• 제목/요약/키워드: management 3.0

검색결과 10,143건 처리시간 0.048초

중소병원 간호사의 환자안전인식이 안전간호활동에 미치는 영향 (The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Nurse in small-medium Sized General Hospitals)

  • 남문희;임지혜
    • 디지털융복합연구
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    • 제11권1호
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    • pp.349-359
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    • 2013
  • 본 연구는 중소병원의 간호사의 환자안전인식 및 안전간호활동을 조사하고 안전간호활동에 영향을 미치는 요인들을 분석함으로써 보다 안전한 의료서비스 제공의 기초자료로 삼고자 시행 되었다. 대상자는 2012년부터 4월 1개월 동안 3개의 중소병원 간호사 344명을 대상으로 실시하였다. 미국의 AHRQ에서 개발한 Hospital survey of patient safety culture라는 설문지와 의료기관인증문항 중 안전보장활동을 사용하였다. 자료분석은 SPSS 18.0 통계 패키지를 사용하여 기술통계 t-test 및 ANOVA와 Scheffe 사후 분석, Pearson's correlation coefficents, stepwise multiple regression으로 분석하였다. 환자안전인식 수준은 간호사의 경력, 근무시간, 근무부서에 따라 차이가 있었고, 안전간호활동은 간호사의 나이, 직위, 결혼, 간호사 경력, 근무시간에 따라 차이가 있었으며, 간호사의 안전인식수준이 높을수록 안전간호활동 수준이 높았다. 병원에서 환자안전인식 및 안전간호활동 수준을 개선하기 위해서 환자안전정책 및 근무환경개선제도가 요구된다. 근무조건 개선을 위해서 근무시간, 환자대 간호사의 비율을 정규화하는 정책 등이 요구된다.

간호대학생의 대인관계, 자기효능감, 학과만족도 비교 -수업연한 4년제 전문대학 간호과와 4년제 간호학과 중심으로- (A comparative study on interpersonal relationship, self-efficacy, and department satisfaction of students majoring in nursing: focus on a four-year technical college and university)

  • 곽혜원;황성우
    • 디지털융복합연구
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    • 제15권2호
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    • pp.239-249
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    • 2017
  • 본 연구는 수업연한 4년제 간호대학생의 대인관계, 자기효능감 및 학과만족도를 조사하고, 학과만족도에 영향을 미치는 요인을 규명하여 4년제 간호대학생과의 차이점을 비교하기 위한 서술적 조사연구이다. 대상자는 4년제 교육과정을 운영하는 2개 전문대학과 3개의 4년제 간호대학 재학생 372명이며, 2015년 9월 7일~11월 30일까지 설문조사 하였고, 기술통계, t-test, ANOVA, Pearson correlation, Stepwise multiple regression으로 분석하였다. 간호대학생의 학과만족도에 영향을 미치는 요인으로 수업연한 4년제 전문대학은 간호학 전공만족도(${\beta}$=-.509, p<.001), 대인관계조화(${\beta}$=.410, p<.001), 학업성적(${\beta}$=.119, p=.022)으로 60%의 설명력을 보였으며, 4년제 간호대학은 간호학 전공만족도(${\beta}$=-.438, p<.001), 간호학 지원동기(${\beta}$=-.128, p=.011), 대인관계조화(${\beta}$=.403, p<.001)이었으며 50%의 설명력을 보였다. 결론적으로 타인과의 조화로운 대인관계가 학과적응도를 높일 수 있으므로 대인관계조화프로그램 개발이 필요하다.

Monitering of Heavy Metal (loid)s Contamination of Arable Soils near Industrial Complexes in Gyeongnam Province of South Korea

