• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.3
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• pp.351-361
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• 2010

Purpose: The purpose of this study was to investigate the perception and performance of tuberculosis infection control measures among emergency department nurses. Methods: A structured questionnaire was administered to a convenience sample of 227 emergency department nurses from 20 hospitals in B City. Results: The mean perception score was 4.52 out of a possible 5, and the mean performance score was 3.31 out of a possible 5. There were big differences between the perception and performance score on the items regarding wearing a gown or mask, while there were small differences on the items regarding dealing with patients' articles or medication. Conclusion: Emergency nurses showed high perception and low performance score on the items related to facilities and regulation such as visitation restriction or patient isolation. There was a positive correlation between perception and performance score. Conclusion: For emergency nurses, perception is higher than performance of tuberculosis infection control measures. The findings indicate the importance of providing continuing education for emergency nurse professionals seeking to update and increase their knowledge and to develop evidence-based nursing protocols on tuberculosis infection control in emergency department.

• Journal of the Korean Society of Clothing and Textiles
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• v.31 no.9_10
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• pp.1408-1417
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• 2007

In Korea, to deal with the housing needs of the elderly, the government operates free nursing homes and residential homes. And to deal with the needs for daily necessities, imported products or products for the disabled have been supplied for the elderly. The government has recognized the importance of silver industry in this rapidly aging society and has established strategies to vitalize industries related to seniors to deal with the seniors' need for food, clothing, and shelter. This study examined the necessity of nursing home gowns, and the development of nursing home gowns that are environmentally friendly, beautiful and functional for the new silver generation. For this study, literature review and Internet search were conducted regarding the status of silver fashion, necessity of nursing home gowns, emergence of new silver generation and change in lifestyle, and value and utilization of natural dye and traditional patterns. To produce nursing home gowns, fabric was dyed using fermented indigo dying, and 3 styles of nursing home gowns for each gender were designed in consideration of seasons. Lastly, these gowns were evaluated by fashion experts, medical personnel, hospital gown and silver wear experts, and natural dye experts. The results showed that the traditional Korean designs developed in this study were excellent and the fermented indigo dye was appropriate for the nursing home gowns. The development of nursing home gowns in this study will be utilized as basic material for the development of silver wear and nursing home gowns to improve the quality of life for the seniors.

• Journal of environmental and Sanitary engineering
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• v.5 no.2
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• pp.81-94
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• 1990

The view of this research was to investigate the state of a sanitary management in the industrial area of Masan and Changweon cities through the nutritionists who works in the group food service facilities. The following results are as indicated . 1. The management types of group food service facilities are a direct management 89.7% , a consignned management 7.7% , an(1 a semimanagement 2.6% . 2. The survey for purulent inflammation and a possible disease of a cook is 59.0%. In the case of a wound of hand and foot and disease, the rate of non-worked people is 51.3% 3.4 regular medical examination of a cook was generally well executed, but only 64.1% were received an examination of the feces, and 88.0%, among them had one time per 6months. 4. Wearing a cap, a gown, and a private foot-wear in a kitchen of the cook was well executed, but nowhere was found to put on a mask 5. Only 11.5% of the group feeding facilities had a their own sterilizing lamp, and the company with a repository in a low temperature was 25.6% , 6.4 private toilet of the cook were estabilshed at rate of 38.5% , and also a private toilet providing with a sterilizing soap was 52.6% . 7. The pasteurization of a kitchen table before cooking was 28.2%, In the case of using a cooking dipper, spoon, tweezers when one taste was 83.3% , and using a hand when one dish up was 74.4 %. 8. When one use a raw egg, washing a shell was 35.9%. 9. The rate of a nutritionists writing a diary of the sanitary check-up was 75.6%, and only 23.1% of the facilities was provided with a preserved food. 14.1% of the nutritionists did a sanitary eaucation periodically.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.1
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• pp.66-72
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• 2005

Purpose: The purpose of this study was to explore the content related to nosocomial infection control in the course on Fundamentals of Nursing. Method: Participants were 49 faculty who were teaching courses in Fundamentals of Nursing in universities and colleges in Korea. The questionnaire was composed of 55 items related to nosocomial infection control. Results: Eighteen items out of 55 items were taught in more than 80% of the universities and colleges. These included principles of infection control, principles and effect of hand washing, method of hand washing, hand scrubs, and donning sterile gown and gloves. Conclusion: The most effective interventions for infection control: including asepsis, hand washing, infection control for urinary catheterization, and infection control for IV sites were taught in most universities and colleges. However, the time assigned for teaching these items and the importance placed on practice were not considered sufficient.

