• 제목/요약/키워드: institutional care

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장애인 방문건강관리 모형 구축을 위한 장애인 진료 동향 조사 (Trend of Disabled Person Care for Establishment of Visiting Health Management Model for the Disabled)

  • 김은비;이재원;박선영;박인화;황만석;황의형;송윤경
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.61-72
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    • 2019
  • Objectives We analyzed and organized present studies related to medical care for the disabled to establish an appropriate model of visiting health management for the people with disability. Methods To analyse study of medical care for the disabled, 11 electonic databases (PubMed, Chinese Academic Journals, EMBASE, Cochrane Library, Medline, Oasis, KMBASE, KISS, KISTI, NDSL, RISS) were searched from 2009 to 2018. There's no limit to the type of study. Results The search showed 20 domestic studies and 113 foreign studies that were screened for final inclusion of 37 studies. The all of domestic studies were relevant to dental research. The foreign studies have reported on the treatment of underlying diseases and medical services for the disabled. Conclusions Most studies have reported that government institutional support were needed for systematic treatment of the disabled. In the future, institutional support would be needed to establish the model of oriental doctor's visiting health management for the disabled.

유아보육·교육기관의 교사 전문성 지원 환경이 유아교사의 인공지능 기술수용의도에 미치는 영향: 스마트·디지털 기기 활용 경험에 의해 조절된 과학교수태도의 매개효과를 중심으로 (The Effect of Early Childhood Education and Care Institution's Professional Learning Environment on Teachers' Intention to Accept AI Technology: Focusing on the Mediating Effect of Science Teaching Attitude Modified by Experience of Using Smart·Digital Device)

  • 안혜령;이보람;조우미
    • 한국보육지원학회지
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    • 제19권2호
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    • pp.61-85
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    • 2023
  • Objective: This study aims to investigate whether science teaching attitude of early childhood teachers mediates the relationship between the professional learning environment of institutions and their intention to accept artificial intelligence (AI) technology, and whether the experience of using smart and digital devices moderates the effect of science teaching attitude. Methods: An online survey was conducted targeting 118 teachers with more than 1 year of experience in kindergarten and day care center settings. Descriptive statistical analysis, correlation analysis, and The Process macro model 4, 14 were performed using SPSS 27.0 and The Process macro 3.5. Results: First, the science teaching attitude of early childhood teachers served as a mediator between the professional learning environment of institutions and teachers' intention to accept AI technology. Second, the experience of using smart and digital devices was found to moderate the effect of teachers' science teaching attitude on their intention to accept AI technology. Conclusion/Implications: This results showed that an institutional environment that supports teachers' professionalism development and provides rich experience is crucial for promoting teachers' active acceptance of AI technology. The findings highlight the importance of creating a supportive institutional envionment for teacher's professional growth, enhancing science teaching attitudes, and facilitating the use of various devices.

간호 관련 환자안전사건의 특성과 질적 내용 분석: 의료 소송 판결문(2014~2018년)을 이용한 이차자료 분석 (Characteristics of Nursing-related Patient Safety Incidents and Qualitative Content Analysis: Secondary data Analysis of Medical Litigation Judgment (2014~2018))

  • 김민지;이원;김상희;김소윤
    • 한국의료질향상학회지
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    • 제29권2호
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    • pp.15-31
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    • 2023
  • Purpose: This study aimed to identify the characteristics of patient safety incidents (PSIs) related to nursing and to provide primary data for preventing the recurrence of similar incidents. Methods: This secondary analysis study included damage claims rulings filed for clinical negligence from 2014 to 2018 that contained the keyword 'nurse'. It excluded judgments irrelevant to nursing care and in which clinical negligence or causal damages were overruled. A total of 93 cases were analyzed. The characteristics of PSIs were derived through descriptive statistics, and two instances of nursing-related PSIs were examined by qualitative content analysis focusing on root causes. Results: The analysis of PSIs related to nursing suggested that the medical institutions where the PSIs occurred most frequently were hospitals, and the most common types of PSIs were medication, surgery, and treatment/procedure, in that order. In addition, it indicated that nursing-related PSIs occurred most frequently in general wards during the day shift, with the most common related nursing practice being managing potential risk factors. The qualitative analysis showed that careless monitoring and institutional inertia were causes of PSIs. Conclusion: To prevent nursing-related PSIs, nurses need to individually monitor and assess patient conditions. In addition, support should be accompanied by the improvement in the systems in place aimed at preventing the recurrence of nursing-related PSIs at the institutional and national level, such as securing appropriate nursing personnel and improving labor conditions.

