• 한국융합학회논문지
• /
• 제13권4호
• /
• pp.561-572
• /
• 2022

본 연구는 코로나19 확진자 발생으로 코호트격리된 병원간호사의 이직의도 영향요인을 파악하고자 수행된 서술적 조사연구이다. 대학병원 간호사 191명을 대상으로 수집된 자료는 IBM SPSS Statistics 23 프로그램을 활용하여 기술통계, t-test, Pearson's 상관관계 분석, ANOVA, 다중회귀분석으로 분석하였다. 이직의도에 영향을 주는 요인 중 감염관리 직무스트레스가 높을수록(𝛽=.40, p<.001) 사회적 지지 중 상사의 지지가 낮을수록(𝛽=-.21, p=.004) 극복력이 낮을수록(𝛽=-.16, p=.016) 이직의도가 높았다. 이들 변수의 설명력은 25%(Adj. R²=.25, F=16.99, p<.001)로 나타났다. 특히 코로나19 확진자 발생으로 병원 전체가 코호트격리된 병원간호사의 감염관리 직무스트레스는 보통 이상이었다. 감염관리 직무스트레스를 줄일 수 있도록 방안을 찾고, 상사의 지지로 조직과 업무의 부정적인 측면을 줄여서 이직의도를 낮추어야 한다. 그리고, 극복력 향상을 위한 극복력 강화 프로그램으로 이직의도 감소를 모색해야 할 것이다.

• Clinical and Experimental Pediatrics
• /
• 제64권12호
• /
• pp.632-641
• /
• 2021

Background: Over the past few decades, various goals have been defined to reduce the mortality of children caused by acute lower respiratory infections (ALRIs) worldwide. However, few spatial studies to date have reported on ALRI deaths. Purpose: We aimed to assess the spatial modeling of mortality from ALRI in children under 5 years of age during 2000-2017 using a global data. Methods: The data on the mortality of children under 5 years old caused by ALRI were initially obtained from the official website of the World Health Organization. The income status of their home countries was also gathered from the Country Income Groups (World Bank Classification) website and divided into 5 categories. After that, in the ArcGIS 10.6 environment, a database was created and the statistical tests and related maps were extracted. The Global Moran's I statistic, Getis-Ord Gi statistic, and geographically weighted regression were used for the analyses. In this study, higher z scores indicated the hot spots, while lower z scores indicated the cold spots. Results: In 2000-2017, child mortality showed a downward trend from 17.6 per 100,000 children to 8.1 and had a clustered pattern. Hot spots were concentrated in Asia in 2000 but shifted toward African countries by 2017. A cold spot that formed in Europe in 2007 showed an ascending trend by 2017. Based on the results of geographically weighted regression test, the regions identified as the hot spots of mortality from ALRI in children under 5 years old were among the middle-income countries (R²=0.01, adjusted R²=8.77). Conclusion: While the total number of child deaths in 2000-2017 has decreased, the number of hot spots has increased among countries. This study also concluded that, during the study period, Central and Western Africa countries became the main new hot spots of deaths from ALRI.

• 가정과삶의질연구
• /
• 제23권4호
• /
• pp.1-15
• /
• 2005

Korean society is experiencing rapid changes which are certain to shape the lives of the older people and their families. So, the purpose of this study was to improve the quality of the elderly welfare service in Korea. Even though the interest about the elderly welfare in Korea is rapidly on the increase, the reality of Korean Society still leaves much to be desired, quantitatively as well as qualitatively. Pay attent to this point, now going to grasp the situation of not the handicapped elder people but the general elder people actual life condition and demand for welfare. So this study focused on the demand of not out-of home service but in-home care service. It was based on the data from by Korea National Statistical Office, having observed 6,139 elderly people. The results were as follows. They hope to get the elderly welfare services about health examination service, nursing survice, supporting service for household. That was, the most of them wanted in-home care service than out-of home care service. To ensure effective care to the elderly, it needed development and settlement of welfare service in face of their daily living. And, even though they recognized that they should cover the elderly life expenses themselves, the rate was hit that indicated their adult children as a parents supporter. This means that we should consider not only to the elder people but also to the family which contained the old people as the elderly welfare service. As a remedy, we can find the cooperation between elder welfare service at the social welfare organization and counsel, education at the family strengthen center. To improve the quality of the elderly welfare service in Korea, the elderly welfare service should focus not only on the physical and spiritual health maintenance but also active understanding living environment and growing ability to arbitrate between individual and living.

