The purpose of this study was to investigate the effect of fairness, culture, and service points on organizational management to maximize the ability of organizational members. The subjects of the survey were selected from major hospitals, small and medium hospitals. A total of 500 questionnaires were distributed, but 404 (80.8%) were used for the final analysis. The SPSS WIN 20 program was used to analyze the collected data. The following conclusions were obtained. First, in this study, organizational fairness did not show any general difference, and fairness was obtained with relatively high scores. In terms of improving organizational culture, size of hospital there is a statistically significant difference. the larger the organization, the more the organizational culture needs to be improved. Organizational fairness were significant differences in service encounter points and size of hospital. Second, the correlation between fairness, organizational culture improvement, service contact point and management performance showed a very positive correlation. Third, fairness has no effect on business performance. However, in this study, organizational culture improvement and service contact points are statistically significant and positive (+) influence on dependent variable management performance. Therefore, in order to improve the organizational culture of the hospital, it is necessary for the CEO to the vision, core, to discuss and make a reasonable plan. In order to actively cope with rapidly changing hospital environment, it will be necessary to positively support the of new medical market and the increase of market share.
측량 기준점은 국민의 재산권 설정과 밀접한 연관이 있는 국가 중요시설물로 국가 또는 지자체에서 관리하고 있다. 따라서 이와 같은 측량 기준점은 측량성과는 물론 데이터베이스 및 표지의 관리에 이르기까지 중요한 국가 자료임에도 그동안 방대한 물량에 따른 인력, 시스템, 관련 제도 등 관리적 측면에서 각종 문제점들이 지속적으로 제기되어 왔다. 현재, 지자체마다 지리정보시스템이 개별적으로 구축 및 운영되고 있으나, 통합, 연계 및 활용 측면에서는 미흡한 실정이다. 따라서 본 연구에서는 지리정보시스템을 기반으로 한 측량 기준점 관련 정보 제공 및 관리를 위한 관리시스템의 기능 개선 방안과 기준점 이전 경비의 선납부제도 정착방안을 제시하였다. 이를 통해 관리자와 사용자 중심의 One-stop 기준점 관리 통합 시스템 구축의 근간을 마련하고, 기준점 망실 원인자 불명에 따른 기준점 복구비 부과 문제를 해결할 수 있을 것이다.
The purpose of this study was to develop the NCS-based cooking practice education method by using the full learning model and to confirm its effect. The study design was a pre-post test of the non-equality control group. The subjects of this study included 28 students in the experimental group and 27 students in the control group. The experimental group participated in the NCS-based cooking practice training using the complete learning model, and the control group received only cooking practice training based on the full learning model. The data were collected during the second semester of 2016 and analyzed by SPSS WIN 23.0. The results of this study were as follows: First, homogeneity test showed that pre - homogeneity such as general characteristics, cooking ability, and knowledge of cooking theory were achieved (p>0.05). Second, the experimental group recognized that its cooking ability was high. With respect to the ability to cook food, the ability to cook, and the ability to prepare food ingredients (p<0.01), personal hygiene management, cooking hygiene management, and cooking safety management abilities were not significant. The mean value the experimental group was high. Third, the final theoretical knowledge score was not significant. The average score in the experimental group (69 points) was 5 points higher than that in the control group (64 points). This was about two times higher than the score of 37 points in the first stage preliminary survey. Finally, the final performance score was significant (p<0.05), and the score in the experimental group (89 points) was 5 points higher than that in the control group (84 points). Therefore, the NCS-based cooking education method is confirmed to be an effective method, especially for improvement of the practical ability, improvement of theoretical knowledge, and achievement of perfect learning standards.
Objective: To investigate whether the Minimal Clinically Important Difference (MCID) clinically defines improvement of Berg Balance Scale (BBS) scores in people with acute stroke in response to rehabilitation. Design: Retrospective study. Methods: Seventy-three participants with acute stroke participated in the study. Balance evaluation was performed using the BBS. All patients received rehabilitation with physical therapy for 4 weeks, 5 times a week, for 2 hours and 20 minutes a day. An anchor-based approach using the clinical global impression was used to determine the MCID of the BBS. The MCID was used to define the minimum change in the BBS total score (postintervention-preintervention) that was needed to perceive at least a 3-point improvement on the global rating of change. Receiver operating characteristic (ROC) curves was used to define the cut-off values of the optimal MCID of the BBS in order to discriminate between improvement and no improvement groups. Results: The optimal MCID cut-off point for the BBS change scores was 12.5 points for males with a sensitivity (Sn) of 0.62 and a specificity (Sp) of 0.89, and 12.5 points for females with a Sn of 0.69 and Sp of 0.85. The area under the curve of the ROC curve for all participants were 0.84 (95% confidence interval [CI], 0.72; 0.95, p<0.001), and 0.89 (95% CI, 0.77; 1.00, p<0.001), respectively. Conclusions: The MCID for improvement in balance as measured by the BBS was 13.5 points, indicating that the MCID does clinically detect changes in balance abilities in persons with stroke.
