The purpose of this study is to examine the factors associated with reporting intention and behavior in relation to child abuse among elementary school teachers in Korea based on the Theory of Planned Behavior. The Scale, which includes demographics, preparation level of training, school characteristics, reporting-related behavior, reporting intention, knowledge, attitudes, subjective norms, and self-efficacy, was used to collect the data. A total of 292 teachers provided data. The result of this study is as follows. First, even though the teachers had suspected the child abuse, 16.3% of them reported, whilst 83.7% of them did not. In terms of teachers' reporting intention, the vignettes of very serious cases were higher than the vignettes of less serious cases. The teachers' reporting intention of sexual abuse was the highest among the types of child abuse, and it was followed by physical abuse, neglect and emotional abuse. Second, knowledge, attitudes, subjective norms, and self-efficacy, all of these variables had positive impacts on teachers' reporting intention. Meanwhile, self-efficacy, reporting intention, and the support level of specialists also had positive impacts on reporting behavior. Additionally, women or postgraduate teachers had a higher possibility to make a report than men or undergraduate teachers. These findings suggest that increasing self-efficacy through education and more thorough training about identifying and reporting on child abuse is more important than anything else for detecting abused children at an early stage.
This study was done to analyze the health behavior of 5.166 elementary students from a urban city. They were students in grades 4. 5 and 6 attending five elementary schools which were selected from a city close to the capital city of Seoul. Health behaviors were measured using a questionnaire which was developed by WHO and was used by European countries. The data was managed and analysed using DBASE and SAS computer programs. The results of this study were as follows: 1. Eating behavior $\cdot$ Having Breakfast : Male students who were older had a higher number reporting having no breakfast(p< .05) $\cdot$ Taking Supplements : Older students had a higher number reporting taking nutrition supplements(p<.05) $\cdot$ Drinking milk: Female students had a lower number reporting drinking milk (p<.05). $\cdot$ Taking snacks : Female students who were older had a higher number reporting taking snacks(p< .05). $\cdot$ Drinking boiled water Male students had a lower number reporting drinking boiled water(p<.05). 2. Using seat belt Female students who were older had a lower number reporting using seat belt(p<.05). 3. Smoking : Male students who were younger had a higher number reporting experience with smoking(p <.05). 4. Personal hygiene $\cdot$ Washing hands before meals : Male students who were younger had a lower number reporting washing hands before meals(p<.05). $\cdot$ Brushing teeth: Male students had a lower number reporting brushing teeth(p<.05). 5. Reading distance : Younger students had a higher number reporting near reading distance(p<.05). 6. Exercise: Female students who were younger reported less exercise(p<.05). 7. Sewage Managing : Male students had a lower number reporting separating of garbage according to recyclability(p<.05).
Purpose: The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses. Methods: A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, $\chi^2$-test, t-test, and ANCOVA with the SPSS 12.0 program. Results: After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report. Conclusion: The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.
Purpose: The objective of this study was to publicly report the hospital-level surgical volume for 7 types of surgery including gastrectomy. Also, to investigate the changes in patient behaviors after the public reporting among patients with gastrectomy. Methods: This study used data from the National Health Insurance Service Cohort. The data comprised of 2,214 patients who were diagnosed with gastric cancer and underwent gastrectomy during 2004-2012. An interrupted time series analysis was performed to investigate the association between patients' choice and public reporting. Results: 79.27% of the patients visited a hospital with high surgical volume. The time trend after introduction of public reporting was positively associated with visiting a high volume hospital (per 1 month, RR: 1.004, p=0.0329). However, after adjusting the health policies by reducing copayment, public reporting on surgical volume was not associated with visiting a high volume hospital. Sub-group analyses had also similar results. Conclusion: Patients were more affected by policies on economic support than on public reporting, and the changes in treatment options may have been affected by the increasing preference for large size hospitals. Thus, public reporting did not significantly improve the options available for patients and their decision making on health care utilization.
Journal of the Korea Academia-Industrial cooperation Society
/
v.20
no.12
/
pp.425-436
/
2019
This study constructs independent potential variables that are variables expected to affect child abuse reporting intention of child care teachers. In addition, this study establishes a research model based on the relationships between potential variables according to the results of previous studies and planning behavior theory. The purpose of this study was to examine what factors affect and how reporting intention is determined. The subjects of this study included a convenience sample of nursery teachers working in 67 daycare centers in the C region. The following results were obtained. First, the research model proposed in this study was found to be a suitable model to explain the child abuse teacher's intention to report child abuse through the analysis of the measurement and structural models. Second, the child abuse teacher's knowledge of child abuse is an important factor explaining the reporting intention and has an indirect effect through the mediation. Third, attitudes toward reporting of child care teachers were found to be the most direct factor that predicts reporting intentions. Fourth, subjective norms and reporting intentions of child care teachers were not statistically significant. Bsead on these results, basic data for improving child abuse reporting rate of childcare teachers were presented.
This is the study to find out the differences between the mandated reporters who reported child abuse and who did not report and to know which factors affect the reporting behavior The researcher sent questioners to 595 doctors, teachers, nurses and social workers in 3 different cities as a sample. 477 people responded to questioner and only 116 people who said that they have found out abused child during the last year were used for analysis of this research. Among 116 people, only 35.4% reported child abuse. There were significant differences between two groups, groups that reported child abuse and groups that did not report, in attitude about Abuse, the experience of child abuse training and knowledge about abuse. However, the result of Logistic regression showed that reporting behavior are significantly affected by occupation, experience of child abuse training and severity of abuse.
