspects of the hospice care to the terminally- ill patients was spiritual aspects. The next effective aspects was psychosocial area. 2. The least effective aspcets of the hospice care to the terminally- ill patients was physical aspects. Further study is needed to improve the quality of life in the physical aspects.

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The Relations of Child Care Quality and Teachers' Participation in Children's Play (어린이집의 질적 수준 및 교사의 놀이참여와 아동의 놀이행동 간의 관계)

  • Song, Hye-Rin;Rhee, Unhai
    • Korean Journal of Child Studies
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    • v.25 no.6
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    • pp.225-240
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    • 2004
  • Subjects were 15 teachers and 143 children at 15 child-care centers in Seoul that varied by quality of care. The Child Care Program Observation Scale(Rhee et at., 2003) was employed to observe the quality of the centers. Information on teachers' participation in play was collected by 20 units of observation for each teacher using a rating scale developed by the author. Children's behaviors were observed with time sampling method in 12 categories of play behaviors based on Social and Cognitive Play Scales(Rubin et al., 1978). Children's play behaviors varied by quality of child-care centers and teachers' participation in play. When child-care quality was high, teachers' participated actively in children's play and children showed developmentally appropriate play behaviors.

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Quality Dimension of Long Term Care Hospital (요양병원의 서비스 질 평가 영역 수립을 위한 질적 연구)

  • Kim, Chun-Mi;Lee, Ji-Yun;Ko, Ryeo-Jin
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.243-250
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    • 2009
  • Purpose: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. Methods: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. Results: The results of analyzing the consumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. Conclusion: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.

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Effect of Home Care Service on the Quality of Life in Patients with Gynecological Cancer

  • Aktas, Demet;Terzioglu, Fusun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4089-4094
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    • 2015
  • The purpose of the research was to determine the effect of home care service on the quality of life in patients with gynecological cancer. This randomized case control study was carried out in a womans hospital between September 2011 and February 2012. Women undergoing gynecological cancer treatment were separated into intervention and control groups, of 35 patients each. The intervention group was provided with nursing care service through hospital and home visits ($1^{st}$, $12^{th}$ weeks) within the framework of a specifically developed nursing care plan. The control group was monitored without any intervention through the hospital routine protocols ($1^{st}$, $12^{th}$ weeks). Data were collected using An Interview Form, Home Visit Monitoring Form and Quality of Life Scale/Cancer Survivors. Effects of home care service on the quality of life in gynecological cancer patients were investigated using chi-square tests, McNemar's test, independent t-test and ANOVA. This study found that the intervention group receiving home care service had a moderately high quality of life (average mean: $6.01{\pm}0.64$), while the control group had comparatively lower quality (average mean: $4.35{\pm}0.79$) within the 12 week post-discharge period (p<0.05). This study found home care services to be efficient in improving the quality of life in patients with gynecological cancer.

An essay on quality improving efforts in US healthcare system and implications for Korean healthcare system (미국 의료의 질 향상을 위한 주요활동 고찰 - 성과에 따른 보상, 근거 중심 의료, 고신뢰 조직을 중심으로 -)

  • Kim, Kwang-Jum
    • Korea Journal of Hospital Management
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    • v.10 no.4
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    • pp.1-22
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    • 2005
  • Quality of care and patient safety have become today's agenda for healthcare industry in worldwide. This paper describes experiences to improve quality of care and patient safety in USA and identifies some future tasks for better implementation of quality improvement efforts. The paper concludes with a discussion of the implications for Korean healthcare system.

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A Study on the Perception Level and Proper Management of Indoor Air Quality Recognition in Elderly Care Hospital Workers

  • Choi, Mi-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.11
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    • pp.171-178
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    • 2019
  • In this paper, we proposed a plan for a indoor air quality management in elderly care hospital by measuring the indoor air quality level of elderly care hospital and conducting a survey the workers' awareness of indoor air quality. The measurement items were Temperature, Humidity, CO2, CO, PM10, VOC and were taken on April 26, 2019. The survey found that the lower the satisfaction level with indoor air quality, the better outdoor air quality and odor items were analyzed to be the lowest among the indoor environmental factors. When the satisfaction level of indoor air quality is high, the satisfaction level of indoor environment factor is high. The result of the multiple response analysis was "lack of ventilation" and the regression analysis was the lower the "relevance of indoor air quality" category. To provide the best indoor air quality environment for elderly care hospital workers the installation of additional ventilation equipment to remove odors, the increase in the number of natural ventilation and the designation of regular ventilation personnel will be necessary. By establishing such a plan, it is possible to provide indoor air quality environment to provide the best services for elderly care hospital workers.