Purpose: Authors suggest a new alternative of preparedness capabilities for health care institutes to react to the new types of communicable diseases and the pandemic situations through the quality improvement and advancement of Negative Pressure Isolation Stretcher (NPIS). Methods: We employed FOCUS-PDCA, a representative quality improvement model. First, we identified and materialized necessary components of existing NPIS to be improved. Second, we fabricated an advanced NPIS prototype. Third, we carried out a performance test by the accreditation institute and an empirical evaluation at the communicable diseases trauma center, to locate the improvement pain points of the prototype. Finally, we draw a conclusion on quality improvement points to be considered during the production stage. Results: The suggested, NPIS outperforms the existing one in terms of communicable disease controls, patient treatments and the safety during the patient transfer, and the ease of use. Additionally, the suggested NPIS turns out to be a proper alternative to satisfy the requirements of long range transfer of patients with communicable disease. Conclusion: Authors developed a quality improved, NPIS prototype. There are several points that still remain to be improved. Additionally, we expect that the concurrent use of the suggested NPIS with the existing one will fortify the preparedness capabilities on reacting to the communicable diseases.
Objectives : This study was performed in order to investigate an immediate improvement effect of nasal obstruction after having patient with chronic rhinitis use nasal spray in nasal cavity after distilling Korean medicine, satisfaction for its fragrance and irritation and its effect continuance time. Methods : A questionnaire was performed for an immediate therapeutic effect of nasal spray 1, 2 and 3 weeks later after using spray by targeting 13 patients who used Korean medicine distillate spray for over 3 weeks among the patients who visited Sangji University Korean Medicine Hospital and whose symptoms were determined as chronic rhinitis and for whom Korean medicine distillate spray was prescribed. 3 weeks later after using spray, a questionnaire was performed for fragrance, irritation and continuance effect of Korean medicine. Immediate therapeutic effect being felt right after spraying was also surveyed and symptom scores was expressed from 10 to 0 and on the assumption that nasal obstruction symptom just before spraying was 10 points, symptom score after spraying was surveyed. In case of evaluation of satisfaction, satisfaction for fragrance and irritation of nasal spray was evaluated by scale based on full score of 5 point from 'very satisfied=5', 'satisfied=4', 'average=3', 'unsatisfactory=2' and 'very unsatisfactory=1', respectively. Effect continuance time after spraying was surveyed by dividing it into within 5 minutes, within 5-10 minutes, within 10-30 minutes and over 30 minutes. All the data was statistically analyzed by Friedman Test that is non-parametric test of Paired t-test and descriptive statistics. Results : Total surveyed patients were 13 persons including 6 males and 7 females and total average age was represented to be $27.1{\pm}17.7$ years old. Score of immediate nasal obstruction improvement effect at 1st week was $6.3{\pm}2.4$ points, at 2nd week $5.7{\pm}2.5$ points and at 3rd week $5.5{\pm}2.5$ points and when comparing 1st week, 2nd week and 3rd week statistically, p value was 0.047<0.05 and from this, it could be seen that the longer spray was used, the more was improvement effect represented with slight significance. In case of fragrance and irritation, both of its score was represented to be high as average $4.0{\pm}1.08 $points and average $4.4{\pm}0.8$ points, respectively. Effect continuance time below 10 minutes was represented in 8 persons who accounted for 61.5%. Conclusions: Immediate improvement effect of nasal obstruction being felt by the patients by using Korean medicine nasal spray could be confirmed and by having the patients use such spray for 3 weeks continuously, it could be realized that such effect was sustained and satisfaction for fragrance or irritation of Korean medicine nasal spray was significant. However, rather short sustained time was considered to be unsatisfactory and this shortcomings is required to be improved in the future.
