• Title/Summary/Keyword: private nursing

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Hypertension knowledge and Treatment compliance of Hypertensive Patients -Comparative analysis between groups treated at Primary Health Care Post in "H" Gun (country) and at other private Clinics·Hospitals. - (고혈압 환자의 고혈압지식 및 치료지시이행 -H군 관내 보건진료소와 병·의원 이용그룹 간 비교분석-)

  • Lee, Yang-Soon;Seo, Eun-ju
    • Journal of Korean Academy of Rural Health Nursing
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    • v.9 no.2
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    • pp.45-58
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    • 2014
  • Purpose: To determine the knowledge and treatment compliance with hypertension, directions for the aspects of implementation, and related factors to patients with hypertension using Primary Health Cares and Private Clinics Hospitals. Method: General characteristics and High blood pressure-related properties(17 questions), Hypertension knowledge measures(20 questions), and Treatment Compliance(22 questions) were used. Result: 1. The patients of Private Clinics Hospitals had statistically significantly higher drinking habits than Primary Health Care centers. The patients of Private Clinics Hospitals had statistically significantly higher rate of no family history of hypertension than Primary Health Care centers. 2. Primary Health Care centers had statistically significantly higher knowledge of hypertension than Private Clinics Hospitals. Primary Health Care centers had statistically significantly higher treatment compliance than Private Clinics Hospitals. Conclusion: Both Primary Health Care centers and Private Clinics Hospitals are high medication compliance but low lifestyle compliance with hypertension. We need to recognize the importance of lifestyle compliance, to apply proper programs and to provide therapists' aggressive intervention.

Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care (간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발)

  • Cho, Sung-Hyun;Song, Kyung Ja;Park, Ihn Sook;Kim, Yeon Hee;Kim, Mi Soon;Gong, Da Hyun;You, Sun Ju;Ju, Young-Su
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.211-222
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    • 2017
  • Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

An Analysis of Hierarchical Characteristics in Public Areas of Skilled Nursing Facilities for the Elderly : Focused on Lounges and Corridors (노인전문요양시설 공용공간의 위계적 특성 분석 : 휴게홀 및 복도를 중심으로)

  • Lee, Min-Ah
    • Journal of Families and Better Life
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    • v.24 no.6 s.84
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    • pp.117-129
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    • 2006
  • The purpose of this study was to provide basic information about hierarchical spatial compositions of lounges and corridors in elderly skilled nursing facilities through the analysis of elderly residents' behaviors. For the study, five researchers observed the behavior of the elderly in the lounges and corridors of five facilities from 10 AM. to 4 PM. at 30-minute intervals for the investigation of hierarchical spatial compositions. And then, the design characteristics of public and semi-public area were analyzed by evaluating their openness, centrality, accessibility, and stimulations. The results of this study were as follows. First, the public area was focused on the lounge, and the semi-public area was formed on the comers of corridors and the parts of lounge walls. The private and semi-private area were distributed to the whole lounges and corridors. Second, in morning time, the semi-public area was concentrated on the wall of lounge instead of on the comers of corridors, and in afternoon, the residents' behaviors relevant to the private and semi-public areas were increased. Especially, the comers of corridors were utilized as the main semi-public areas. Third, the public area could encourage the participation of the elderly residents when it was opened to other areas more than 40% and close to the nursing station. But, the central garden made the accessibility from the elderly private room to the public area not good. The ideal openness of semi-public area was indicated as 25-30%, and its centrality was $10{\sim}15m$ which was a little far from the nursing station. Forth, furniture arrangements gave large influence to the behavior characteristics in the semi-public areas. Especially, sofa arrangements in the comers of corridors increased informal interactions among the elderly. In conclusion, the public area needs high rate of openness and should satisfy both of the centrality and accessibility so that it lead the elderly participations from the private and semi-private areas. The semi-public area should be in a little distance from nursing station and provide with furniture sets for the elderly informal interactions.

A Comparative Study on the Self -Concepts of the Public and the Private Primary School Students (일부 공립 국민학교 학생과 사립 국민학교 학생의 자아개념에 대한 비교연구)

  • Han Hye Sook
    • Journal of Korean Public Health Nursing
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    • v.9 no.1
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    • pp.71-82
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    • 1995
  • The purpose of this study is to define the difference in the self-concepts between the public and the private primary school students. The data were collected from March 16 to 20 in 1994. The objects of this study are the 5th graded primary school students, total 193, from the public (94 students) and private (99 students) schools located in Chong Ju city. The tool used for this study is SDQ (Self Description Questionnaire). The SDQ is a multidimensional instrument designed to measure seven aspects self-concept hypothesized in Shavelson's hierarchical model. The collected data were analyzed using descriptive statistics, chi-square test, t-test and 2-way ANOVA. The results of the study are as follows: 1. Between the public students and the private students there were no significant differences in the self-concept. 2. 2-way ANOVA using sex (male vs. female) and type of school (public vs. private) were performed. The boys had substantially higher self-concepts in physical ability and the nonacademic self concept. The girls tended to have higher self-concepts for the academic factors (except for Mathematies). 3. 2-way ANOVA using social stratification (upper vs. lower) and type of school (public vs. private) were performed. The upper classes tended to have higher self-concept for the academic factors. The social stratification and sample interactions were statistically no significant.

