• Title/Summary/Keyword: quality of care

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Uniformity Evaluation of Elderly Hospital Outpatients' Waiting Space using Discrete Event Simulation (이산사건 시뮬레이션을 이용한 요양병원 외래부 대기공간 균일성 평가)

  • Yoon, So-Hee;Kim, Suk-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.490-499
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    • 2017
  • In recent years, the introduction of complex systems analysis based on various variables has become more active in order to identify and analyze complex problems of Modern Society. Prediction of patients' spatial perception and usability according to the spatial arrangement of the outpatient department is a very important factor for providing high quality hospital service. For objective analysis, the standard program procedure and analysis index for the diseases of the elderly were prepared and the uniformity of the atmospheric space was evaluated through heat map analysis and quantitative analysis. In this study, 73 cells were installed and simulated to analyze the uniformity of the four alternatives according to the change of the arrangement of the medical care space, receiving space, and consultation space using the complex system analysis method for the nursing hospitals. The resulting density was derived. The results are as follows. 1)The layout of the reception space has the greatest influence on the total spatial density of the waiting space. 2) The uniformity of the waiting space can be increased by separating the examination space and the examination space. 3)The closer the location of the receiving space is from the entrance, the greater the density of the waiting space. Finally, this study applied discrete event simulation to the evaluation of uniformity of atmosphere space, and proved that the actor - based model can be utilized for utilization and evaluation as spatial analysis methodology.

A Study on Utilization of non-residential areal in Operation patient (수술환자의 타지역 의료이용에 관한 연구)

  • Nam, Moon-Hee;Kim, Sung-Soo;Park, Il-Su;Kang, Sung-Hong;Kim, Won-Joong;Choi, Soon-Ho;Jo, Hye-Kyung;Kim, Young-Taek;Hong, Sung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2078-2087
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    • 2010
  • This study conducted a chi-square test and a logistic regression analysis by not only using a investigation data of discharged patients with damages from 2004 to 2006, but also using a census and a research data on the actual condition from health care system. The result follows; First, the centralization of medical utilization of operation patients is becoming apparent, centrally the capital area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments. Second, propelling localization policy of certain diseases for the localization of medical utilization is needed as the rate of non-residential of operation patients that have diseases of the eye and adnexa, or cancers is high. Third, a localization policy for patients with damages is needed as the rate of treatments in other regions of operation patients with industrial accidents is increasing day by day.

A Study on the Development of Character Strengths-Based Happiness Promotion Program for Early Childhood Teachers (성격 강점에 기반한 유아교사의 행복 증진 프로그램 개발을 위한 인식 및 요구도)

  • Kim, Mi Jin;Kim, Byung Man;Hwang, Hae Ik
    • Korean Journal of Childcare and Education
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    • v.10 no.6
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    • pp.201-221
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    • 2014
  • The purpose of this study was to examine the awareness of kindergarten teachers and daycare teachers on a character strengths-based happiness promotion program geared toward early childhood teachers and their needs for that in an effort to provide some information on the development of this program and how to boost the quality of life of early childhood teachers. The findings of the study were as follows: First, as a result of analyzing their character strengths, happiness and awareness of the two variables, both of the kindergarten and daycare teachers weren't well aware of their own character strengths, and the kindergarten teachers replied they put more efforts into the promotion of their happiness than the daycare teachers did. Second, as a result of looking for any possible differences between the two groups in needs for the development of a happiness promotion program, there were significant differences in opinions on the purpose of the program, operator, execution cycle, what college should be responsible for the development of the program, what early childhood education institutions should conduct it, what efforts teachers should make, what problems might take place during the development of the program, how to raise awareness of the program, and what support would be necessary for the implementation of the program.