Objectives: The purpose of this study was to investigate the infection control system and actual conditions according to the type of dental medical institution. Methods: From April 1st to May 10th, 2020, dental institutions were recruited through stratified random sampling. Each item constituting the infection control system by dental institution type was analyzed using the chi-square test and fisher's exact test. Results: The infection control system and operation level of each dental institution type was 89.0 points for university-general hospitals, 75.6 points for dental hospitals, and 34.4 points for dental clinics. The environment management levels were 76.1, 72.5, 73.0, and 74.0 points for university-general hospitals, similar to 77.2, 75.1, 71.0, and 73.8 points for dental hospitals, while dental clinics had 61.1, 40.0, 37.0, and 45.6 points. Prevention and management of staff infection exposure, wearing personal protective equipment, and hand hygiene levels were 90.7, 75.5, 88.5 points for university-general hospitals, 79.8, 79.5, 80.4 points for dental hospitals, and 50.2, 88.0, 61.5 points for dental clinics, respectively. Conclusions: Efforts are required to bring about improvement in the areas of insufficient infection control in order to raise the overall infection control levels, especially the management of dental clinics is urgently needed.
The purpose of this study was to investigate the effect of developing and continuously providing on-line hygiene education programs on the improvement of hygiene conditions in children's cafeterias. As a result of the 2020 sanitation and safety checklist analysis, 6 items (personal hygiene, separate use, clean ventilation, temperature control of refrigerators, country of origin, food distribution) were derived and on-line hygiene education programs for each of 6 items were produced. ① Customized educational materials and self-inspection checklists were provided to 208 children's cafeterias. After that, educational videos were provided through Kakao Talk twice a week for 6 months, and they were made available for viewing at any time through YouTube upload, ③ Kakao Talk Through this, a quiz related to the educational video was conducted to give feedback for interaction with the cook. As a result of analyzing the total hygiene and safety checklist score of all registered facility catering centers by visit order, in 2020 it was 82.8 points/100 points, but in 2021, it was 84.2 points (1st round), 89.3 points (2nd round), 91.4 points (3 points) The score improved significantly (p<0.001) as the on-line hygiene education program continued. As a result, significant (p<0.001) changes were observed in the items of 'Knife, chopping board' and 'Sanitation clothes, sanitary hat, sanitary shoes, apron, and sanitary gloves', confirming a clear improvement effect. Therefore, it is considered that the on-line hygiene education program will play a positive role in showing a lasting effect on improving hygiene management in children's cafeterias.
This study is to examine the effect of improving the forest therapy program for adolescents using forest healing resources (focused on improving index of greenness for adolescents). The participants were 30 students from in the control group that participated in the 2018 program, and 51 students in experimental group that participated in the improved program in 2019. The questionnaire, developed by Korea Forest Welfare Institute, was comprised of items on general matters, index of greenness, restorative environment, positive emotion, negative emotion, facial expression and psychological assessment. The control group had 30 and the experimental group had 49 valid copies of the questionnaires. As a result of the paired sample t-test for each group, the control group showed a significant increase in all categories except restorative environment. In the experimental group, all categories significantly improved to a higher level (p <.01). An independent sample t-test (one-tailed test) was performed to test the effect of the forest therapy program with improved index of greenness. As a result, the index of greenness increased by 0.73 points(t=2.555, p <.01) and restorative environment by 1.01 points (t=2.567, p <.01), showing statistical significance. Negative emotion increased by 0.04 points (t=0.183, p >.05), which was not significant. On the other hand, positive emotion decreased by 0.42 points (t=-1.918, p <.05), facial expression by 0.57 points (t=-1.775, p <.05), and psychological assessment by 0.29 points (t=-0.981, p >.05), showing significance in positive emotion and facial expression. However, all the decreased items showed significant improvements between the pretest and posttest scores of the experimental group.
Productivity improvement is one of the important goals which firms' technology developments aim at. Firms' improved productivity from technology development means that their inputs can produce more outputs through technology development, which makes firms' productivity improvement from technology development more and more important in the age of technology advance and convergence like today. This research empirically analyzes the influence of the external technology collaboration network diversity on the productivity improvement of the small and medium-sized enterprises (SMEs) from technology development and the moderating effect of the chief technology officer (CTO)-driven technology development on this influence. This study constructs the research model reflecting the moderating impact of the CTO-driven technology development and tests it with the ordinary least squares regression through the IBM SPSS version 23 by using the 2,000 data about South Korean SMEs. This research empirically reveals two points. One is that SMEs' external technology collaboration network diversity has a positive influence on their productivity improvement from technology development. The other is that the positive effect of SMEs' external technology collaboration network diversity on their productivity improvement from technology development is moderated by the CTO-driven technology development. The two points revealed in this study present two meaningful implications in not only the practical but also academic point of view. The practical implication is that it is effective for SMEs to use CTOs in increasing their productivity improvement from technology development. The academic implication is that making technology collaboration with more diverse external partners can increase SMEs' productivity improvement from technology development.
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