• 제목/요약/키워드: improvement of education program

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Predictors of Readmission after Inpatient Plastic Surgery

  • Jain, Umang;Salgado, Christopher;Mioton, Lauren;Rambachan, Aksharananda;Kim, John Y.S.
    • Archives of Plastic Surgery
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    • 제41권2호
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    • pp.116-121
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    • 2014
  • Background Understanding risk factors that increase readmission rates may help enhance patient education and set system-wide expectations. We aimed to provide benchmark data on causes and predictors of readmission following inpatient plastic surgery. Methods The 2011 National Surgical Quality Improvement Program dataset was reviewed for patients with both "Plastics" as their recorded surgical specialty and inpatient status. Readmission was tracked through the "Unplanned Readmission" variable. Patient characteristics and outcomes were compared using chi-squared analysis and Student's t-tests for categorical and continuous variables, respectively. Multivariate regression analysis was used for identifying predictors of readmission. Results A total of 3,671 inpatient plastic surgery patients were included. The unplanned readmission rate was 7.11%. Multivariate regression analysis revealed a history of chronic obstructive pulmonary disease (COPD) (odds ratio [OR], 2.01; confidence interval [CI], 1.12- 3.60; P=0.020), previous percutaneous coronary intervention (PCI) (OR, 2.69; CI, 1.21-5.97; P=0.015), hypertension requiring medication (OR, 1.65; CI, 1.22-2.24; P<0.001), bleeding disorders (OR, 1.70; CI, 1.01-2.87; P=0.046), American Society of Anesthesiologists (ASA) class 3 or 4 (OR, 1.57; CI, 1.15-2.15; P=0.004), and obesity (body mass index ${\geq}30$) (OR, 1.43; CI, 1.09-1.88, P=0.011) to be significant predictors of readmission. Conclusions Inpatient plastic surgery has an associated 7.11% unplanned readmission rate. History of COPD, previous PCI, hypertension, ASA class 3 or 4, bleeding disorders, and obesity all proved to be significant risk factors for readmission. These findings will help to benchmark inpatient readmission rates and manage patient and hospital system expectations.

임상치과위생사의 행복지수에 영향을 미치는 요인 (Influencing factors on happiness index in clinical dental hygienists)

  • 민희홍
    • 한국치위생학회지
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    • 제15권1호
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    • pp.1-9
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    • 2015
  • Objectives: The purpose of this study is to investigate the use of happiness index in dental hygienists. This study can be used to improve the quality of life and the turnover intention in the dental hygienists. Methods: The subjects were 281 dental hygienists in Seoul, Gyeonggi-do, and Chungcheong province. A self-reported questionnaire was completed by the subjects. The questionnaire consisted of 7 questions of general characteristics of the subjects, 7 questions of dental hygiene performance, and 9 questions of happiness index. The instrument for happiness index was modified from Suh and Koo. Cronbach's alpha was 0.850 in the happiness index measure by Likert 7 scale. The instrument for professionalism was modified from Baek and consisted of 25 questions measure by Likert 5 scale. Cronbach's alpha was 0.694 in the professionalism. The instrument for turnover intention was modified from Lee and consisted of 5 questions measured by Likert 5 scale. Cronbach's alpha was 0.712 in turnover intention. Data were analyzed using SPSS 18.0. for one way ANOVA, Duncan posthoc test, Pearson correlation coefficients and hierarchical regression. Results: The means of happiness index, professionalism and turnover intention of subjects were 4.44, 3.06 and 3.05, respectively. The happiness index was higher in those who are married(4.66), those who have high income, and those who have careers in dental hygienists(4.61). There were significant differences in the happiness index by the average daily working hours, place of treatment, work intensity and off duty hours. Conclusions: This study suggests that improvement of the happiness index in clinical dental hygienists requires the continuing and systematic education program and administrative support that can reduce the turnover intention.

간호대학생의 삶의 질 향상을 위한 스트레스 유형 연구 (Types of Stress for the Improvement of Quality of Life for Nursing Students)

  • 김순애;이혜진;이송현;홍은희
    • 한국엔터테인먼트산업학회논문지
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    • 제14권2호
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    • pp.237-247
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    • 2020
  • 본 연구의 목적은 간호대학생의 스트레스 경험을 확인하기 위해 Q 방법론을 적용하여 간호대학생의 스트레스 유형을 확인하고 유형별 특성을 확인하는 것이다. 문헌고찰과 인터뷰를 통해 57개의 진술문을 도출하였다. Q 카드는 13점 만점으로 40명의 간호대학생들을 대상으로 정규분포형태로 분류하였다. 수집된 데이터는 PC QUANL 프로그램에 의해 분석되었다. 연구결과 간호대학생들의 스트레스 경험은 4가지 유형으로 분류되었다. 유형 I은 교과과정 부담형, 유형 II는 경제자립 목표형, 유형 III은 아웃사이더 좌절형, 유형 IV는 성장 정체형이었다. 본 연구결과를 대상자의 유형에 따른 중재프로그램을 개발하는 데 활용할 수 있을 것이다.