• 한국학교보건학회지
• /
• 제11권2호
• /
• pp.189-201
• /
• 1998

The objectives of this study are first to develop the index of school health promoting behaviors, two, to measure those, third, to analysis the relative importance of factors that effect on school health promoting behaviors. School health promotion indexes were composed of 60 components of six areas which modify the element of health promoting schools are developed by world health organization. The survey data were collected by questionnaires from June to September in 1998. The number of subjects was 294 school nurses. The SAS-PC program was used for the statistical analysis. The major results were as follows: 1. The six areas of school health promoting behaviors are: school health politics (20 components), the school physical environment (17 component), the school social environment (7 component), community relationships (6 component), personal health skills (7 component) and health services (3 component). 2. The mean of total school health promotion indexes was highest at elementary school as 3.46. The order of area was health services, the school physical environment, school health politics, the school social environment, personal health skills, community relationships. 3. The regression model used in this analysis presented significant relationships between school health promoting behaviors and independent variables. The important variable affecting the area of school physical environment was education level of school nurses. The important variable affecting the area of the school social environment and personal health services were the location of school, credential education program. Age or career also were significant variables affect the community relationships and health services. In summary, The health promoting behavior of elementary school was higher than other school. It is mean that have to perform active promoting behavior at middle school and high school. Health service level was highest among areas of school health promoting behaviors. It is mean also that school nurse teachers is interested in activity for other areas to improve of school health. Furthermore, it is necessary to develop the specific program for school health promoting behavior.

• 디지털융복합연구
• /
• 제13권8호
• /
• pp.387-400
• /
• 2015

연구의 목적은 국내 간호사 소진과 관련된 선행연구를 바탕으로 보호변인과 위험변인의 효과크기를 확인하는 것이다. 2005년에서 2014년 까지 석박사학위, 학술지 논문 총116편을 메타분석을 실시하여 융복합적인 결론을 제시하였다. 간호사 소진 보호변인군의 가장 큰 효과크기는 직무변인군이었으며, 하위변인은 공감만족이었다. 간호사의 소진 관련 위험변인군의 효과크기는 조직변인군이 가장 큰 변인군이었으며, 하위변인의 효과크기는 폭력반응이 가장 높았다. 본 연구 결과를 바탕으로 간호사 소진을 억제하는 보호변인을 강화하고, 소진을 유발하는 위험변인 감소를 대응하기 위해서 적절한 개입과 중재를 위한 다양한 프로그램 개발과 정책방안이 구축되어야 할 것이다.

• 한국컴퓨터정보학회논문지
• /
• 제25권3호
• /
• pp.57-64
• /
• 2020

오늘날 정보 기술의 발전으로 병원은 의료분야에서 모바일 컴퓨팅 기술을 접목하여 의료 정보의 방대한 데이터를 관리를 위해서 시간과 공간의 제약을 받지 않는 병원정보시스템을 활발하게 연구하고 있다. 그럼에도 불구하고 대부분의 병원에서는 여전히 수작업으로 근무 편성표를 작성하는데 많은 노력과 시간을 소요하고 있다. 이에 본 논문은 간호사의 교대 근무를 편성하는 최적화 모델을 연구하고 이를 적용한 간호사 니즈형 근무 편성 자동화 시스템을 구축하였다. 실제 S병원에 근무하는 간호사를 대상으로 간호사의 정보 데이터와 요구조건 및 제약조건들을 구성하였다. 이를 적용하여 최적화된 스케줄링 처리 방법을 제안하였고 웹 서버를 중심으로 실시간 상호 교환 및 공유가 가능하기 위해서 수간호사가 사용하는 웹 기반 플랫폼과 일반 간호사가 사용하는 모바일 앱 플랫폼을 구축하였다. 따라서 개발된 간호사 니즈형 근무 편성 자동화 시스템을 통해서 수간호사는 매월 간호사의 근무 편성을 위한 업무 편리성을 증가시켜 주며, 간호사는 개인 일정관리를 통해서 좀 더 정확하게 업무를 처리할 수 있도록 도움을 줄 것이다. 또한 간호사간의 근무 일정의 공유하여 업무의 효율성이 증가할 것으로 기대한다.