  • Park, Hye Jin;Lee, Hyun Ho;Hong, Chang Oh
    • 한국토양비료학회지
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    • 제49권5호
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    • pp.589-597
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    • 2016
  • There are a number of industrial complexes which could be a source of heavy metal (loid)s contamination of arable soil in Gyeongnam province of South Korea. Heavy metal (loid)s accumulation of plant is more related to the concentration of plant available heavy metal (loid)s in arable soil than that of total heavy metal (loid)s. The objectives of this study were 1) to examine heavy metal concentrations in soils located near industrial complexes in Gyeongnam province and 2) to determine the relationship between concentration of plant available heavy metal (loid)s and chemical properties of soil. Soil samples were collected from 85 sites of arable lands nearby 7 industrial complexes in Gyeongnam province. Total heavy metal (loid)s concentration, available heavy metal (loid)s concentration, and chemical properties of collected soils were measured. The mean concentrations of arsenic (As), cadmium (Cd), copper (Cu), lead (Pb), and zinc (Zn) in the soils were $5.8mg\;kg^{-1}$, $1.3mg\;kg^{-1}$, $0.03mg\;kg^{-1}$, $51.5mg\;kg^{-1}$, and $68.7mg\;kg^{-1}$, respectively. Total concentration of Cd and Zn in arable soil located near ${\nabla}{\nabla}$ industrial complex exceeded the warning criteria ($4mg\;kg^{-1}$ and $300mg\;kg^{-1}$ for Cd and Zn, respectively) as described by in the soil environmental conservation Act of Korea. The concentration of plant available heavy metal (loid)s was negatively related to the soil pH and available Pb and Zn concentrations had relatively high correlation coefficient when compared with other heavy metal (loid)s. The concentration of plant available Pb and Zn was negatively related to that of organic matter (OM). Based on the above results, it might be a good soil management to control pH and OM concentration with soil amendments such as lime and compost to reduce phytoavailability of heavy metal (loid)s in arable soil located near industrial complex.

방동저수지 유역의 토지이용에 따른 비점오염 부하발생 원단위 산정 (Load factor of Nonpoint Source Pollutant owing to Land Use in Bangdong Reservoir Watershed)

  • 문종필;김태철;안병기
    • 농업과학연구
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    • 제26권2호
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    • pp.61-69
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    • 1999
  • 1. 방동저수지 상류 5개 토지이용별 유출수량과 수질조사를 실시하고 비점오염원 원단위를 산정 하였다. 산지에서 SS 84kg/ha/년, BOD 4.2kg/ha/년, COD 15kg/ha/년, T-P 0.1kg/ha/년, T-N 1.1kg/ha/년으로 배출부하원단위가 가장 작았다. 거주지역에서 SS 319kg/ha/년, BOD 34kg/ha/년, COD 98kg/ha/년, T-P 5.6kg/ha/년, T-N 8.7kg/ha/년으로 배출부하 원단위가 가장 많았다. 2. 비점오염원은 강우-유출과 관련이 있어 전체 비점오염원의 약 46%가 7~8월에 유출되며, 건기인 10월에서 4월까지는 연간 총량의 약20%, 5월에서 9월까지는 약80%가 유출된다. 3. 유기물질인 SS, BOD, COD는 거주지역에서, 영양물질인 T-N은 논 밭지역에서 T-P는 논 밭 거주지역 및 방목지에서 많이 유출되고 있다. 4. T-N, T-P 등 영양물질이 농지에서 많이 유출되어 저수지와 같은 폐쇄수역에 부영양화로 인한 수질악화의 원인이 된다. 비점오염원이 우기에 집중배출되어 공공수역에 큰 오염원으로 작용하므로 도시하천을 이용한 비점오염원 관리방안과 비점오염원 발생원 저감방안을 적극 추진하여야 한다.

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연령 및 성별에 따른 탈모 모발의 미네랄 함량 분석 (Hair Mineral Analysis of People Suffering from Hair Loss According to Their Age and Gender)

  • 소영진;이명호
    • 한국조리학회지
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    • 제19권5호
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    • pp.100-109
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    • 2013
  • 본 연구는 성인 311명 탈모 모발의 19가지 미네랄 함량을 평균, 성별, 연령별, 모발의 화학적 시술 여부 등으로 나뉘어 분석하였다. 연구결과 모발 내 미네랄 원소의 평균함량은 모두 권장기준치 범주 안에 있었으므로 탈모에 영향을 미치지 않는 것으로 나타났으며, 남녀간 모발의 미네랄 함량 분석 결과 영양원소 중 나트륨(p<.01), 칼륨(p<.01), 세레륨(p<.001)은 남성이, 칼슘, 마그네슘, 구리, 망간은 여성이 높게 나타났다. 독성원소의 경우 수은(p<.001) 비소(p<.01) 안티몬(p<.001)은 남성에게서 더 많은 함량이 검출되었다. 연령별 미네랄 함량을 분석한 결과 칼륨(p<.05), 철(p<.01), 망간(p<.05), 크롬(p<.01), 수은(p<.01)이 연령이 증가할수록 함량이 통계적으로 유의하였다. 특히 수은의 경우 50대 이상의 연령에서 축적함량(1.2904ppm)이 권장 참고수치(<1.1ppm)보다 초과하여 나타났다. 또 자연 상태 모발과 화학적 시술(펌, 염색) 모발 간의 미네랄 함량 분석 결과 셀레늄(p<.01), 납(p<.05), 알루미늄(p<.05), 비소(p<.01)등이 자연 상태 모발에서 함량이 높았으며, 칼슘(p<.001), 마그네슘(p<.001), 망간(p<.01)등은 염색이나 퍼머넌트를 한 모발에서 함량이 높게 나타났다. 이러한 연구 결과를 토대로 미네랄 함량의 과다 축적 및 미달이 탈모에 직접적인 영향을 미치지 않았으나 일부 중금속 경우는 남성들의 탈모에 다소 영향을 미치는 것을 알 수 있었으며, 이러한 선행 연구를 바탕으로 한 다음 연구에서는 이 자료가 비교분석 기초 자료로 활용될 것으로 사료된다.