학교급식 영양사의 직무특성과 직무가치관이 조직몰입과 직무만족에 미치는 영향 (The Effect of Job Characteristics and Work Values on Organizational Commitment and Job Satisfaction of the School Foodservice Dietitians)

  • 신은경;이민지;이연경
    • 대한지역사회영양학회지
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    • 제4권3호
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    • pp.441-453
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    • 1999
  • This study aims to investigate the effects of job characteristics and work on both organizational commitment and job satisfaction of the school foodservice dietitian for the purpose of providing information for quality improvement in productivity of school foodservice. The subjects were 401 school foodservice dietitians in Taegu and the Kyungpook area. The survey questionnaires consisted of five parts including demographic characteristics, job characteristics(JCI), work values, organizational commitment(OCQ) and job satisfaction(JDI). More than half of the subjects(65.3%) were between the age of 26 to 30 years. Seventy-one percent of the participants had bachelor’s degrees and monthly wages of 83.2% ranged from 700,000 to 1,200,000 won. The education of thedietitians was found to have a significant relatinship with job satisfaction in all fields. Job characteristics such as feedback, job characcteristics such as job autonomy, feedback and friendship were positively correlated with job satisfaction. The group of dietitians with high work value scores for work as a central life interest had significantly high scores in organizational commitment(p<0.01) and overall job satisfaction(p<0.05). Job satisfaction such as work-itself, pay, supervision, promotion and co-workers were positively correlated with organizational commitment. According to the Lisrel program, organizational commitment was affected by educational level(-0.23). Job satisfaction was also affected by educational level(-0.18), autonomy(0.24), friendship(0.12), feedback(0.08), individualism(-0.07) and organizational commitment(0.44) directly. In conclusion, school foodservice dietitians may increase the level of their commitment to organization and job satisfaction by increasing autonomy, feedback adn friendship of job characteristics and work values.

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노인의 본인인지 구강건강상태와 우울감 (Association of self-perceived oral health and depression in the elderly: the sixth Korea national health and nutrition examination survey(the 6th KNHANES))

  • 조한아;허윤민;김형주;최은실
    • 한국치위생학회지
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    • 제16권2호
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    • pp.285-293
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    • 2016
  • Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

여수지역 비정규직 플랜트 건설 근로자의 안전보건 실태와 개선방안 (Health Status and Improvement Measures for Irregular Plant Construction Workers at Yeosu National Industrial Complex)

  • 최상준;김신범
    • 한국산업보건학회지
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    • 제19권3호
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    • pp.182-194
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    • 2009
  • This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

주관적 전신건강상태와 건강행위가 구강건강관련 삶의 질에 미치는 영향에 관한 융합연구 (A Convergence Study on the Effect of Subjective Systemic Health Status and Health Behavior on Oral Health-Related Quality of Life)

  • 허성은
    • 한국융합학회논문지
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    • 제9권9호
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    • pp.135-142
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    • 2018
  • 본 연구는 주관적 전신건강상태와 건강행위가 구강건강관련 삶의 질에 미치는 영향을 융합연구를 통해 파악하고자 하였으며, 부산광역시에 거주하는 성인을 대상으로 설문조사에 의해 수집된 자료를 SPSS 21.0 프로그램을 통해 분석하였다. 비 흡연 그룹의 구강건강관련 삶의 질이 흡연 그룹보다 높게 나타났고, 주관적 전신건강상태와 건강행위에 대한 고 그룹이 저 그룹에 비해 구강건강관련 삶의 질이 높게 나타났다. 주관적 전신건강상태와 건강행위 모두 구강건강관련 삶의 질에 정(+)의 영향을 주는 것으로 나타났으며 특히, 주관적 전신건강상태가 더 큰 영향을 미쳤다. 따라서 전신건강을 통한 구강건강 관련 삶의 질이 향상될 것으로 기대됨에 따라 전신과 구강의 융합 교육프로그램의 개발은 전신건강과 구강건강의 연관된 중요성을 교육할 수 있는 중요한 매체가 될 것으로 판단된다.

