• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.111-119
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• 2005

Glucose is the most importantenergy source in the central nervous system. Because the central nervous system cannot synthesize or store glucose. low blood glucose even for a short period results in no functionally normal activity of the brain. In addition, continuous low blood glucosecan cause irreversible brain damage and brain death. Therefore, the current status of emergency care by first aid staffs during transfer of patients with hypoglycemia has been investigated in this study, 114 patients who have visited the hospital using 119 Emergency Medical Service from January 1, 2004 till December, 2004 and shown blood glucose of 2.8 mmol/L and less on arrival have been involved. In case of nurses, assistant nurses, first aid staffs receiving first aid training and second-class emergency medical technicians(EMTs), they provided basic life support (BLS). In case of first-class EMTs, they measured blood sugar and then they orally administered glucose to conscious patients or provided simple first aids and prompt transfer for unconscious patients. As a result of analysis, it is suggested that first aid retraining is required.

• 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.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.117-128
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• 2009

Purpose: This study was conducted to evaluate the effects of different methods of information delivery(information provided by nurses vs. information provided by video) on environmental stress and the satisfaction of nursing needs in families of intensive care unit patients. Methods: A nonequivalent pretest-posttest control group design was used in this study. The data were collected from March 24 to May 7, 2009. The subjects, 52 family members of ICU patients (26 for the control group, 26 for the experimental group), were selected from a hospital located in Gyeonggido. Information was given by video to the experimental group whereas the information was directly given by nurses to the control group. Results: Environmental stress and satisfaction of nursing needs were not statistically different between the two groups. Conclusion: The findings of the study suggest that the information given by video may be compatible with that given by nurses. Therefore, nurses need to be flexible in using these different methods to maximize the benefits of direct and indirect information delivery method for families in ICU setting.

• Journal of Korean Clinical Nursing Research
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• v.21 no.3
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• pp.335-346
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• 2015

Purpose: The purpose of this study was to identify patient satisfaction about nursing care provided by Advanced Practice Nurses (APN) using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). Methods: The investigation was conducted including 263 patients who experienced care provided by 41 APNs at a tertiary hospital in Korea. Patient satisfaction with nursing care was measured using 41-item LOPSS. We analyzed the data using descriptive statistics, independent t-test and one-way ANOVA. Results: Overall patient satisfaction with APN care was high. The LOPSS scores for APNs were 52.26 for good impression, 61.75 for interpersonal support, 81.32 for dissatisfaction and 195.93 for total score. "APNs talk down to me" was a reverse coding item which demonstrated the highest score for patient satisfaction. Among patients' characteristics, age and type of main caregiver were independent factors related to patients's satisfaction. Among APN's characteristics, work experience was significantly related to patients' satisfaction. Conclusion: This study identified patient satisfaction regarding nursing care provided by APNs. High patient satisfaction in APN services demonstrated APNs' contribution to quality improvement in health care services. It is recommended that various outcome research about APN service needs to be performed.

• The Journal of Korean Obstetrics and Gynecology
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• v.32 no.3
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• pp.128-141
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• 2019

Objectives: This study was performed to investigate the pain relief effect of lower abdomen warmer on primary dysmenorrhea patients taking nonsteroidal anti-inflammatory drugs and whether the using of warmer can supplement or replace the drugs. Methods: 30 women with primary dysmenorrhea were assigned to treatment group (n=15) and control group (n=15). At 1st visit, the treatment group was provided with a wirless multiuse warmer and trained to use at least three times per menstrual cycle. The control group was not provided with the warmer, and both groups were provided with a menstrual diary and instructed to record their pain intensity and dose of analgesic every menstrual period. Visual Analogue Scale (VAS) were used to assess the intensity of overall pain and the most severe pain during the menstrual period. And the total number of analgesic taken during menstruation and the average number of analgesic taken during a single dose were measured. Results: There was significant pain relief in the treatment group compared to before baseline, and there was a significant difference from the control group. In addition, there was no significant difference in the frequency of taking analgesic during the menstrual period between the treatment group and the control group, but the dose of analgesic was significantly lower in the treatment group than in the control group. Conclusions: This clinical trial showed that lower abdomen warmer would helpful in relieving primary dysmenorrhea and could help reduce the use of nonsteroidal anti-inflammatory drugs.

