• 대한영양사협회학술지
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• 제4권1호
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• pp.40-52
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• 1998

This study was undertaken to identify medical staffs’ perception about nutrition care and dietitian's role in hospitals. Questionnaires were sent to 874 medical staffs at 50 general hospials size over 100 beds, located in Seoul and Pusan, A total of 649(74.3%) of medical staffs returned questionnaries from 47 general hospitals. The results of this study can be summarized as follows. 1. 89.6% of medical staffs responded that they required the help of the dietitian when the patients needed the nutrition acre and also most of them(87.0%) held positive perceptions about the necessity of the nutrition support team. 2. When the medical staffs prescribed the special diet of the patients' nutrition care, 90.0% of them preferred that diet would be order after consulting with dietitian. 3. Half of the medical staffs(52.1%) responded that they were scarced of the knowledge about the clinical nutrition and then 66.4% of them recognized the need of nutrition education at the medical school. 4. The medical staffs responded that dietitian must have the knowledge about food, nutrition and medical science(52.5%) and the competence of discussion with medical staffs about nutrition the patients(30.8%).

• 대한영양사협회학술지
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• 제2권2호
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• pp.112-122
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• 1996

This study was designed to provide data useful for the efficiency of dietitians' nutrition care by evaluating medical staffs' perception of nutrition in a hospital. The datas were collected through a questionnaire survey conducted upon 874 medical staffs at 50 general hospitals , each one with more than 100 beds, in Seoul and Pusan. A logistic regression analysis was used to determine the influential factors of medical staffs' perception about nutrition among the selected variables. As a result, most medical staffs(96.9%) had positive perceptions about the importance of nutrition as a medical therapy. However, more than half of the respondents(69.1%) said that the dietary department plays the auxilliary role of producing patients' meals according to diet prescriptions. 271% of the medical staffs perceived that the dietary department as contributor to patient's health care through involvement in medical nutrition therapy, while 4% of the medical staffs misunderstood the dietary department as part of the hospital administration. The results of logistic regression analysis showed that factors related to hospital size and dietitian manpower( Total No. of beds, No. of beds per dietitian) have more influence upon medical staffs' perception about nutrition than their personal and occupational characteristics(P (0.001). In case where medical staffs' perceptions were more positive, the efficiency of dietitians performing nutrition care was higher. Results of this study suggests optimal dietetics staffing as a way to increase the efficiency of nutrition care in a hospital.

• 간호행정학회지
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• 제13권3호
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• pp.321-334
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• 2007

Purpose: The objectives of this study were to understand and compare perception and experience between clinical staffs(nurses and pharmacists) and Quality Improvement managers. Method: A qualitative study was conducted with 14 clinical staffs and QI managers who are working at tertiary hospitals in Korea. Interviews were recorded and transcribed for systematic analyses of qualitative data. Results: Most critically, while QI managers acknowledged that establishment of the patient safety culture and reduction of medical errors are urgent tasks for QI effort, clinical staffs don't seem to share such perceptions. All participants agree that staff shortage and no compliance to safety procedures were major reasons for medical error occurrences. Many suggested that an organizational culture where errors were perceived as a systematic problems rather than individual failures or carelessness should be formed to promote voluntary reporting of medical errors. Conclusion: A more systematic effort and attention at the hospital leadership and public policy level should be promoted to constitute societal consensus on the urgence of promoting patient safety culture and more specific approaches to tackle the patient safety problems.

• 한국사회복지학
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• 제59권2호
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• pp.223-249
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• 2007

학제간 팀 접근을 통해 사회복지서비스를 제공하는 의료현장에서는 의료팀의 사회복지사 역할에 대한 명확한 인식과 기대를 파악하는 것이 사회복지사의 효과적인 역할수행에 매우 중요하다. 이에 본 연구는 의사, 간호사, 영양사 등의 의료팀성원을 대상으로 의료사회복지사의 역할에 대한 인식유형과 각 유형의 특성을 Q방법론을 활용하여 조사하였다. 연구결과 의료사회복지사에 대한 인식은 심리사회적 상담자 유형, 자원개발 및 연결자 유형, 복합기능수행자 유형의 3가지 유형으로 도출되었다. 이상의 결과를 바탕으로 의료사회복지실천의 함의를 찾아보았다.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.313-320
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• 2019

본 연구는 중소병원들의 전문성역량을 강화하기 위한 방안을 모색하고 전문병원 운영전략 수립에 유용한 정보를 제시하고자 전문병원에 대한 기대수준과 전문병원 전문성역량 인식을 비교분석 하였다. 연구대상은 20세 이상 일반인과 임상 총 경력 3년 이상 병원종사자를 대상으로 하였으며, 연구도구는 선행연구와 보건복지부의 전문병원 지정요건을 고려한 전문병원의 전문성 요소 중요도와 전문성을 하위한 하위요인의 필요성으로 구성한 설문지로, 2018년 7월부터 8월까지 2개월간 자료를 수집하여 일반인 400명과 병원종사자 317명을 대상으로 분석하였다. 연구기간은 2018년 7월부터 2019년 5월까지였으며, 분석방법은 연구도구의 타당도와 신뢰도 검정을 실시한 후, t-test와 회귀분석을 사용하였다. 연구결과, 전문병원에 대한 기대수준은 일반인과 병원종사자 간에 차이가 없었으나, 전문병원에 대한 주관적인 기대수준에 영향을 미치는 전문성 요소는 일반인과 병원종사자 간에 다르게 생각하고 있다는 것을 알 수 있었다. 그리고 일반인과 병원종사자의 전문병원에 대한 기대수준에 영향을 미치는 전문성 요소는 의사에 대한 신뢰감이었으나 의사에 대한 신뢰감에 영향을 미치는 전문성 하위요인이 일반인은 해당분야의 탁월한 기술력, 병원종사자는 의사와 진료의 전문성과 해당 분야의 노하우로 일반인과 병원종사자가 서로 달랐다. 결론적으로 전문병원이 발전적인 전문성역량을 강화하기 위해서는 병원종사자들의 인식과 일반인들의 인식 간의 차이를 줄이는 노력이 필요할 것으로 사료된다.

