• 제목/요약/키워드: nursing space

검색결과 237건 처리시간 0.028초

일 의료원의 통합 고충처리센터 접수 내용과 이에 대한 해결방안 분석 (Analysis of the Issues received by Quality Improvement Department and their Management in a Medical Center)

  • 탁관철;박현주;천자혜;강은숙;문주영;최미영;김현주;강진경
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.118-131
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    • 2000
  • Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

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아이덴티티를 표현하는 노인가정의 소유물 배치패턴 사례연구 (A Case Study of Possession Display Pattern as a Mean of Self-identity Expression in Older People's Households)

  • 최정신
    • 한국주거학회논문집
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    • 제18권5호
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    • pp.65-72
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    • 2007
  • What is the meaning of home to older people? How much is home significant for older people? How do they express self-identity through decorating their own homes? These are the new subjects that scholars in the West are involved in lately in terms of micro-perspective (George, 1998; Kellett, Gilroy & Jason, 2005; Gilroy & Kellett, 2006). It is evident that home has more significant meaning to older people than other age groups, since the older are more likely to spend greater time within the home through lower income, lessening mobility or loss of companions (Gilroy, 2005). Also the older tend to cling to their homes and attach to possessions than the younger. Older people's possessions are the things that memories of their lives were absorbed. Therefore, possession display can role as a mean of showing their past lives and memories. Gilroy and her colleagues (2005, 2006) found that there was a certain pattern of possession display in English older people's households, and that older people would like to express self-identity through decorating their own homes with their precious possessions. Then, isn't it interesting to find out if there is any pattern of possession display or decoration items in Korean older people's households as well? Thus, the aim of this study is to describe pattern of possession display as a mean of expressing self-identity in Korean older people's households. Interview with older people was used to find out the way and reason of display possessions. Observation method including taking photos and hand-drawings was also added in order to demonstrate detail condition of display items in the house. Possessions display and furniture arrangement in the living room and bedroom were investigated to find out a certain pattern of display and meaning. Research objects were healthy older people aged over 60, who are living independently from their adult children, and who can manage housekeeping by themselves. 32 households were investigated in the area of Seoul, Kyunggi, Chungchungnam, and Kangwon provinces. The findings demonstrate that most precious possession for Korean older people is photo of themselves; especially one taken in their younger age. The reason of it is because the photo reminds them of their heydays when they were vital. Photo of the most beloved one is displayed more frequently in the bedroom than in the living room indicating consistence with English case. As symmetrical display pattern was dominant in case of English older people's households, no dominant display pattern is found in Korean case. Korean older people also cling to their homes and possessions and want to keep their dwelling space as large as what they use now. It is notable that even after they become older and frail, they want sufficient space to display possessions as a mean of self-identity expression. Attachment to possessions and decoration can give older people significant meaning of identity, and it is the reason why architects or interior designers have to meet older people's needs. It needs consideration that residents are allowed to bring their old furniture and precious possessions when they move in elderly housing unit in order to minimize environmental shock, as well as feeling at home. This subject could suggest a clue to designers or architects who have to meet residents' needs in space design of elderly housing or facilities in the future. Psychological well-being of older people can be met by making them feel at home wherever they live. They need space where they can express their own identity and personality even in case when they have to live in a limited small space like elderly housing unit or nursing home.

산업보건관리자의 직무능력에 관한 연구 - 서울$\cdot$경기 지역의 산업보건센타를 중심으로 (A Study on the Job Ability of Industrial Health Service Agency Members - with the Focus on the Industrial Health Service Agency in Seoul and Kyungki -)