형법을 통한 생명의 보호 (The Life Protection by Criminal Law)

  • 박무원
    • 의료법학
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    • 제11권1호
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    • pp.297-329
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    • 2010
  • The bioethics as a comprehensive and normative control method of life sciences including the technology of advanced medical care, on the one hand, it has modified the conditions for allowing the progress of life sciences. On the other hand, it has put the brakes on attempts of life sciences violating the dignity and value of human beings, natural order. Positively, bioethics presents ethical bases, suggests organization of the legal and institutional conditions, and enables elimination of the legal and institutional obstacles, for the progress of life sciences. Negatively, it has presented justifiable prospects and road maps of life sciences, not to take indiscreet and intemperate turn of violating the dignity and value of human beings, natural order, and its such roles must be carried on.

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분자영상의 윤리 및 규제 (Ethical and Regulatory Problems of Molecular Imaging)

  • 정재민
    • 대한핵의학회지
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    • 제38권2호
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    • pp.140-142
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    • 2004
  • As a molecular imaging is the most up-to-date technology in Nuclear Medicine, it has complicate ethical and regulatory problems. For animal experiment, we have to follow institutional animal care committee. for clinical experiment, we have to get approval of Institutional Review Board according to Helsinki declaration. In addition, approval from Korea Food and Drug Administration (KFDA) is essential for manufacturing and commercialization. However, too much regulation would suppress development of new technology, which would result in the loss of national competitive power. In addition, most new radioactive ligands for molecular imaging are administered to human at sub-pharmacological and sub-toxicological level. In conclusion, a balanced regulation is essential for the safety of clinical application and development of new technology.

병원중심 가정전문간호사의 역할인식, 역할갈등 및 직무만족 (A Study of Role Awareness, Role Conflict and Job Satisfaction for Hospital-based Home Care Nurses)

  • 정미영
    • 가정∙방문간호학회지
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    • 제11권1호
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    • pp.33-43
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    • 2004
  • Purpose: This study is a descriptive research conducted for looking into the role awareness level. role conflicts, and job satisfaction among professional home care nurses in the field of hospital based home care nursing service. Method: 154 specialized home care nurses in 63 hospitals and clinics that are implementing home care programs were subject to the study. Result: 1. The level of role awareness among professional home care nurses was $4.47\pm0.41$ on average out of 5. 2. The average score for role conflicts was $3.87\pm0.61$ out of 5. 3. In terms of job satisfaction level. $3.33\pm0.71$ was scored out of 5. 4. It has been discovered that there are statistically significant positive correlations among role awareness level, role conflicts(r= .224, P= .005), and job satisfaction level(r= .166, P=.040), while a negative correlation was detected between role conflicts and job satisfaction level(r=-.210, P= .009). Conclusion: The level of role awareness among professional home care nurses in the field of hospital based home care nursing service was very high and job satisfaction level was high when the level of home care nursing antecedents was high and the organization structure of working place was independent. But the level of role conflicts coming out of the weakness of job-supporting system was high. So the realistic alternative such as the improvement of working environment by administrative, institutional support, is required to make up for this problem in the future.

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국외 커뮤니티 케어의 방문간호서비스 사례 분석 (Community Care and Visiting Nursing Services in Denmark, Sweden, the United States, and Japan)

  • 한영란;양숙자;함옥경;이건아;김서현;하재영
    • 한국보건간호학회지
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    • 제34권1호
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    • pp.5-21
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    • 2020
  • Purpose: This study compared visiting nursing services of Denmark, Sweden, Japan, and the United States to provide baseline data for the development of models for community care nursing services in South Korea. Methods: A review of the literature was performed that include journal articles, government reports, institutional reports, and national/international statistics. Site visits were performed to explore the visiting nursing services of Denmark. Results: Government centered visiting nursing services were provided in Denmark and Sweden mostly by public organizations, while private services prevailed in the United States and Japan. Nursing services included case management or care coordination services, while nurse practitioners or nurse specialists provided visiting nursing services in all of the four countries and the services were provided 24 hour a day. Conclusions: Based on the review of visiting nursing services in foreign countries, the development of models is needed to provide integrated visiting nursing services in Korea that encompass home care nursing, visiting nursing, and visiting health care services.