The Relationships Among Social Support in the Workplace, Social Support Outside the Workplace, Child Care Teachers' Psychological Burnout, and Teacher-Child Interactions (직장 내·외 사회적 지지와 보육교사의 심리적 소진 및 교사-영유아 상호작용 간의 관계)

  • Park, Nam-Shim;Park, Bokyung;Kim, Mee-Ok
    • Korean Journal of Childcare and Education
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    • v.17 no.6
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    • pp.73-92
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    • 2021
  • Objective: This study examined the relationships among social support in the workplace, social support outside the workplace, child care teachers' psychological burnout, and teacher-child interactions. Methods: The subjects of this study were 262 child care teachers and they responded to questionnaires on research variables. Data were analyzed using structural equation modeling. Results: First, social support outside the workplace had a direct effect on teacher-child interactions; that is, child care teachers, who perceived that they received a high level of social support outside the workplace, had high-quality interactions with children. Second, social support in the workplace had an indirect effect on teacher-child interactions through child care teachers' psychological burnout. In other words, child care teachers, who perceived that they received a high level of social support in the workplace, experienced less psychological burnout, which led to high-quality interactions with children. Conclusion/Implications: This study confirmed that the paths in which social support in the workplace and social support outside the workplace influence teacher-child interactions were different. Although the pathways were different, the results of this study emphasize that both types of social support are important factors that promote teacher-child interactions.

High School Girls' Interest in Beauty and Its Association to Eating Behaviors and Dietary Quality during the COVID-19 Pandemic (코로나-19 확산 시기 여고생의 외모 관심도와 식행동 및 식사의 질과의 관련성)

  • Min-Ji Kim;Seon-Young Park;Mi-Hyun Kim
    • Journal of the Korean Dietetic Association
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    • v.30 no.2
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    • pp.125-139
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    • 2024
  • This study assessed the beauty care behavior and the dietary attitudes, eating behaviors, and dietary quality related to beauty care in accordance with the level of interest in beauty care by examining 558 female high school subjects in the Incheon area. The study aimed to identify the interest in beauty care on the part of adolescent girls that impacts their dietary life and provide basic data for nutrition education forming desirable dietary habits. The interest in beauty care on the part of female high school students is relevant to dietary life and dietary attitude, with the high-level interest group attempting to use diet foods more frequently and attempting weight control because of their low satisfaction with their body type. On the other hand, a high level of interest in appearance failed to lead to the practice of a varied and balanced dietary life. Therefore, nutritional education is necessary to avoid a high level of interest in beauty care, leading to an incorrect perception of body shape and excessive weight control. Furthermore, nutrition education is necessary to link interest in appearance to the beauty of a healthy body based on nutritional balance by connecting the interest in appearance to a varied and balanced dietary life that goes beyond the category of practice.

Influential processes for the acceptance of protectors toward emergency care for patient based on an elaboration likelihood model (보호자의 응급처치 수용의도에 관한 연구: 정교화 가능성 모델 중심)

  • Hwang, Ji-Young;Kim, Yun-Kwon;Kim, Ki-Young
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.51-68
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    • 2015
  • Purpose: This study validated the influential relations between the effects of emergency care quality, credibility of 119 emergency medical technicians (119 EMTs), and perceived usefulness and attitude of emergency care, focusing on the moderating effect of protectors' characteristics (education, experience, age, and recognition of patient severity). Methods: This study was based on elaboration likelihood and technology acceptance models. In total, 172 protectors with experience in utilizing prehospital service were surveyed from April 1 to July 31, 2011. Results: The results showed that the emergency care quality and the credibility of 119 EMTs were the main determinants of the perceived usefulness and attitude of emergency care, irrespective of the protector's characteristics (p <.001). In addition, the findings showed that the protector's intention of emergency care had a moderating role. The impact of the quality of emergency care on its perceived usefulness was greater for high-level protectors (p <.001). By contrast, the impact of the credibility of 119 EMTs on the perceived usefulness of emergency care was greater for low-level protectors (p <.001). Conclusion: The protectors' characteristics have different influences on the relations between the effects of emergency care quality, the 119 EMT credibility, and the perceived usefulness and attitude of emergency care.

Effect of Competence and Work Environment of Nurses on Nursing Service Quality in Long-term Care Hospitals (요양병원 간호사의 간호역량과 근무환경이 간호서비스 질에 미치는 영향)

  • Kim, Ha-yan ;Kim, Hyun-Li
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.97-110
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    • 2023
  • Purpose: This study sought to determine the effect of the competence of nurses and their, work environment on the quality of nursing service in long-term care hospitals using the Donabedian model as a theoretical framework. Methods: This descriptive investigative study analyzed nursing competency, the work environment, and nursing service quality in a group of 182 nurses directly in charge of patient care at long-term care hospitals in special cities, metropolitan cities, and small and medium-size cities. The data were analyzed using IBM SPSS/WIN 27.0 version. Results: In long-term care hospitals, nurses' competence (r=.674, p<.001) and work environment (r=.444, p<.001) were correlated with quality of nursing service, and the nurses' competence was correlated with the work environment (r=.443, p<.001). The factors affecting the quality of nursing service in long-term care hospitals were competence, the work environment, and the age of nurses. Conclusion: In this study, both competence and the work environment of nurses were observed to be important factors in improving nursing service quality in long-term care hospitals. Therefore, efforts aimed at enhancing these factors are necessary to ensure the high quality of nursing service in these hospitals.