• 제목/요약/키워드: safety attitude

검색결과 585건 처리시간 0.026초

SERVQUAL 모델을 이용한 간호 서비스 질 측정 (Measurement of Nursing Service Quality using SERVQUAL Model)

  • 임지영;김소인
    • 간호행정학회지
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    • 제6권2호
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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초등학생의 학교급식용 김치에 대한 기호도 및 섭취 실태 조사 (A Survey on Preference and Intake of Kimchi for Elementary School Meal Service)

  • 지현정;박신인
    • 한국조리학회지
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    • 제15권4호
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    • pp.56-72
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    • 2009
  • 이 연구의 목적은 성남 지역 초등학생의 김치 섭취 실태 및 학교급식에서 제공되는 김치에 대한 요구도를 조사하였다. 70.6%의 초등학생은 학교급식보다는 집에서 김치를 더 많이 먹는다고 하였으며, 그 이유는 집에서 먹는 김치가 더 맛이 있기 때문(79.1%)이라고 응답하였다. 학교급식에서 배식되는 김치 종류 중 배추김치, 깍두기, 열무김치 순으로 선호하였으며, 선호하는 김치의 형태는 저학년 학생은 '작은 크기로 한입에 먹기 좋게', '약간 달콤하게', '크기와 모양을 일정하게', 고학년 학생은 '작은 크기로 한입에 먹기 좋게', '차갑고 시원하게', '약간 달콤하게' 순이었다. 초등학생의 기호에 맞는 학교급식용 김치를 제조하기 위하여 기존의 부재료 이외에 첨가되기를 원하는 부재료는 과일류를 가장 선호하였고 어패류의 첨가에 대해서도 비교적 좋아하였다. 또한 김치볶음밥, 김치만두, 김치찌개, 김치주먹밥, 김치김밥, 김치볶음, 김치비빔밥, 김치햄버거, 김치돈가스 등의 김치 이용 음식을 학교급식에서 선호하는 것으로 나타났다.

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노인성 치매환자 가족간호 향상을 위한 교육프로그램 효과에 관한 연구 (Study on the Effectiveness of Care Giver Education Program on the Home Care of Senile Dementia Patients)

  • 홍여신;이선자;박현애;조남옥;오진주
    • 대한간호학회지
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    • 제25권1호
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    • pp.45-60
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    • 1995
  • This study investigated the effects of education program conducted through individual home visit by CHPs, which was developed ,by the operational re-search technique for families of dementia patients. (Yeo Shin Hong et at,1994) The study was conducted in the form of a primary experimental design with 43 people as subjects, including dementia patients and family member in several Myon areas of Chungcheong Namdo between June 10 and August 20, 1994. The data was collected by questionnaires through the home visit by the CHPs. The results of study are as follows. 1. There is no difference in the quality of life between before and after the education program. 2. Role stress 'before the education program' was significantly different than 'after the education program'. 3. There was no difference in the feeling of burden between before and after the education program. 4. There was a significant difference in the abnormal behaviors of patients between before and after the education program. 5. The knowledge of dementia by the patient's family increased significantly after the education program, compared to that of 'before the education program'. 6. There was a significant difference in the attitude of family members toward the education program on dementia between before and after the education program. 7. The results of analysis on the coefficient relationship of various variables showed that the age of patients and family members have a significant correlation with role stress(p=.01). 8. In the subjective evaluation of family members on changes in actual nursing actions and the improvement of knowledge and technique in terms of daily living, (including abnormal behavior of patients, adjustment of environment for patients, activity programs for patients, communication technique with patients, ensuring the safety of patients, clothing, meals and elimination, 60-65% of family members responded that their knowledge had increased. As for improvement in techniques for each item, the technique for communication with patients showed the greatest improvement while the action program method for patients showed the least change. As for the nursing service provided to patients, most respondents showed a positive change. The specific items for which more than 80% respondents answered positively were as follows : recognizing the demand of patients, getting patients to do simple house works, talking softly and gently, removing dangerous things, preparing comfortable clothes that are easy to put on and take off, and limiting water consumption at night. As a result of study, the following suggestions can be made. The purpose of the study was to examine the effect of an education program developed and applied for dementia patients and family members in the community. This needs to be compared with a similar study conducted in the urban setting. In addition, a community service program (ex : nursing hem and shelter) including the application of the education program should be developed and the study done to investigate its effect.