AAALAC International Standards and Accreditation Process

  • Gettayacamin, Montip;Retnam, Leslie
    • Toxicological Research
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    • 제33권3호
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    • pp.183-189
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    • 2017
  • AAALAC International is a private, nonprofit organization that promotes humane treatment of animals in science through a voluntary international accreditation program. AAALAC International accreditation is recognized around the world as a symbol of high quality animal care and use for research, teaching and testing, as well as promoting animal welfare. Animals owned by the institution that are used for research, teaching and testing are included as part of an accredited program. More than 990 animal care and use institutions in 42 countries around the world (more than 170 programs in 13 countries in the Pacific Rim region) have earned AAALAC International accreditation. The AAALAC International Council on Accreditation evaluates overall performance and all aspects of an animal care and use program, involving an in-depth, multilayered, confidential peer-review process. The evaluators (site visitors) consider compliance with applicable local animal legislation of the host country, institutional policies, and employ a customized approach for evaluating overall program performance using a series of primary standards that include the Guide for the Care and Use of Laboratory Animals, the Guide for the Care and Use of Agricultural Animals in Research and Teaching, or the European Convention for the Protection of Vertebrate Animals Used for Experimental and Other Purposes, Council of Europe (ETS 123), and supplemental Reference Resources, as applicable.

단일보험자는 강력한 구매자인가: 인도네시아 사례를 중심으로 (Is the Single-Insurer a Powerful Purchaser?: In Case of Indonesia)

  • 김양희;변진옥
    • 보건행정학회지
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    • 제30권2호
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    • pp.151-163
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    • 2020
  • This study reviewed primary care purchasing issues of the Indonesian single-insurer, BPJS-K, in the context of triangular power relations between the government, the insurer, and the providers, and considered its challenges of purchasing as the national single-insurer. Some literature reviews and interviews with Indonesian stakeholders and residents were used to describe the historical and social contexts of Indonesian healthcare and social health insurance systems especially focusing legal and institutional status of BPJS-K and primary care provision and delivery conditions in remote areas. Though BPJS-K directly belongs to the presidential office of Indonesia, it has limited power in terms of purchasing as a single insurer. Mainly it was due to the lack of primary care resources, Ministry of Health's strong power as the regulator and provider, and BPJS-K's powerlessness against monitoring and quality of care assessment. Ambiguous accountability was another issue among the insurer and the Ministry of Health. This created confusions in primary care provision. It is suggested that each agencies' accountability should be obvious in terms of legal, political, and social contexts.

가정외보호아동의 사회적 자본과 문화적 자본이 학업성취에 미치는 영향 (The Impacts of Social and Cultural Capital on the Academic Achievement of Children in Out-of-Home Care)

  • 강현아;우석진;강현주
    • 대한가정학회지
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    • 제50권5호
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    • pp.25-38
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    • 2012
  • Drawing on social and cultural capital theory, the study investigates the influences of social capital and cultural capital on the academic achievement of children in out-of-home care. We collected data from 494 children living in out-of-home services, including institutional care facilities, foster care homes, and group homes. To analyze the collected data, a multiple regression analysis method was used. In addition, the IV (instrumental-variables) estimation was utilized to rule out the possibility of reverse causality. The level of children's social capital was measured through children's relationships with parents and friends, parental monitoring, etc. The level of children's cultural capital was measured by their cultural activities, such as going to museums, and playing musical instruments. Children's personal characteristics and placement history in out-of-home services were used as control variables. We found that among personal characteristic variables, self-esteem, depression and anxiety, and delinquency affected the academic achievement of the children. Cultural capital, but not social capital, positively affected the level of academic achievement of the children. Based on the study results, implications for child welfare practice were discussed.