  • 권순주
    • 한국보건간호학회지
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    • 제10권2호
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    • pp.37-50
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    • 1996
  • To analyze the roles by abilities between manpower through the analysis of industrial health service agency personnel, 115 industrial health service agency personnel in 19 Industrial Health Service Agency personnel scattered in Seoul and Kyungki areas have been investigated according to the questionnaires formulated in line with the Likert 5-point scale from September 1 through October 30, 1995 and the following significant result has been obtained: 1. The job abilities by fields. 1) In the field of health care, the level of medical personnel's job ability was 3.30 on average and that of industrial hygienists' was 2.54 on average, which showed that the level of medical personnel's job ability was higher. 2) In the field of health management, there was a difference between the level of medical personnel's job ability and that of industrial hygienists' only in the health education but there was not so much difference between manpower' which showed that it was 3.00 on average. 3) In the field of working environment management. the level of industrial hygienists' job ability was 4.03 on average and that of medical personnel's was 2.62, which showed that the level of industrial hygienists' job ability was higher than that of medical personnel's. 2. The job abilities by manpower. As for the job ability by manpower. on the health care the medical personnel's ability was more excellent than the industrial hygienists' and on the working environment management the latter's{industrial hygienists') ability was more excellent than the former's(the medical personnel's). However. the field that a difference between both manpower as mentioned above was not recognized was the health management. 3. As for the difference of potential factors between manpower. in Factor '1' the industrial hygienists' 80.7 points by percentage was higher than the medical personnel's 52.5 points and in Factor '2' the latter's(medical personnels's) 72.6 points by percentage was higher than the former's{industrial hygienists') 50.6 points in the level of job abilities. The above result shows that the industrial health service agency personnel can be classified into the job with a difference between manpower and that without any difference manpower. Therefore, the following issues: First: The field of health care shall be defined as the medical personnel's exclusive job. Second: The field of working environment management shall be defined as the industrial hygienists' exclusive job. Third: The field of health management shall be defined as a common job to lead the limits of time and space in the collective group occupational health management to be controlled effectively.

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부산지역 거주 노인의 인지기능장애 및 치매 유병률 (Prevalence Rate of Cognitive Impairment and Dementia Among the Elderly in Busan)

  • 김정순;이수일;정영인;황인경;이봉숙;김민정;초의수;전진호;정인숙
    • Journal of Preventive Medicine and Public Health
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    • 제36권1호
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    • pp.63-70
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    • 2003
  • Objectives : To investigate the prevalence of cognitive impairment and dementia in elderly people, aged 65 or above, residing in Busan Metropolitan City. Methods : Total of 1,101 old people, aged 65 or above, living in Busan as of December 31, 2001 were selected using stratified three-stage cluster sampling. Cognitive impairment was determined from the MMSE-K score, and dementia confirmed from five psychometric measures and the Barthel index. The crude prevalence, sex-age adjusted for the Korean population, were obtained. Results : With the cut-off point for cognitive impairment was set at 24 points, or below, on the MMSE-K scale, the crude rate of cognitive impairment was 29.3% (15.7% for men and 37.5% for women), and the sex-age adjusted prevalence was 30.5% (17.5% for men and 37.0% for women). When the cut-off point for cognitive impairment was set at 20 points, or below, on the MMSE-K scale, the crude rate of cognitive impairments were 10.0% (4.1% for men and 13.5% for women), and 10.6% (4.7% for men and 13.1% for women), respectively. The crude dementia, and the sex-age adjusted rates were 7.4% (2.4% for men and 10.5% for women), and 8.0% (2.7% for men and 10.0% for women), respectively. Conclusions : The prevalence of dementia in this study was somewhat lower than that reported by other domestic and foreign studies. Our results related to the difference in time and space, diagnostic tools, response rates, and distribution of male and female subjects, etc.

초등학생용 웹기반 음주예방교육 프로그램 개발 및 효과 (The Development and Effect of Web-based Alcohol Preventive Education Program for Elementary School Students)