An analysis of the impact of Korean medicine health counseling on health perception change and satisfaction (한의건강상담이 건강인식 변화에 미치는 영향 및 만족도 분석)

  • Lee, Eunyoung;Jang, Eunsu;Kim, Sujung;Baek, Younghwa;Lee, Siwoo;Mun, Sujeong
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.19-30
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    • 2017
  • Objectives : The purpose of this study was to examine the changes of health perception, satisfaction survey and lifestyle in Korean medicine counseling for Daejeon University faculty members. Methods : In this study, the demographic questionnaire, lifestyle habit questionnaire, Mibyeong questionnaire, quality of life questionnaire(SF-12, EQ5D), pattern-based questionnaire, constitutional questionnaire(KS-15) and instrumental examination were performed on the first and second visit. We carried out 1:1 consultation at every visit. Results : A total of 189 participants participated in this study. 66% of respondents answered that they felt the change in health perception and more than 93% of the respondents felt satisfaction due to the Korean medicine health counseling. In the demographic characteristics, it was found that women were more satisfied with the Korean medicine health counseling than men(p <.05), the higher the education level(p <.05) and the higher the age(p <.05), managed their health continuously after receiving Korean medicine health counseling.(p <.05) In addition, in the change of lifestyle habit, the group who smoked and drank in the past answered that the consciousness to manage and improve health was higher than other group after Korean medicine health counseling.(p <.05) Conclusions : Korean medicine health counseling had a positive effect on overall health perception change and satisfaction was high. Since the Korean medicine health counseling has different effects on lifestyle and health perception change and the satisfaction of Korean medicine health counseling is different according to demographic characteristics and existing lifestyle habits. In the future, it will be expected that the effect of Korean medicine health counseling program on health care and disease prevention will be further enhanced if the Korean medicine health counseling program reflecting such characteristics is implemented.

Subjective Oral Health Awareness and Toothbrushing Pattern of the Smoker and Non-Smoker of Adults in Some Regions (일부지역 성인의 흡연자와 비흡연자의 주관적 구강건강 인식과 잇솔질 형태)

  • Lee, Se-Na;Jo, Min-Jeong;Choi, Yun-Jeong;Kim, Hye-Jin;Lee, Min-Kyung;Yoon, Hyun-Seo;Lee, Jung-Hwa
    • Journal of Korean Clinical Health Science
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    • v.1 no.2
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    • pp.1-9
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    • 2013
  • Purpose: The purpose of this study was to provide basic data of oral health policy and effective nonsmoking educational the basic data comparing the subjective oral health recognition and tooth brushing pattern by smoking whether or not, the subjects were adults to visit dental clinic. Methods: The subjects were a total of about 245 adults visited dental clinics in Busan metropolitan city and Gyeongnam province some areas. The datas were collected from December 17, 2012 to February 17, 2013. Data analyses were done with SPSS program through frequency analysis and chi-square test. Results: The tooth brushing pattern of non-smokers were more brushing after meals and snacks, and then brushing within three minutes before bedtime and brushing with more than 3 minutes, brushing with rotating method is pretty more, smokers were not brushing after the meal, a snack, and then within 3 minutes before going to bed without brushing, more than three minutes brushing with rotation method. Subjective oral health status of non-smokers, the more awareness is pretty healthy, but smokers were the more unhealthy side, the greater the smoking amount among smokers subjective oral health were recognized as a bad side. Conclusion: It was necessary to recognize subjective oral health status and to provide a way to practice corrective brushing pattern according to smoking or not and smoking amount. Subjective oral health awareness and brushing pattern directly related to the smoking or not and smoking amounts of the subject, so when dental care, it should be followed to recognize exactly what to give oral health status of subjects and provide a way of effective oral health management in order to improve the oral health and quality of life.

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An Integrative Review on Nursing Studies Related to Humor (유머와 관련된 국내 간호연구의 통합적 고찰)

  • Kim, Shin-Jeong;Kim, Sung Hee;Lee, Jung-Eun;Kim, Hye-Young;Yoo, So Young;Oh, Jina
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.58-66
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    • 2014
  • Purpose: The purpose of this paper was to describe the attributes of nursing with humor based on an integrative review and to present basic information for developing humor intervention programs for children. Methods: Using combinations of the terms 'nursing' and 'humor' as key words, the researchers searched four electronic databases to relevant identify studies. Thirteen studies were selected through full text screening of related research published in academic journals from January 1993 to April 2013. Results: Through in-depth discussion and investigation of the relevant literature, three components emerged; 1) using instruments of coping for stress relief, 2) symptoms relief through pleasant feeling, and 3) job satisfaction and work improvement of nurse using humor. Conclusion: The results of this study suggest that humor is valuable as a nursing intervention for children and the possibility of bringing about positive results in nursing care if nurses utilize the sense of humor as fully as they can. Therefore, it is critical for nurses to develop a diversity of humor interventions for children as well as measurements to test quality and quantity of humor used in clinical pediatric settings.