• Management & Information Systems Review
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• v.19
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• pp.105-128
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• 2006

In accomplishing the objectives of the hospital organizations effectively the good results of hospital information systems depends upon the usefulness and forms of informations provided by them under certain conditions. This study is aimed at examining how much hospital information systems are influenced by the characteristics of organizations and information systems. The results are as follows. 1. In the viewpoint of variations of organization characteristics, the support of chief executive group, the participation of users, education and training has good effects on satisfaction rates of users and system utilization rates as evaluation instruments of results of hospital information systems. 2. In the viewpoint of information system characteristics, the nearness of information sources, the scopes and qualities of informations has good effects on satisfaction rates of users and system utilization rates as evaluation instruments of results of hospital information systems. Accordingly interests and supports of chief hospital executives are required in order to heighten the results of hospital information systems, and there must be participations of organization members in their construction and performance. Also there must be training and education of members in the hospital affairs in using them. In such a condition of hospital organizations the good results of hospital information systems will be produced. The above concluded things must be taken into consideration importantly in their introduction and development.

• Journal of The Korea Institute of Healthcare Architecture
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• v.13 no.2
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• pp.7-18
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• 2007

The most recent study of the hospital design indicates that the researchers focus more on creating the healing environment within the hospital facility. Furthermore, it demonstrates the environment of individual living space for patients such as hospital wards becomes much more significant. This study seeks to analyze how various configurations and compositions of the resting space in the general hospital in Korea affect on patients in the aspect of healing environment and its treatment provided within the facility. The behavior of patients and their family members are analyzed thru the observation and the surveying process in order to find out the level of satisfaction and their demand for the healing environment in the resting space such as day-rooms, corridors and external garden. Finally, the purpose of this study is to create the principles of architectural composition for the healing environment in the hospital design.

• Korea Journal of Hospital Management
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• v.4 no.1
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• pp.96-128
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• 1999

This research has a purpose to develop strategies for application and introduction of activitiy based costing for Korean hospitals. A 700 bed-sized general hospital in Taejon was chosen to conduct this study. The conventional costing and ABC methods were simultaneously applied to the Obstetrics & Gynecology department, using data surveyed from June 21 to 30, 1998. The difference of two costing methods' results were analyzed and ABC's superiority was recognized. It showed that the new ABC model was more rational, fair, and objective in allocating indirect costs. The strategies to introduce ABC model to hospitals were suggested as followings: 1)a committee to manage ABC should be organized; 2)education for the employees about costing and cost saving should be provided; 3)the computerized ABC program should be developed; and 4)more advanced and rigourous methods to identify activities and measure the resource consumption should be developed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.3 no.1
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• pp.50-67
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• 1996

Home nursing interventions based on nursing diagnosis were implemented to the patient who are discharged from one hospital often the treatment for chronic neuromuscular system problem, and its effects were studied. The purpose of this study was to find out the effectiveness of hospital bouned home nursing provided by hospital nurses and to categorize home nursing diagnosis and its interventions. Data from experimental group patients were collected at three different time ; at the time of discharge, two weeks after discharge and our weeks after discharge. Data from controll group patients were collected twice ; the first one at the time of discharge, and the other one four weeks after discharge. For this study nursing assessment and intervention booklet developed by the research team. There were no significant decrease of the number of nursing problems and life satis-faction. But daily activity level of patients showed the signs of significant improvement at the time of four weeks after discharge. Results of this study indicates that home nursing intervention based on nursing diagnosis provided the patients with noticeable difference in health maintanance, impairment of physical mobility, potential for infection, impaired home marntenance management, health seeking behavior, chronic pain, disuse syndrome, impaired skin integrity.

• Archives of Craniofacial Surgery
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• v.17 no.4
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• pp.198-201
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• 2016

Background: Zygomatic arch is a bony arch constituting the lateral midface, which consists of 25% of all midface fractures. There are a number of ways to evaluate the extent of zygomatic arch fracture. Some authors have reported successful treatment outcomes using ultrasound (U/S). To add to the previous methods, we have considered ways to accurately display the location of the fracture line while using U/S with 23 gauge needle marking. We introduce our method, which provided satisfactory results for reduction using a portable U/S, and it can evaluate the fracture line simultaneously when reduction of an isolated zygomatic arch fracture is necessary, and needle marking, which can easily point out the fracture line on U/S. Methods: We studied 21 patients with an isolated zygomatic arch fracture who underwent closed reduction using U/S and needle marking between 2013 and 2015. Results: We achieved satisfactory results in all our cases with respect to reduction by using the Dingman elevator after performing a temporal approach incision, while confirming relative positioning between needle marking and zygomatic fracture at the same time, after insertion of a 23 gauge needle in the skin above the zygomatic arch fracture line parallel to it. Conclusion: We treated 21 patients with an isolated zygomatic arch fracture using U/S and the needle marking method, which provided satisfactory results because the extent of reduction of the fracture could be evaluated in real-time during the operation and exposure to radiation was reduced.