• 한국전자통신학회논문지
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• 제7권5호
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• pp.1197-1203
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• 2012

이연구의 목적은 의료인을 제외한 병원종사자들의 역할인식이 직무만족에 미치는 영향을 알아보고자 시행되었다. 연구대상은 486명의 의료지원 부서를 대상으로 하였다. 다중회귀분석 결과 정책결정이 직무만족에 가장 많은 영향을 미치는 것으로 나타났다. 결론적으로 비의료직 종사자들의 직무만족도를 높이기 위해서는 병원관리자들이 그들의 역할인식 정도를 높이기 위해 노력해야 할 것이다. 이연구의 한계점은 직무만족을 세부적으로 측정하지 않아서 직무만족에 더 중요하게 영향을 미치는 변수를 보여주지 못했다.

• 한국농촌건축학회논문집
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• 제12권3호
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• pp.57-65
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• 2010

The graying of population is not only a significant problem in developing countries, but also in a small country which is passing industrialization and urbanization. Industrialization and urbanization has raised a number of nuclear family. Moreover, changes in the environment and development in science such as a medical development and improving standard of health and hygiene have raised an average life expectancy. Considering these factors, average age of population is going up continue. Developed countries such as Europe, US and Japan have already experienced the graying and some countries have entered aged society. Korea is expected to be reached post-aged society in 7 years which is faster than developed countries that started aging society earlier than Korea. The purpose of this study is a analysis of resident's opinions and preference and using space of elders facilities and seeking a plan to construct the facilities through suggesting standard of use space. Firstly, this report will classify current situation of spacial organization on elder facilities focusing on major sectors and will compare in size. Moreover, standard of area distribution through an analyzing characteristics of each spacial organization. Secondly, The report will compare and analyze between space and main traffic line through classifying traffic lines between staffs and residents of elder facilities and understanding characteristics and problems of each traffic line. Lastly, this will study perception and preference on staffs at elders facilities and middle old aged people who are potential demander, and compare between these people.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.379-388
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• 2013

유헬스케어 서비스는 미래의 서비스로 각광받고 있음에도 불구하고 그 도입이 기대보다 느리게 진행되고 있다. 본 연구는 유헬스케어 서비스의 활성화를 위한 요소를 파악하기 위해 의료기관 종사자들의 이용의도를 성과기대와 노력기대, 사회적 영향, 촉진조건, 그리고 인지된 위험과 조절변수인 자발성으로 설명하고자 한다. 국내 의료기관의 종사자 98명으로부터 설문조사를 통해 자료를 수집해서 분석했는데, 촉진조건을 제외한 성과기대와 노력기대, 사회적 영향, 인지된 위험이 이용의도에 통계적으로 유의한 영향을 주는 것으로 확인되었다. 자발성은 성과기대와 노력기대, 인지된 위험이 이용의도에 미치는 영향의 강도를 조절하는 것을 알 수 있었다.

• 성인간호학회지
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• 제25권3호
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• pp.344-355
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• 2013

Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology. Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program. Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints. Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.

• 한국병원경영학회지
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• 제26권3호
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• pp.68-83
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• 2021

Background: It is widely acknowledged that single bedrooms have many potential advantages compared to multiple bedrooms. However, Korea has a reimbursement system that patients have to pay the additional fee if they will use single bedroom or pay-bed (1-3 bedroom). There is little research on patients' bed selection and relationship between patient satisfaction and bed type in the Korean setting. Methods: Using the 2017 Korea Health Panel (KHP) Survey data, we modified bed type by two dichotomous variables: single bedroom vs. multiple bedroom (2+ bedrooms) and pay-bed (1-3 bedroom) vs. reimbursed bed (4+ bedroom). Multivariate logistic regression is performed to determine the factors affecting the patient's choice of room types. Multivariate regression analysis was conducted to examine how hospital room types are affecting patient satisfaction. Results: Single room and pay-bed (1-3 bedroom) use was influenced by patient age (19- years old), male, a person at work, hospitalizing in a clinic, and birth. After controlling variables of the behavioral model of medical utilization, the association between patient satisfaction and use of single bedroom & pay-bed (1-3 bedroom). Cause of hospitalization, major treatment, and recognition of unnecessary care are statistically significant variables on patient satisfaction. Conclusion: Although the single room is about the standard for newly built hospitals in western countries, it remains unclear that single room or pay-bed (1-3 bedroom) has positive effects on patient's outcomes and satisfaction. In this empirical study, the difference in patient satisfaction by bedroom type was not noticeable. In terms of bed management by hospital staff, securing patient credibility in hospital care is an important task. Patients' perception of whether medical staffs have encouraged unnecessary treatment or tests has a significant impact on patient's satisfaction.