  • 김영미;정문희
    • 보건교육건강증진학회지
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    • 제22권4호
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    • pp.17-40
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    • 2005
  • Objective: The purpose of the this study was to test the effect of the alcohol preventive educational program for elementary school students through developing the web-based learning instruments. It will prevent the serious alcohol problem for adolescents and be the opening-learning according to learner's needs beyond the traditional classroom learning which has limitation of space and time. Method: This research designed based on web-based instructional system design by In-sung Jong(1997). This study was performed on the elementary school students who are the six grade in M city. The number of experimental group was 72 and control group's number was 72, totaled 144. Data were collected from September, 30th, 2004 to November, 5th, 2004, totaled 37days. The pretest and the posttest for web-based alcohol preventive education program were tested about knowledge and attitudes toward drinking. After the performance, the posttest was also tested the effect of this program under items by the interest of web-based learning, satisfaction, adequateness of material and so on. The data analysis was done using SPSS/Win 11.0 program. Result: The results of this study are as follows: 1) Compared with control group, experimental group which was educated the web-based alcohol preventive educational program for elementary school students was improved the knowledge on drinking, thin there was no significant difference. However, it showed significant difference between two groups after education. It was, therefore, partially supported. 2) Compared with control group, the experimental group which was educated the web-based alcohol preventive educational program for elementary school students showed significant difference in attitudes toward drinking. After education, it showed no significant difference attitudes. toward drinking between experimental group and control group. It was, therefore, partially supported. 3) The degree of learning motivation was an average.595 of 1 after learning applied to by the web-based alcohol preventive educational program for elementary school students. Then, it is relatively more higher than the result of existing studies. So, it showed that the motivation was done well. 4) Correlation among study variables It showed that there was the significantly positive correlation between knowledge and attitudes toward drinking of pretest experimental group. Also, there was the significantly positive correlation between attitudes toward drinking and learning motivation of pretest and posttest experimental group. Conclusion: I found that the web-based educational program helps the elarning process for the health education in the school field which the instructional materials lack. As a result, the web-based education motivates the learner's pleasure and promotes the learners interest. Also, it is possible for students to learn according to their own learning pace, repeated learning and active learning participation in the necessary parts. Therefore, I think the web-based educational program is worth as a intervention to get positive influence for the health education.

음악을 이용한 간호중재가 중환자실 환아의 활력징후와 산소포화도에 미치는 영향 (The effects of music therapy on vital signs and pulsatile oxygen saturation of pediatric intensive care unit children)

  • 유정숙;송계희
    • 기본간호학회지
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    • 제6권3호
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    • pp.382-396
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    • 1999
  • This study was attempted to prove the effect of emotional stability and vital signs applying music therapy program to the children admitted in the PICU. Data were collected from July to September, 1997. The subjects were 30 patients admitted in the PICU of 'S' University Hospital which were divided into two groups of experimental and control. Each group had 15 subjects. Method was nonequivalent control group pretest-postteset repeated design, observing vital signs and activity of subjects prior, during, and after the music intervention. The study tools were cassette tapes of 'Mother's music whose babies want to listen' and Space-lab patient monitor. Data were analyzed using the $SPSS/PC+;x^2$ test and t-test to analyze of the general characteristics ; paired t-test to prove hypotheses. Result were as follows; 1. Infants lower than seven months showed changing into stable vital signs from applying the music therapy, however infants from eight months to three-year old showed no change in vital signs. 2. Vital signs changed to stabilized condition in infants lower than seven months were heart rate and respiration rate. 3. The stability of vital signs during music therapy turned back to the previous state while terminating music therapy. 4. The effect of music therapy in the state of activity had on both infants group of lower than seven months and from eight months to three-year old, particularly more effective in the later group. I recommend follows on the base of above results ; 1. As above results shows, listening to music is effective on infants and toddler, intervention with music therapy appropriate to chidlren's age is hot recommended. 2. Comparative study with noise blocking effect and music therapy effect within the ICU environment be recommended. 3. The repeated study on when the exact time is and how many repeat the music therapy to show the above mentioned effect be recommended. 4. We recommend this music therapy to be done in the recovery room, isolating room, operating room as well as ICU.