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저주파 전침자극이 허벅지 둘레에 미치는 영향에 대한 연구 (Effect of Electro-acupuncture on Regional Fat by Measuring Thigh Circumference)

  • 안수정;김정신;신현택;김용석;이경섭;황덕상
    • 한방비만학회지
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    • 제5권1호
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    • pp.1-8
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    • 2005
  • Objectives: Although electro-acupuncture is being utilized to reduce weight in Korea, its usefulness in obesity management has not been fully evaluated yet. The objective of this study is to evaluate the effect of Electro-acupuncture on thigh circumference. Methods: 12 healthy volunteers participated in this study. We measured the circumference of both thighs, and treated the thicker one with transcutaneous electro-acupuncture at 8 acupoints, 10 times in total. The electrical parameters were : 1st step frequency set was at 15Hz and the treatment proceeded for 50 minutes, 2nd step at 50Hz for 10 minutes and at 3rd step the acupunctures were removed and electrodes were attached on the lower limb at 166Hz for 15 minutes. In order to evaluate the effect of the treatment, total body weight, percentage of body fat and thigh circumference were measured 4 times. Before the treatment, after 5th and 10th treatment and 1 month after completion of the whole treating procedure. Statistical significance(P<0.05) was determined using the Wilcoxon signed rank test. We did not control diet, exercise and lifestyle of the volunteers. Results: No significant change was shown in body weight after 10 times of treatment. Yet the thigh circumference of effect group significantly decreased after 5th treatment and 10th treatment. The circumference of control group that was not treated by electro-acupuncture significantly decreased too. At first, difference between the two thighs in circumference was obvious, but no difference was left after 10 times of treatments on the thicker thigh. Percentage of body fat was significantly decreased. 1 month after having completed the treatment, there was no significant difference of body weight, thigh circumferences and percentage of body fat. Conclusion: These results suggest that electro-acupuncture effectively regulates regional fat, body fat percentage and body shape.

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유료노인전문요양시설 이용자 가족의 서비스 만족도 및 요구조사 (A Study on Service Satisfaction of Users' Family in Charged Recuperation Facilities Specializing in the Old)

  • 정연강;한승의;이영미
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.397-406
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    • 2003
  • The purpose of this study is to provide the basic data in order to improve the quality of charged recuperation facilities which are specialized in the old. after finding out the satisfaction degree for the services which are provided in the current charged recuperation facilities specialized in the old and surveying the services which are demanded by users. As for the research method. the subjects were 88 family members of the users in the five charged recuperation facilities, which are specialized in the old and located in Seoul and Incheon. The survey research was executed from 27th July to 15th September, 2002. Then the collected data were analyzed by using the SPSS 10.0 for windows program. The research results are as follows. Firstly, in the satisfaction degree of the user's family about the daily service showed the highest satisfaction degree for the kind service of the staff to the users. In the satisfaction degree about the specialized service of the user's family, the satisfaction degree was high in bedsore prevention, periodical health care, proper medical treatment, family counsel, and adequate disease management. In the satisfaction degree about the facility and environmental service, the satisfaction degree about the surrounding environment of the facility or safety facility, and the comfort condition was high. In the satisfaction degree about the services related to the local society, it was high in the hospital and medical-related field. Secondly, in the demanded services, the demanding degree for worship, mental and spiritual nursing, hospice, funeral service, family meeting, and support for the special vehicle were not so high, but it was shown that they were generally demanded. Thirdly, it was shown that the provided services had an overall high satisfaction degree. In the service satisfaction degree according to the general characteristics of the user's family, it was recognized that there was a significant difference between the distinction of sex and local society related services. Also, there was a significant difference in the satisfaction degree between age and specialized service. Through the above research results, detailed rehabilitation programs such as linguistic treatment and working treatment should be more and more compensated in order to supplement the insufficient points of the services provided by the charged recuperation facility specialized in the old. Additionally, the correlation with the local society such as education and training for specialized human labor, close cooperation among the facilities, and positive participation in local society events are thought to be reinforced.