Effects of Koryo Hand Therapy on Menstrual Cramps and Dysmenorrhea in College Women Students (고려수지요법이 여대생의 생리통 및 월경곤란증에 미치는 효과)

  • Kim, Chung-Nam;Chang, Young-Sim
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.432-444
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    • 2003
  • Purpose: This study attempted to verify the effect of Koryo hand therapy on menstrual cramps and dysmenorrhea among college students. Method: This study performed the quasi-experimental design with nonequivalent control group and the pre and post-test design from August 28 to November 4, 2002. The subjects of this experimental study consisted of 64 college students in the nursing college of K University in D city and K college students in K city, who had more than 5.0 GRS score of menstrual cramps. Among them, 16 people belonged to the experimental group A by using Ceramic Seo Am moxa therapy, 16 to the experimental group B by using Seo Am pellet therapy, 16 to the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and 16 to the control group. Three different kinds of methods were used three times per week for $5{\sim}6$ weeks(a total of $15{\sim}18$ times) interventions were completed. For the experimental group, A Ceramic Seo Am moxa therapy was given for 40 minutes per each treatment; for the experimental group, B Seo Am pellet therapy was given for 4 hours: for the experimental group, C combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy was given. To measure menstrual cramps, the graphic rating scale (GRS) was used and to measure dysmenorrheal, a dysmenorrhea scale (15 contents) was used, which was modified from Han &Hur's scale (13 contents). Cronbach's was 0.78 in the pre-test, 0.83 in the first post-test, 0.89 in the following post-test. Data were analyzed by one-way ANOVA, 2 test, repeated measures ANOVA, time contrast test and Sheffe test with the SPSS/Win 11.0 program. Results: ? The first hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy and the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy will have different graphic rating scores of menstrual cramps', was supported (F=6.77, p=0.000, Interaction: p=0.000). ? The second hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy, the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and the control group will have a significantly different level of dysmenorrhea', was supported (F=6.88, p=0.000, Interaction: p=0.000). From the above results, it can be an effective nursing intervention to give Koryo hand therapy to college students who have menstrual cramps and dysmenorrhea. Conclusion: These findings indicate that Koryo hand therapy could be applied to improve the quality of life and to prevent drug misuse among college students who are physically, mentally and psychologically suffering from menstrual cramps and dysmenorrhea. Furthermore, Koryo hand therapy could be developed as an effective Korean alternative and complementary care in the future. and it could also provide a guideline to apply Koryo hand therapy to other pain and difficulties.

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A Comparison Research on the Expected Satisfaction and Actual Satisfaction on VOC of one General Hospital (서울소재 일개 종합병원의 CRM에 대한 기대만족도와 실제만족도 비교와 VOC활용)

  • Ma, Yeon-Ji;Kim, Jeong-Ah;Park, Seung-Woo;Oh, Eun-Hwa;Moon, So-Young;Rhee, Hyun-Sill
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.3
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    • pp.1146-1152
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    • 2010
  • The Korean healthcare industry is rapidly changing along with the competition among hospitals. In the past, hospitals could make profit without designing competitive management strategies. Thus, they did not find importance in listening to customers' voices and identifying their wants. However, nowadays, the increasingly intense competition is encouraging hospitals to seriously consider competitive management strategies and Customer Relationship Management (CRM) activities to gain a competitive advantage and prosper. It tries to compare the expected satisfaction with the satisfaction of out-patient and in-patient and analysis of VOC(Voice of Customer). This survey was done from 27th, April, 2009 to 8th May and each 100 in-patients and out-patients. The paired t-test and descriptive analysis was used to analysis between before and after satisfaction. The result, the replied out-patients were the highest of I.M department, 43% and in-patients, surgery and other department are the highest each 22.0%. Nurses kindness is statistical significant in out-patients. Doctor, Nurse and staff's kindness and rounding service was statistical significant in in-patients. Totally, the satisfaction was lower than expected satisfaction, so the medical care institutions should analyst detailed the patient's satisfaction by VOC.