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한국 해기사의 흡연 및 간접흡연 실태와 흡연에 대한 지식, 태도 및 금연의도 (A Study on the Smoke and Secondhand Smoke status, Knowledge about Smoking, Attitude for Smoking behavior and Smoking Cessation Intention of Seafarers)

  • 김민경;김재희
    • 디지털융복합연구
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    • 제18권9호
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    • pp.413-421
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    • 2020
  • 육지와 떨어진 제약적 환경 때문에 선박에서 근무하는 해기사는 사무직근로자보다 보건소와 같은 금연지원체계에 대한 접근성이 떨어질 수 있다. 본 연구는 한국 해기사의 흡연 및 간접흡연 실태를 파악하고 관련요인을 조사하기 위해 총 155명의 대상자에게 홉연 및 간접흡연 경험, 흡연에 대한 지식, 태도 및 금연의도와 선박 내 흡연시설에 대해 설문하였다. 조사 결과, 대상자의 흡연율은 32.3%였고, 간접흡연율은 86.5%로 높은 수준이었다. 선박 내 금연구역이 있는 경우에도 대부분의 흡연행위가 휴게실과 같은 해기사들의 생활 공간에서 주로 발생한다고 답하였다. 또한 선박 내 지정흡연실이 없거나 환풍시설이 미비한 경우도 40%정도에 이르는 것으로 조사되었다. 한편, 대상자 중 금연교육을 받은 사람은 21.9%에 불과하였다. 흡연행위에 대한 태도는 34.58점(총 60점)으로 부정적이었고, 흡연에 대한 지식은 16.12점(총 20점)으로 중간보다 높았다. 흡연자 10명 중 9명은 금연을 시도한 경험이 있었으나 금연 의도는 낮은 것으로 나타났다. 제한된 공간에서 근무와 생활을 병행하는 장기간 체류하는 해기사들의 흡연율을 감소시키기 위해서는, 해기사가 활용 가능한 방법으로 주기적인 금연교육을 통해 동기를 부여하고 금연의도를 높일 필요가 있다. 또한 정기적으로 흡연 실태조사를 조사하여 간접흡연의 피해를 주기적으로 파악하는 한편, 선박 내 흡연관련시설 등 환경적 요인에 대한 법규를 재정비하는 등 제도적 정비가 필요하다.

$1920{\sim}30$년대 가사 교과서 육아단원의 외형 및 내용 분석 (A Study on the Contents of Child Rearing in Household Textbooks during the 1920s-30s)

  • 고상옥;전미경
    • 한국가정과교육학회지
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    • 제18권2호
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    • pp.135-149
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    • 2006
  • 이 연구의 목적은 1922-1937년 사이에 발행된 가사교과서의 육아단원을 분석하는 것이다. 이를 위하여 내용분석의 연구방법으로 문부성 검정을 받은 $\ulcorner$신시대 가사교본 하$\lrcorner$(1928), $\ulcorner$최신 가사교과서 하$\lrcorner$(1930), $\ulcorner$가사신교과서 하$\lrcorner$(1930), $\ulcorner$가사신교과서 하$\lrcorner$(1937)를 분석텍스트로 삼아 육아단원의 외형적 측면과 각 하위단원의 내용과 특징을 살펴보았다. 이러한 연구는 식민지 시기 가정교과의 내용을 이해할 수 있을 뿐 아니라 당시에 요구되었던 '어머니 노릇'의 구체적 내용을 파악할 수 있다. 구체적 연구결과는 다음과 같다. 첫째, 가사교과서의 육아단원의 단원별 체제는 크게 '편, 장, 절'의 체계로 되어 있으며, 다른 교과서에 비해 삽화, 표가 많았는데, 이는 시각적 자료를 통해 교과내용을 효율적으로 전달하기 위함이라 여겨진다. 둘째, 육아단원은 '모성', '부인위생', '임신', '출산', '신생아 및 유아', '포유', '젖니', '이유', '유아의 의식주', '보육', '취학', '질병'으로 구성되어 있으며, 이것은 교과서별로 큰 차이가 없다. 셋째, 전반적으로 네 교과서는 '보육', '포유', '신생아 및 유아'에 많은 지면수를 할애하고 있으며, 이를 통해 이 영역이 육아단원 가운데 중요한 내용임을 알 수 있다. 넷째, 식민지 시대의 가사교과서는 임신과 출산 과정을 자세히 설명하였다. 또 어머니는 올바른 육아를 위하여 아동의 특성에 대한 광범위한 지식의 습득이 필요하다는 사실을 강조하고 있다. 다섯째, 가사교과서는 육아에 있어 청결과 위생을 강조하였다. 어머니는 아동이 쉽게 걸리는 질병의 종류와 관련된 의학적 지식을 습득할 것이 요구되었다.