• 한국의료질향상학회지
• /
• 제23권1호
• /
• pp.69-90
• /
• 2017

Purpose: The purpose of this study was to analyze the impact of healthcare accreditation and to provide empirical evidence to validate positive effectiveness. Methods:Six electronic databases (KERIS, KoreaMed, NDSL, Ovid-medline, Embase, Cochrane library) were accessed in May 2016. Keywords used were 'accreditation' and 'Joint Commission on Accreditation of Healthcare Organization (JCAHO)'. Of the initially identified 3,008 articles, 60 studies on healthcare accreditation were selected based on inclusion criteria that are hospital accreditation, accreditation by disease and clinical center accreditation. These were retrieved and analyzed. Result: The 60 study results were on the impact of healthcare accreditation. Results were classified into four perspectives of Balanced Score Card (Financial, Customer, Internal Process, Learning & Growth). In internal process perspective, results revealed that healthcare accreditation has made a positive impact on "care process and procedure". In learning & growth perspective, healthcare accreditation has made a positive influence on "leadership", "organizational cultures" and "change mechanisms". However, it revealed that healthcare accreditation does not directly affect financial performance. It is also difficult to reach a definitive conclusion that healthcare accreditation programs affect patient satisfaction of customer and clinical outcome of the internal process. Conclusion: Healthcare accreditation programs provide positive impact on change of care process and building communication-oriented hospital culture. However, more rigorous and diverse research is needed on financial effects and clinical outcomes of healthcare accreditation.

• 문화기술의 융합
• /
• 제4권3호
• /
• pp.33-39
• /
• 2018

본 연구는 보건교사를 대상으로 직무만족도, 학교조직문화 및 감정노동과의 관계를 알아보고, 보건교사의 직무만족도를 높이고, 감정노동을 감소시켜 바람직한 학교조직문화를 형성하도록 방향을 모색하고자 한다. 본 연구는 상관성 조사연구로써 경기도 초등, 중 고등학교에 재직 중인 보건교사 60명을 대상으로 실시하였으며, 자료수집기간은 2018년 6월 1일부터 6월 30일까지였다. 자료는 SPSS Program 21.0을 이용하여 평균, 표준편차, 최소값, 최대값, Correlation coefficient로 분석하였다. 연구결과 보건교사의 직무만족도와 학교조직문화는 순상관관계로 나타났다. 이는 학교조직문화의 수준이 높을수록 학교직무에 대하여 긍정적인 태도를 갖는 것으로 나타났다. 따라서 보건교사의 학교조직문화를 긍정적으로 자각하고 직무만족도를 높일 수 있는 효율적인 프로그램의 개발 및 적용이 필요하다.

• 한국병원경영학회지
• /
• 제21권1호
• /
• pp.14-31
• /
• 2016

Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.

• 대한물리치료과학회지
• /
• 제9권3호
• /
• pp.179-186
• /
• 2002

This study addresses the need to adopt teaching-learning approaches in physical therapy education that develop links between theory and clinical practice in a meaningful way. Problem-based learning (PBL) is presented as a useful way to educate physical therapy for the future. The essential characteristics of problem-based learning include: curricular organization around problems rather than disciplines; an integrated curriculum rather than one separated into clinical and theoretical components; and an inherent emphasis on cognitive skills as well as on knowledge. PBL as implemented in the health sciences, is an educational method in which the focus of learning is a small-group tutorial in which students work through health care scenarios. The goals of the health care scenarios are to provide a context for learning, to activate prior knowledge, to motivate students, and to stimulate discussion. Learning is student-centered rather than faculty-centered, and self-directed learning is emphasized. Whereas the former focuses on critical thinking and clinical judgement, the latter's emphasis is on clinical competency. The physical therapist (PT) program at Cheju Halla college is a partial integrated problem-based curriculum. The history and process of PBL in general and in the PT program are reviewed. Long-term advocates of PBL stress that it is the only known method for preparing future professionals to be able to adapt to change, learning how to reason critically, enabling a holistic approach to health.