• Journal of the Korean Society of Clothing and Textiles
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• v.34 no.2
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• pp.345-356
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• 2010

This study investigates the present conditions of hospital clothes management. A survey was conducted with 72 respondents from 28 different hospitals in April and May 2009. Data were analyzed with descriptive statistics and correlations using PASW 17.0. The results were as follows: (1) Administrators, nurses, and outside specialists took part in the clothes management process. The administrators participated in the process of purchase determination. Nurses involved in the design, size selection, and outside specialists were responsible for routine management. (2) Most clothes were planned through the discussions between hospitals and manufacturers. Price was the most important element to determine the purchase of clothes. Size systems were various depending on the conditions of the hospital according to the number of beds. (3) Laundry duties were performed by the hospitals themselves or in specialized laundry plants. In addition, the hygienic condition of clothes management were satisfactory. (4) Patient gowns were evaluated positively, yet some complaints from patients were reported. (5) Various medical supplies were used and were uncomfortable related to textile and fitting problems. Future research themes are suggested based on these results.

• Journal of the Korean Society of Clothing and Textiles
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• v.28 no.1
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• pp.172-181
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• 2004

The purpose of this study was to develop functional lab gowns in the view of safety and work efficiency. As the first step of this study, we surveyed on satisfaction rates, preferences and inconvenience items in regard of lab gowns. The data was obtained from 138 graduate students specialized in science and 113 medical students. Respondents answered that the first purpose of wearing lab gown was to protect body from danger. Wearing frequency followed with ‘always’, ‘as possible as’, and then ‘sometimes’. Forty-five percentage of respondents answered that they didn't wear lab gowns often in summer because of hot weather. The contaminated or damaged parts of lab gowns followed with cuffs, abdomen, thigh, lower part, and then chest. Washing frequency followed with ‘once a month’, ‘once per six months’, and then ‘more than once a week’ There were significant differences in normal wearing frequency, wearing frequency by season and washing frequency due to major. There were no significant difference by sex and major in all questions. In regard of the protective capacity of current lab gowns, most respondents answered that ‘It's normal’(60%), ‘It's enough’(21%), so that they didn't show much dissatisfaction. Forty-three percentage of respondents were not satisfied with cuffs. Respondents answered that the cuffs were in danger and inconvenient because of broad cuffs. In regard of color, preference for white were high and followed with ivory, light sky, light green. and then light pink. Materials of current lab gowns were cotton/polyester or polyester 100%. Sixty-eight percentage of respondents were satisfied with that and others were not. The reasons for dissatisfactions were as follows; those materials were not protective to chemicals thoroughly enough. Cotton/polyester materials were heavy. Wearing sensation of polyester 100% was not good.

• Perspectives in Nursing Science
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• v.10 no.1
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• pp.65-76
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• 2013

Purpose: To identify an associations between health care workers' uniforms and health care-associated infection. Methods: Electronic databases, including Ovid-Medline, the Cochrane Library, CINAHL, EMBASE, KMbase, and KoreaMed, were searched. The search terms included doctor, nurse, health care worker/staff/assistant, clothing, (white) gown, uniform, (neck)tie, and attire. Only papers published in English and Korean were included. Results: 16 studies were selected from 1,900 references screened. All of the studies were non-comparative studies except for one. Four were conducted with doctors, six with nurses, one with health care workers including physiotherapists and one for medical staff plus visitors in a neonatal intensive care unit. Doctors more frequently changed their uniforms than neckties; therefore, the degree of contamination was more serious in neckties. The cuff zone was more likely to be heavily contaminated than other areas of long-sleeve gowns. Coats become contaminated quickly once worn, and colony counts reached a similar level within the first few hours after wearing them. Wearing a plastic apron or protective clothing did not prevent the bacterial contamination of nurses' uniforms, and the best way to decrease the contamination was changing to newly laundered uniforms before starting every duty. Conclusion: Healthcare workers' uniforms are a potential source of health care-associated infection although there was no robust evidence. The government must establish standards for laundering of uniforms or a requirement for institutions to provide a laundering service for healthcare workers' uniforms.