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코로나19에 대응하며 현장교사들이 경험한 'K-교육'에 대한 FGI(Focus Group Interview) 연구 (Focus Group Interview(FGI) Study on 'K-Edu' Experienced by School Teachers In COVID19)

  • 최성광;최미정
    • 한국엔터테인먼트산업학회논문지
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    • 제15권2호
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    • pp.179-189
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    • 2021
  • 코로나19로 학교가 문을 열지 못하고 위기에 처하자 학교는 온라인 교육을 실시하며 원격수업을 확대하였다. 모두가 어려워했지만 학교교사들의 열정과 노력으로 원격수업은 안정화되었다. 'K-교육'으로 불리는 한국의 온라인 교육은 학교교사들이 코로나19에 대응해 주체적으로 추진하고 있으며, 향후 포스트코로나를 넘어 미래교육의 중요한 영역으로 거론된다. 따라서 학교교사들이 경험한 K-교육의 의미를 분석하고 포스트 코로나 시대 교육패러다임의 변화를 연구하는 것은 미래교육의 방향과 내용을 정립하는데 매우 중요하다. 이 연구에서는 코로나19에 대응하며 학교교사들이 경험한 K-교육을 질적 연구방법인 FGI를 통해 '학교교사들의 달라진 일상', '학교의 변화', '교사들이 느낀 어려움', 'K-교육을 위한 제안'으로 기술하였다. 이를 토대로 코로나19를 거치며 변화된 K-교육의 특징을 '교육 공간의 확장', '교육 형식의 확장', '대면교육의 중요성 부각'으로 분석하였다. 이 연구를 통해 학교교사들이 주도하는 K-교육이 대한민국을 넘어 전 세계를 선도하는 데 초석이 되길 기대한다.

Formation of New Approaches to the Use of Information Technology and Search For Innovative Methods of Training Specialists within the Pan-European Educational Space

  • Stratan-Artyshkova, Tetiana;Kozak, Khrystyna;Syrotina, Olena;Lisnevska, Nataliya;Sichkar, Svitlana;Pertsov, Oleksandr;Kuchai, Oleksandr
    • International Journal of Computer Science & Network Security
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    • 제22권8호
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    • pp.97-104
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    • 2022
  • European integration processes have acted as a catalyst for the emergence of a new type of educational environment, which is characterized by competent flexibility of specialists. Therefore, the article focuses on professional training of teachers in the context of European integration processes using information technology and the search for innovative methods of training specialists. One of the educational priorities in Europe is to create a new model of a teacher who has an academic education, knows innovative methods, is able to perform functions and tasks efficiently and professionally, adequately, quickly and correctly respond to changes and innovations. The tasks facing education in the European dimension are formulated. The main trends in the education of teachers in modern Europe are described: the need to deepen and expand subject training programs in pedagogical institutions of Higher Education, which will allow autonomy of activity, awareness of responsibility for independent creative decisions, create favorable conditions for the development of professionalism through the use of Information Technology and the search for innovative methods of training specialists. At the present stage, various models of teacher training are being developed based on the University and practical concept using information technology and searching for innovative methods of training specialists. On this basis, two different theories of perception of teacher education were formed: as preparation of teachers for work throughout their professional career; as preparation for the first years of professional work, which is periodically repeated in the process of continuous professional training and improvement. Among the advantages that the use of Information Technology and the search for innovative methods of training specialists to implement the learning process, it is worth mentioning the following: simultaneous use of several channels of perception of the student or student in the learning process, thanks to which the integration of information processed by different sensory organs is achieved; the ability to simulate complex real experiments; visualization of abstract information by dynamic representation of processes, etc.