Postharvest Handling and Marketing Management for Making High Salability of Sweetpotatoes (상품성 제고를 위한 고구마 수확 후 관리 및 출하기술)

  • Jeong, Byeong-Choon
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2001.06a
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    • pp.51-64
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    • 2001
  • The qualities including taste of sweetpotato stored during the winter which can display in the spring market in Korea are affected by availability of storage for the roots. In order to make high storage availability of sweetpotato, the postharvest handlings should be done thoroughly from the moment of harvest until shipping them to the market. A lot of procedures that must be handled carefully for improving postharvest management are as follows; digging, trimming, gathering, putting in storage containers, carrying them from field to house, curing, storing, washing, drying, selecting marketable roots, packing and shipping to the market, etc.. Sweetpotatoes have a high moisture content, and a relatively thin and delicate skin, and are sensitive to chilling, so careless postharvest handling can lead to both quantitative and qualitative losses which may be extremely high in some circumstances. From now on research has concentrated on the improvement of postharvest conditions to increase yield and lower disease rates. Storage, which makes sweetpotatoes available through out the year, benefits both the producer and the consumer. Seven very important points must be needed in order to get the best quality marketable roots in the storing of sweetpotatos : $\circled1$The storage house must be clean and sanitary, $\circled2$The crop must be harvested before the first frost to avoid low-temperature injury, $\circled3$Particular care must be taken to avoid cutting, bruising, or other injuries of the sweetpotatoes during digging, picking up, grading, placing in containers, and moving to the storage house, $\circled4$Select sound, disease-free roots for storage $\circled5$Sweetpotatoes should be stored in properly stacked containers $\circled6$Cure immediately after harvest, preferably at 32∼33$^{\circ}C$ and 90 to 95 percent relative humidity for 4 to 7 days, After curing the temperature should be reduced to 13$^{\circ}C$ to 16$^{\circ}C$ by ventilating the storage with outside air. $\circled7$Store at 12$^{\circ}C$ to 14$^{\circ}C$ and a relative humidity of 80 to 85 percent. Storage houses should be located on suitable sites and should be tightly constructed and insulated so that temperature and humidity will be uniform. Sweetpotatoes are usually not washed and graded, and lately sometimes washed, graded, waxed, before being shipped to market. Consumer packaging of sweetpotatoes in paper boxes(10-15kg) or film bags is done mainly to aid marketing. The shelf life of washed roots in consumer packs in only 1 to 2 weeks. Weight loss of roots during marketing is much less in perforated film bags than in mesh and paper bags. Perforation of 0.8 to 1kg polyethylene bags with about six 6mm holes is essential ; to lower the internal relative humidity and avoid excessive sprouting, rooting, and dampness. Development and use of better postharvest handling with good storage facilities or marketing methods can minimize sweetpotate losses and has an effect of indirectly increasing productivity and farmer’s income.

A Study on the Deterioration Process of 22kV Power Cables in Operation (운전 중인 상태에 있는 22kV 전송선로 케이블의 열화 과정해석에 대한 연구)

  • Lee, Kwan-Woo;Um, Kee-Hong
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.3
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    • pp.127-133
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    • 2013
  • As an essential part of current industrial society, electric power energy is contantaly increasing in pace with the development of science and technology. In order to meet the demand of electric power, power facilities which take care of the higher voltage and bigger capacity is required. To produce and supply electric power on a sound basis the electric facilities should operate with reliability. To prevent disasters in advance, the high quality facilities should be manufactured, and a constant management should be done. When the power facilities cause accidents, the result is huge national deficits. Since the power facilities play a pivotal role in the key industry of national infrastructures of they should operate for a long time in maintaining a stable state, and the accidents can be prevented in advance. The lifetime of a power cable is considered to be 30 years at the time of manufacture, but in real fields, accidents of cable occur 8-12 years from the start of operation, resulting in a heavy loss of properties. In this paper, we will show that we have found out the cause and process of the deterioration of 22kV cable systems in operation. The result is that the process of deterioration does not follow the Weibull distribution only ; but rather, after the heat deterioration the Weibull distributed deterioration comes, then the cable is destroyed due to the partial discharge resulting from the Weibull distributed deterioration.