• 한국의료질향상학회지
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• 제21권2호
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• pp.58-72
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• 2015

Objectives: This study was conducted as descriptive correlation research in order to survey healthcare personnel(HCP)'s awareness of patient safety culture and their recognition of standard precautions, and to examine the correlation between the two factors. Methods: The subjects were 400 HCPs including 80 doctors, 240 nurses, and 80 medical technicians from two general hospitals. The questionnaire used in the survey consisted of 9 questions on general characteristics, 44 on the perception of patient safety culture, and 21 on the recognition of standard precautions. Results: According to the subjects' general characteristics, the score was significantly higher in those aged over 40 than in those aged 30-39. In addition, it was significantly higher in managers than in practitioners, in those with work experience of less than a year than in those with 5-9 years. The score was also significantly higher in those working 8 hours a day than in those working over 10 hour a day. The number of medical accident reports according to the subjects' general characteristics was significantly larger in nurses than in doctors, in managers than in practitioners, and in those with 10 years' or longer experiences than in those with less than a year. In the awareness of standard precautions according to the subjects' general characteristics, the score was significantly higher in female workers than in male workers, and in managers than in practitioners. As a whole, the subjects' awareness of patient safety culture and their recognition of standard precautions showed a significant correlation with each other. Conclusion: From the result of this study, sufficient work force and the promotion of organizational culture for safety is needed in order to guarantee patient safety. Likewise, these results suggest that experience, job skill, and adequate working hours have a positive effect on the awareness of patient safety culture and the recognition of standard precautions.

• 한국산학기술학회논문지
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• 제17권11호
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• pp.563-572
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• 2016

본 연구는 종합병원 간호사의 주사바늘이나 날카로운 상처 경험과 혈액 및 체액의 접촉 경험을 알아보고, 표준주의지침 이행도에 대한 영향요인을 파악하기 위하여 시도되었다. 연구대상자는 C도에 소재하는 3개의 종합병원에서 근무하는 간호사 144명으로 표준주의지침 인지도, 이행도, 안전환경 및 태도에 대해 설문조사로 자료수집을 하였다. 지난 1년 동안 주사바늘이나 날카로운 기구 등에 의한 상처 경험은 대상자의 40.3%에서 보고되었고, 평균 경험 횟수는 1.01회였다. 또한 지난 1년 동안 환자의 혈액, 체액 및 상처의 접촉 경험은 대상자의 29.2%가 경험하였고, 평균 1.06회를 경험하였으며, 이러한 접촉종류는 혈액(22.9%)이 가장 많았다. 표준주의지침 인지도는 총 4점 만점 중에 3.77점, 이행도는 3.45점으로 전반적으로 높았으나, 표준주의지침에 대한 이행도는 인지도보다 더 낮았다. 표준주의지침 이행도는 인지도 및 안전환경과 유의한 상관관계를 보였다. 표준주의지침 이행도에 영향을 미치는 요인은 인지도와 안전환경이었으며, 이들 변수의 설명력은 16.6%로 나타났다. 이에 표준주의지침의 이행도를 높이기 위해서는 임상실무에서 병원감염의 예방을 위해 표준주의지침의 체계적이고 지속적인 교육을 통해 표준주의지침에 대한 인지도를 높이고, 더 나아가 병원의 지지적인 안전환경 증진이 필요하다.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.72-83
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• 2017

본 연구는 임상실습 중인 간호대학생을 대상으로 의료관련 감염관리를 위한 표준주의 안전환경과 표준주의 인지도, 수행도 정도를 파악하고 표준주의 수행도에 영향을 미치는 요인을 규명하고자 시도 되었다. 2016년 7월부터 9월까지 D광역시의 9개 간호대학에서 3, 4학년생 246명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 연구결과 표준주의 안전환경은 7점 만점에 4.63점이었고, 표준주의 인지도는 5점 만점에 4.67점, 표준주의 수행도는 3.79점으로 인지도에 비해 수행도가 유의하게 낮았다. 인지도와 수행도의 차이가 가장 큰 영역은 개인 보호구와 안전한 주사행위영역 이였다. 표준주의의 안전환경은 수행도와 유의한 양의 상관관계, 인지도와 수행도도 유의한 양의 상관관계가 있었다. 표준주의 수행도에 영향을 미치는 요인은 안전환경과 학년으로 10.7%의 설명력을 보였다. 따라서 간호대학생의 의료관련 감염관리를 높이기 위해서는 전통적인 방법의 인지교육과 함께 표준주의 수행도를 높일 수 있는 안전환경의 구축이 필요하다. 감염관리에 보다 지지적인 실습환경의 조성이 요구되며 시뮬레이션 수업과 같은 새로운 교육 전략과 병원과 학교의 상호협력 시스템을 통한 안전환경구축을 위한 노력 등을 확대해 나가야 할 것이다.