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효과적인 치과병원 감염관리의 구성요소에 대한 고찰 (Study on elements for effective infection control at dental hospitals)

  • 배성숙;이명선
    • 한국치위생학회지
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    • 제11권4호
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    • pp.557-569
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    • 2011
  • Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff's exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was $0.28{\pm}2.23$ and that of needle pricking was $1.83{\pm}5.39$. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.

농업수리시설과 소수로굴착용 Trencher V형의 개발에 대하여 (Resear cher & Coordinator, Canal Reseach & Development, japan)

  • 영목청
    • 한국농공학회지
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    • 제21권2호
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    • pp.28-36
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    • 1979
  • One of most important problems in the Monsoon Asia today is the production of rice paddy to meet the needs of the ever increasing population. Diversemeans are being employed to meet this demand, both by increasing productivity of existing farm land and by bringing further areas into cultivation. The primary step in either field is to ensure that there is sufficient moisture in the soil to suit the paddy, and at the same this means that excess moisture has to be drained off the land, while in others irrigat ion has to be employed to bring sufficient water to an area. In view of the fact that the project comprises a huge amount of earthwork, it can be carried out by extensive use of construction machinery in order to shorten the period. As farm ditch has a comparatively small section with shallow cutting depth, inaddition, there is lack of access road in the field, the excavation equipment with bulldozer or tracter-shovel (backhoe) type are not applicable because there are mostly adapted for the excavation of deep and wide section. Mini-backhoe with its bucket width not larger than 0. 3m, and width of blade not larger than 1. 00m seems to be more adaptable. About 80% of excavation of ditch section will be done by the machinery while the other 20% of excavation together with the finishing of the section are supposed to be done by man-power. The embankment of ditch section can be compacted by the crawler of backhoe when it is moving along the ditch for excavation. However, Lowland paddy field in the Monsoon Asia are made particulary in rain season, therefore, heavy machinery is not easy excavation for ditch. It is very important to know exact ground support power of the working site and select machines with corresponding ground pressure. Ground support power is variable subject to quality and water content of soil and therefore selection of machines should be made duly considering ground condition of the site at the time of construction works. Farm ditches dug and compacted by mannual labar are of poor quality and subject to destruction after one or two years of operation. On the other hand, excavation and compaction by bulldozer is not practical for ditches. Backboe is suitable for slope land, but this is required cycle time of bucket excavation and dumped out. If a small-scale farm ditch trencher adaptable to lowland paddy field is invented, such a machine could greatly accelerate the massive construction work envisaged in many countries and thus significantly speed up the most difficult part of irrigation development and management in Monsoon Asia.

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모수적․비모수적 기법을 활용한 베트남 공공종합병원의 규모수익과 생산효율성 변화 분석 (Analysis on RTS and the Change of Productivity Efficiency of Public General Hospitals in Vietnam using Parametric and Non-Parametric Approach)

  • 양동현
    • 한국산학기술학회논문지
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    • 제15권2호
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    • pp.767-776
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    • 2014
  • 본 연구는 베트남 호치민시 보건부 데이터베이스에서 추출한 20개 공공종합병원의 2006년부터 2010년까지 5년간 패널자료를 이용하여 비모수적 기법과 모수적 기법을 활용하여 규모수익과 생산성 변화를 측정하였다. 그 결과를 요약하면 다음과 같다. 첫째, 비모수 기법으로 측정된 생산성 증가율은 5년간 누적 증가율이 2.8%이며 이는 5.8%의 기술효율성 증가와 기술효율성 개선에 기인하고 있다. 반면 규모효율성은 5.2% 감소하고 있다. 둘째, 모수적 기법으로 측정한 생산성은 17.1% 감소를 보였으며 이는 17.1%의 기술 퇴보와 9.1%의 규모효율성 감소에 기인하고 있다. 두 기법에서의 공통적인 점은 베트남 공공종합병원에서 규모의 비효율성이 발생하고 있으며 규모의 비효율성 변화가 생산성 변화에 중요한 영향을 미치고 있었다. 즉 베트남 공공종합병원은 분석표본의 70%~80%가 규모의 체증상태에 있으며 이는 환자 수에 비해 공공병원의 규모가 과잉공급 상태에 있음을 시사하고 있다. 이 연구는 베트남 공공병원의 효율성과 생산성 변화를 측정한 국내 첫 연구이며 향후 베트남 병원산업 진출을 위한 기초 정보로 활용될 수 있다는 점에서 의미가 있다.