• Journal of Korean Biological Nursing Science
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• v.25 no.1
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• pp.63-72
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• 2023

Purpose: This study investigated the knowledge, attitudes, and perceptions of a safe environment, as well as self-reported and observed compliance with the use of personal protective equipment (PPE), among intensive care unit (ICU) nurses. Methods: This study was conducted in October 2021 with 55 nurses working in the medical and surgical ICUs of a general hospital in Seoul. A self-reported questionnaire and an observational tool for compliance with the use of PPE were used to collect data. Results: Except for masks, the observed compliance for all other PPE types was lower than the self-reported compliance. Male nurses showed significantly higher observed compliance than female nurses. Self-reported compliance with PPE use, including "when there is a possibility of contact with objects contaminated with blood or body fluids, mucous membranes, damaged skin, or contaminated skin" (r = .23, p = .015) and "when there is a possibility of contact with blood, body fluids, secretions, or exudates" (r = .27, p = .004) showed significant correlations with knowledge of PPE. In the results for self-reported compliance with PPE use, gown use had a significant correlation with knowledge (r = .24, p < .001) and perceptions of a safe environment (r = .15, p = .016) for PPE, and gloves showed significant correlations with attitudes (r = .14, p = .024) and perceptions of a safe environment (r = .18, p = .003). Conclusion: The observed compliance with PPE use tended to be lower than the self-reported compliance among ICU nurses. It is necessary to develop and apply an effective educational program that can enhance improve actual compliance with PPE use among intensive care unit nurses.

• Fashion & Textile Research Journal
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• v.26 no.1
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• pp.123-136
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• 2024

This study aimed to assess the mobility and thermal comfort of personal protective equipment (PPE) among female healthcare workers, taking into account wearers' physique and PPE protection levels. A total of 16 participants (age: 26.3 ± 8.3 y, height: 161.5 ± 7.3 cm, body weight: 57.1 ± 11.0 kg, BMI: 21.9 ± 3.6), representing diverse body types, underwent four PPE conditions: L (Low_Plastic gown ensemble), M (Medium_Tyvek 400), H (High_Tyvek 800J with Powered Air Purifying Respirator [PAPR]), and E (Extremely high_Tychem 2000 with PAPR, Bib apron, and Chemical-resistant gloves). The mobility protocol consisted of 10 different tasks in addition to donning and doffing. The 10 tasks were repeated twice at an air temperature of 24.3 ± 0.1℃, 59±4%RH. Findings revealed a disproportionate relationship between PPE protection and wearer discomfort. Significant differences in clothing microclimate and total sweat rate were observed between the lowest (L) and highest (E) protection levels (p < 0.01), while distinctions among medium levels were inconclusive. Subjective evaluations favored conditions H and L over M and E (p < 0.05), indicating reduced heat, and humidity, increased comfort, and lower exertion. Instances of mobility discomfort, specially in the small body type group, underscored the need for a suitable PPE size system for Korean adult female medical workers. Furthermore, enhancements in gloves, shoe cover, and PAPR hood designs are essential for improving ease of movement and preventing hindrance.

• Journal of the Korean Society of Radiology
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• v.17 no.6
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• pp.865-872
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• 2023

The purpose of this study was to analyze fabrics suitable for use as examination gowns to determine whether examination gowns affect imaging during anterior to posterior chest examinations(Chest AP) on a digital X-ray system. Examination gowns in use at five medical centers in Seoul were collected and included modal, tencel, cotton, and rayon fabrics. The selection of fabrics was based on studies that reported fabrics with good tactile, absorbent, stretchable, and wrinkle resistance. Phantoms of five hospital gowns and four fabrics, arranged in overlapping layers from one to eight, were created and examined on a digital X-ray system in both Chest AP examination. The images examined were subjected to a first-step profile analysis, a second-step signal intensity averaging analysis, and a third-step microscopic analysis. The results showed that all nine materials had an increasing impact on the image as the number of layers of fabric increased, with the modal fabric having the least impact on the image in the first, second, and third analyses. In conclusion, as the resolution of digital x-ray systems increases, the impact of examination clothing on the image will increase, and research to find suitable materials for examination clothing will continue to be necessary.