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Parishioner's role Expectations of Parish Nursing (한국 교인들의 목회간호 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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A Study on the Residents' Behaviors in Living Area of Special Nursing Homes for the Elderly (노인전문요양시설 입소노인의 거실이용실태에 관한 조사연구)

  • An, Byeong-Young;Cho, Jun-Young;Yang, Nae-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.1
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    • pp.31-38
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    • 2008
  • Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

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Factors Influencing Depressive Symptoms in Public and Private Sector Employees (공공 및 민간 부문 종사 근로자의 우울증상에 영향을 미치는 요인)

  • Lee, Hae Joon;Kim, Eun Young
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.4
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    • pp.242-252
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    • 2019
  • Purpose: This study aimed to identify factors influencing depressive symptoms in public and private sector employees. Methods: Survey data on 23,602 workers who had worked in the public or private sector were obtained from the 2014 Korean Working Condition Survey (KWCS). Symptoms of depression were measured using the WHO-5 Well-being Index. Data were analyzed using a $x^2$ test, t-test, and multivariate stepwise logistic regression to determine the factors affecting the symptoms of depression. Results: First, the prevalence of depressive symptoms was 41.1 % in public sector employees and 43.4 % in private sector employees. Second, the factors commonly affecting depressive symptoms in public and private sector employees were residence area, cognitive demands, development opportunities, social support from colleagues, social support from supervisors, social community at work, job rewards, and work-family conflict. In addition, age, company size, atypical work, ergonomic risks, quantitative demands, emotional demands, influence, and job insecurity were found to be predictors of depressive symptoms unique to private sector employees. Conclusion: Mental health programs including the employee assistance program (EAP) should be developed and implemented after considering the risk factors affecting depressive symptoms.

A Study on Patients' Perception of Nurse's Behavior in Protecting Patient Privacy (간호사의 환자 프라이버시 보호행동에 대한 환자의 인식도)

  • Lee, Mi-Young;Song, Young-Shin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.204-212
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    • 2007
  • Purpose: The purpose of this study was to investigate the patient's perception of the nurse's behavior in protecting patient privacy and to make suggestions for medical facilities to increase protection of patient privacy. Method: The research was a survey study The data on protection of privacy in primary nursing, for physical privacy, of patient information and in private conversations were collected in October 2005 from 187 patients in a university hospital. Frequencies, means, t-test, ANOVA, and $x^2$-test were used to analyze the data. The SPSS 13.0 for Windows program was used. Results: The mean score for patients' perception of nurse protection of their privacy was 3.33. There were significant differences in perception of protecting patients' privacy according to gender for private conversation, according to level of education for all but physical nursing and for number of admissions for total score and for primary nursing. Conclusion: The results of this study suggest the following: a) Institutional polices and nursing guideline should be clearly stated as to the nurses' duty to protect patient privacy. b) Medical facilities should be arranged in a way that allows for the protection of patients' medical information, and should focus on patient privacy. c) It is necessary of nurses to receive periodic in-service education on protecting patient privacy.

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Characteristics of Spatial Environment in Psychiatric Wards through the Analysis by Patient's Preferred Healing Environment in Observational Ward Structure Dividing Staff Area and Patient Area (정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구)

  • Joo, Yongsun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.2
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    • pp.57-64
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    • 2021
  • Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

Convergence Study on Perception and Performance of Patient Private Information Protection in Nursing Students with Clinical Practice (임상실습 경험 간호학생의 환자 개인정보보호 인식과 실천에 대한 융합적 연구)

  • Lee, Hyun-Jung
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.2
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    • pp.53-60
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    • 2018
  • The purpose of this study was to research the perception and performance of patient private information protection(PPIP) of 76 nursing students with clinical practice of 18 weeks. The mean score of perception on PPIP (4.62 points/5 points) was significantly higher than the performance(3.84 points/5 points). There was a statistically significant positive correlation between perception and performance. In the future, it is necessary to study the interdisciplinary convergence study to understand the factors affecting the perception and performance of PPIP of nursing students and to Develope and apply of PPIP education program for nursing students. Also it is necessary to seek joint plans between medical institutions and universities to improve the perception and performance of PPIP.