국내 의류업체의 CRM 도입현황 (Current CRM Adoption in Korean Apparel Industry)

  • 고은주
    • 한국의류학회지
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    • 제30권1호
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    • pp.1-11
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    • 2006
  • The purpose of this study was to analyze the current CRM situation in Korean apparel industry. Specifically, research purposes were 1) to examine the concepts and benefits of CRM, 2) to examine CRM strategies, 3) to analyze CRM system(i.e., customer relationship management service, customer segmentation criteria, DB management system), and 4) to analyze the potential problems and CRM adoption plan. The subjects for this research were thirty CRM managers in Korean apparel firms classified by the company type(woman's wear, man's wear, casual wear, children's wear, retailer) interviewed from December 2003 to March 1004. The results of this study were as follows: First, the concept of CRM represented the prime customer relationship, continuous consideration, and customer management system. The benefits of CRM reflected re-sales, improvement of profit share, and acquisition of customer's data base. Second, concerning the CRM strategies, most companies focused on persistent customer management through mileage program, membership cards and also implemented product strategies such as demand forecasting, customization based on customer data analysis. We also found that industry preferred to use pricing strategies, for example, segmentation of customer through discrepancies of price in which customers are provided by discount and gift voucher services. Regarding distribution strategy, channel diversification, localized service, and convenient delivery system were used. As promotion strategies, they chose celebrating customers' personal events and promoting cultural events and issuing coupons. Third, regarding CRM system, information service was the most frequently adopted, important and highly beneficial category. Also POS/web-POS, homepage were main sources of information. RFM is the mostly commonly used customer segmentation criteria. Fourth, potential problems in CRM adoption were lack of CRM knowledge and performance measurement of CRM. Future CRM adoption plan included CRM education and development of CRM performance measures.

폐경 전후 여성의 신체계측, 골밀도, 식품섭취빈도, 영양소섭취 및 식사의 질 평가 - 국민건강영양조사 2008~2011에 기초하여 - (Evaluation of Anthropometric Characteristics, Bone Density, Food Intake Frequency, Nutrient Intakes, and Diet Quality of Pre- and Postmenopausal Women - Based on 2008~2011 Korean National Health and Nutrition Examination Survey -)

  • 최순남;조광현;정남용
    • 동아시아식생활학회지
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    • 제27권5호
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    • pp.500-511
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    • 2017
  • This study was conducted to investigate the anthropometric data, bone density, serum profiles, nutrient intakes and diet quality of premenopausal and postmenopausal women. For the study, we obtained data for analysis from the combined 2008~2011 Korean National Health and Nutrition Examination Survey (KNHANES). The height and weight were 157.8 cm and 58.7 kg in premenopausal women and 155.5 cm and 58.3 kg in postmenopausal women, respectively. The obesity rate was 27.49% in premenopausal women and 34.98% in postmenopausal women (p<0.001). Total cholesterol, LDL-cholesterol, triglyceride, GOT, GPT and alkaline phosphatase in postmenopausal women were significantly higher than those in premenopausal women (p<0.001). The prevalence of osteoporosis was 0.0~0.89% in premenopausal women and 0.48~13.22% in postmenopausal women (p<0.001). In postmenopausal women, rates of hypertension, stroke, myocardial infarction, depression, and diabetes were significantly higher than those in premenopausal women. Water, fat. ash, sodium, retinol, thiamin, riboflavin and niacin intakes in premenopausal women were significantly higher than those in postmenopausal women. Water, fiber, Ca, and, K intakes were below KDRIs (Dietary Reference Intakes for Koreans) in both groups. The mean adequacy ratio (MAR) of premenopausal women was higher than that of postmenopausal women (p<0.001). The index of nutritional quality (INQ) in premenopausal women was also higher than that of postmenopausal women except iron and vitamin C. Therefore dietary guidelines and an education program should be developed for desirable improvement of health, bone density, nutrient status and dietary quality of postmenopausal women.

초임 보건교사의 직무수행 어려움과 직무만족도에 대한 인식 (School Novice Health Teachers' Perception of Job Performance Difficulties and Job Satisfaction)

  • 장서문;이규영
    • 지역사회간호학회지
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    • 제32권4호
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    • pp.566-577
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    • 2021
  • Purpose: This study aimed to determine the correlation between job performance difficulties and job satisfaction that novice health teachers experienced in a new school environment, and provide the basic data necessary for policy development. Methods: Data were collected from 196 novice health teachers without in-service training program for the qualification of 1st grade and with less than four years of work experience in Korea. The self-report questionnaire consisted of general characteristics, perception of difficulties in job performance, and job satisfaction. The data were analyzed using the x2 test, t-test, ANOVA, and Pearson's correlation coefficient. Results: Novice health teachers had the most difficulty in health education during their job performance, whereas teachers without hospital clinical experience encountered difficulties in health management. Those with less than two years of teaching experience or no experience of being contract health teachers had higher job performance difficulties. The results revealed that the lack of experience in performance at a school site had a considerable influence on the difficulty in job performance. In terms of job satisfaction, novice health teachers had the highest satisfaction with status recognition and the lowest satisfaction with their tasks in charge. Additionally, as the difficulty in job performance increased, job satisfaction decreased. Conclusion: The study results indicated the need for training to provide novice health teachers with sufficient experience in job performance before being placed in a school. The provision of support to respond to difficulties in job performance will improve job satisfaction and contribute not only to the development of novice health teachers, but also to the improvement of the quality of school health.