The major concern for this research is to discuss and to offer some solutions to bring the effectiveness of existing notifiable diseases reporting system over the physicians' attitudes of reporting, the actual condition of performance and the reasons of inertia in notifiable diseases reporting through examining the physicians of medical institutions in nationwide such as pediatrics, internal medicine and family medicine. The actual conditions of notifiable communicable diseases(NCD) reporting was surveyed by mail objectifying an internal medicine, pediatrics and family medicine in nationwide on the basis of stratified random sampling method divided into the classification of medical institutions and areas. As a result of survey. the rate of respondents showed 145 persons from physicians, 105 persons from hospitals. 120 persons from general hospitals, and 51 persons from tertiary hospitals. The total number of respondents were 421 and was rated 59.0 %. The analysis of collected survey went through a descriptive analysis primarily to grasp physicians' attitudes on the notifiable communicable diseases reporting, and then upon the dependent variables. Following are major findings obtained form the data analysis. 1. The results of a descriptive analysis on physicians' attitudes towards reporting NCD were as follows: First, the respondents who didn't know that yellow fever is reporting NCD were 11.0% of clinic, 10.5% of hospital. 5.0% of general hospital. 11.8% of tertiary hospital. and in case of hepatitis B, were 26.9% of clinic, 35.2% of hospital. 35.0% of general hospital. 23.5% of tertiary hospital. Second, The rate of physicians' knowledge on penalties of not reporting the NCD by their medical institution were 35.2% of clinic, 45.7% of hospital. 36.7% of general hospital. 62.7% of tertiary hospital. Third, among the no-reporting physicians in whole, the major reason of not reporting NCD were uncertainty of diagnosis(78.9%), no need to report(46.4%), no adequate actions from PHC(29.1%), no knowledge of the cases being notifiable ones in the order of their frequencies(30.4%), meddling from PHC(29.1%), concerning of patient's privacy(26.3%). 2. To analyze the characteristics related to the physicians' behaviors to report NCD, univariate and multiple logistic regression analyses were applied to the variables related to physician, 4 medical facility, PHC, and reporting system. The result were as follows: First, the result of the univariate analysis on physicians' attitude to report NCD and characteristics related to reporting in odds ratio was in the case of hospital. 3.4 times higher positive responses on physicians' attitude to report NCD came up as compared to the clinic. Second, the result of the univariate analysis on physicians' action of reporting NCD and characteristics related to reporting by the classification of medical institutions showed that the odds ratio of hospital was 2.3 times, the odds ratio of general hospital was 2.0 times, the odds ratio of tertiary was 6.8 times significantly higher than clinic. And the medical institution with significantly higher positive attitudes rate by multiple logistic regression analysis was hospital that rated 2.5 times significantly higher than clinic. Also in the PHC related characteristics of reporting, the rate of action in reporting NCD was significantly higher in medical institution that were endowed with the good condition of reporting. In multiple logistic regression analysis, the medical institution that has a good conditions of reporting showed a significantly higher positive rate on the action of reporting than the others.
This study examined the consumer complaining behavior after purchasing functional health foods and investigated the variables which influence public and private consumer complaining behavior. The subjects of this study were 206 consumers who were dissatisfied after purchasing functional health foods. The survey was conducted during September. 15-October 6, 2003. Percentiles, frequencies, means, $X^2$ and logistic regression were utilized for data analysis with SPSS program. Major findings were as follows: 1 The groups reporting public complaining behavior were over college graduate, high income workers, professional and clerical workers(demographic variables). Purchasing related variable were high purchasing price, strategy of sales person and. ad, purchasing channel through door to door sales, telemarketing, multi level sales, and home shopping, purchasing purpose of weight control and cosmetic. 2. The groups reporting private complaining behavior were high school graduate, low income workers, housewives and the unemployed(demographic variables). Purchasing related variable were low purchasing price, the case of consumer need, purchasing in the shop, purchasing purpose of health restoration.
In 1989, the Bethesda System (TBS) was introduced as an attempt to standardize cervical/vaginal reporting systems. TBS nomenclature was created for reporting cytologic diagnoses to replace the currently used Cervical Intraepithelial Neoplasia (CIN) and Papanicolaou Class System, which are deemed less reproducible. The name for preinvasive squamous lesions was changed to squamous intraepithelial lesion(SIL), subdivided into low-grade and high-grade types. TBS recommends a specific format for cytologic report, starling with explicit statement on the adequacy of the specimen, followed by general categorization and descriptive diagnosis. Pathologic and epidemiologic studios performed over last 10 years have provided evidence that human papillomavirus (HPV) plays a significant role in the development of cervical neoplasia, TBS corresponds not only to currently held views of the behavior of preinvasive lesions and their HPV distribution, but also to the current guidelines for clinical management.
Purpose: This study was designed to explore nursing students' knowledge, attitudes and intention to report cases of child abuse. Methods: A descriptive research design was used with a convenience sample of 202 nursing students. After explaining the purpose of the study, participants who signed the consent form were asked to complete a self-descriptive questionnaire, which included the Child Abuse Intension Scale (CARIS). Results: The number of correct answers for knowledge of child abuse and the law was 7.0 /13. The mean scores were, for attitude toward childrearing belief and discipline, $17.1{\pm}5.2$, for punishment and culpability of offender or victim, $24.6{\pm}4.1$, for professional responsibility, $30.5{\pm}5.1$, and for perceived behavioral control, $25.3{\pm}5.0$. The intended reporting behavior differed significantly by severity of abuse. Factors influencing the intention to report child abuse were attitude towards punishment of parents, professional responsibility, and perceived behavioral control ($R^2$=.133). Conclusion: On the basis of our finding, developing education programs to help nursing students detect child abuse and improve reporting rates is important. Thus, we suggests that nursing students be provided with educational protocol for detection and reporting of child abuse.
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