• 가정∙방문간호학회지
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• 제22권2호
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• pp.280-290
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• 2015

Purpose: The purpose of this study was to identify nursing students' knowledge, self-confidence in compliance, and compliance with standard precautions, and to identify predicting factors of compliance with standard precautions. Method: From May 18 to June 15, 2012, data were collected via questionnaire surveys from 222 nursing students of 2 colleges in G-province. Descriptive statistics, t-tests, Pearson correlation coefficients, and multiple regression analyses were used with SPSS 22.0 to analyze the data. Results: The average knowledge score was $0.89{\pm}0.08/1.0$, $3.59{\pm}0.57/4.0$ for self-confidence in compliance, and $0.91{\pm}0.11/1.0$ for compliance. Significant positive correlations were observed between knowledge and self-confidence in compliance(r=.14, p=.040), and between self-confidence in compliance and compliance(r=.25, p=.008). Self-confidence in compliance and blood and body fluid exposure were significant factors of compliance(F=5.46, p<.001). Conclusion: To increase nursing students' compliance with standard precautions, continuous efforts must be made to enhance self-confidence in compliance and decrease blood and body fluid exposure.

• 간호행정학회지
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• 제18권2호
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• pp.244-250
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• 2012

Purpose: The purpose of this study was to investigate the effect of a short message service intervention on adherence to maximal barrier precautions (MBP) and catheter-related blood stream infections. Method: The data were collected from March to September, 2008, at an 826-bed university-affiliated hospital in Daejeon. The study participants were 24 physicians who were inserting central catheters and 133 patients (control group 78 and intervention group 55) with central catheter insertions. The researcher sent the message (adherence to MBP and optimal recommendations) to each internal medicine doctor using the short message service (SMS) for cellular phones. Messages were sent monthly for 3 months. Data were analyzed by chi-square test and t-test using SPSS 12.0 windows program. Result: Adherence to maximal barrier precautions was significantly increased from 44.9% to 69.1% (p=.006) after the SMS intervention. But changes in the rate of CRBSI (catheter related blood stream infection) between the intervention group (1.89) and the control group (4.45) were not significant (p=.323). Conclusions: The results indicate that the SMS intervention is effective in increasing the adherence to maximal barrier precautions and the SMS intervention can be recommended for utilization in infection control nursing practice.

• Safety and Health at Work
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• 제12권1호
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• pp.66-73
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• 2021

Background: The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. Methods: A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. Results: The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. Conclusion: The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.

• 대한치과의사협회지
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• 제51권8호
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• pp.451-458
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• 2013

Human immunodeficiency virus is a retrovirus that causes acquired immunodeficiency syndrome. Acquired immunodeficiency syndrome is defined in terms of "either the occurrence of specific diseases in association with a HIV infection or a CD4 cell count below 200cells/ul" by centers for disease control and prevention(CDC). When performing the surgery of human immunodeficiency virus infected patients, several factors should be considered. First, standard precautions should be performed to prevent infection. It is safe to treat human immunodeficiency virus infected patients if we follow the standard precautions. Second, when making a surgical plan, surgeons have to take account of delayed bone healing and postsurgical infection. This case report presents a case of orthognathic surgery of human immunodeficiency virus infected patient.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2003년도 춘계학술대회 논문집
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• pp.604-609
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• 2003

The fire precautions regulation for Rolling stock in England, France and America concentrate on ensuring of safety in respect of material choosing method and consideration of design. In order to guarantee fire safety in Korean Rolling stocks, it is necessary to establish the fire precautions regulation at the two respects. Korean Standard of product classifies only incombustibility or not. It is not sufficient to classify various materials by testing method for incombustibility of material. Korean Standard to be reserved should be able to cover the smoke density test for small size and classification of the detail grade of material against the reaction to fire

• 한국응용과학기술학회지
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• 제39권6호
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• pp.812-823
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• 2022

본 연구의 목적은 간호대학생의 의료 관련 감염 예방 지식과 감염관리 자신감, 표준주의 실행도 간의 관계를 확인하고 표준주의 실행도에 미치는 영향을 파악하기 위한 서술적 연구이다. 자료 수집은 2018년 10월4일부터 10월 12일까지 G 광역시에 소재한 간호대학생 160명을 대상으로 진행되었다. 연구결과 표준주의 실행도는 감염예방 지식(r=.27, p<.001), 감염관리 자신감(r=.52, p<.001)과 정의 상관관계가 있는 것으로 나타났고, 감염예방 지식은 감염관리 자신감((r=.27, p=012)과 유의한 상관관계가 있는 것으로 나타났다. 간호대학생의 표준주의 실행도에 영향을 미치는 요인은 감염관리 자신감(𝛽=0.45, p<.001), 피부 접촉 경험이 없는 경우(𝛽=0.18, p<.004), 감염예방 교육을 받은 경우(𝛽=-2.65, p<.009), 감염예방 지식(𝛽=0.15, p<.019) 순으로 나타났으며 모형의 설명력은 35%로 나타났다. 본 연구 결과를 토대로 간호대학생의 표준주의 실행도를 높이기 위하여 감염예방 지식과 감염관리 자신감을 높일 수 있는 표준주의 프로그램을 개발하여 시행하는 것이 필요하다.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2008년도 춘계학술대회 논문집
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• pp.1853-1859
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• 2008

IGBT modules are designed for low loss, rugged for all environments and user friendly. Low on state saturation voltage with high switching speed is the primary concerns. In this paper selection of IGBT, module ratings and characteristics are discussed. The IGBT design topic of protection against over voltage and over current are covered. Emphasis on turn off switching, short circuit switching and necessary precautions are dealt. Selection of IGBT device, gate drive power, and its lay out considerations are covered in detail.