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어린이 화상사고 유형과 어머니의 예방, 태도, 지식에 대한 실태조사 (A survey of the Types of Burns in Children and Mother's Preventive Attitudes to, and Knowledge of Burns)

  • 한정석;김동희
    • Child Health Nursing Research
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    • 제4권1호
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    • pp.97-104
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    • 1998
  • Burns in children result in the loss of precious life, or if the child survives, in much suffering from physical, emotional, social, and economic problems. These burn accidents to children happen in the bustle of family life and frequently without any warning. With this background information, this study was designed to identity types of burns in children and mothers' attitudes towards, and knowledge of burn prevention, in order, to not only, in still a safety consciousness regarding the seriousness of burn accidents and the strengthening prevention, but also as basic data towards the development of an educational program aimed at prevention. From May 1 to May 25 in 1997, data were collected from the mothers of children attending five day care centers and kindergartens located in Seoul, which had been selected for the study. The tools used for the study, which were developed by the researchers, surveyed the type of burns suffered by children, mothers' knowledge of burns and attitudes toward burn accidents. The data were analyzed through real numbers percentages and analysis was done using SPSS computer programs. The results of the study show that the most frequent type of burn accidents were those caused by hot water(55.4%) and these were frequently related to everyday habits that easily lead to danger. Further, the first aid treatment following a burn was weak. The majority of the mothers had not instructed their children on who to contact in the case of a fire, first aid for burns, or how to take escape in the case of a fire. This left the children in a defenseless position in case of a fire. The mothers showed a lack knowledge, on what to do when a blaze is discovered, how to put out a fire, first aid for burns, escaping from a fire and appropriate water temperature, in that 50% of the time they answered incorrectly. From this study a prevention program, HIPP (Home Injury Prevention Program) could be developed that includes fire prevention habits and first aid for burns. This program can be used with kindergarten and elementary school children for group education on fire prevention and can be used as a foundation for construction of a system of facilities and equipment to prevent fires and also prevent injury from fires.

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흉부 측와위 촬영 시 전후방향과 후전방향 검사의 유용성 비교 (Utility Comparison of Chest Lateral Decubitus Projection with AP and PA Position)

  • 최규락
    • 한국방사선학회논문지
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    • 제7권3호
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    • pp.233-238
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    • 2013
  • Chest lateral decubitus 촬영은 일반적으로 PA 검사를 시행하여 왔으나, 응급환자나 몸이 불편한 환자의 검사에 있어 많은 불편이 있었다. 이에 본 연구에서는 AP 검사와 PA 검사를 비교하여 영상의 질, 환자의 안전성, 검사 효율성을 분석하고 두 검사간의 유용성을 알아보고자 하였다. 본원에서 2011.10.1 ~ 2012.7.30까지 늑막염 또는 기흉으로 의심되거나 진단된 환자들 중 chest lateral decubitus 촬영을 시행한 30명(남자 20명, 여자 10명)을 대상으로 하였다. 영상 화질 평가방법은 폐야의 미세구조, 진단영역의 넓음, air-fluid 경계면의 명확 유무, 환자 회전유무, 심장음영과 횡격막의 선명유무를 기준으로 하였으며, 영상의학과 전문의 2명, 호흡기내과 전공의 2명이 blind test로 평가하였다. 환자 안정성 및 방사선 검사의 효율성 평가는 환자 position의 안정성, 환자 상태 확인 등의 기준으로 일반촬영 5년 이상 경력의 방사선사 15명이 5점 척도로 평가를 하였고, 통계 분석은 Paired T-test로 분석하였다. Chest decubitus 촬영 시 AP와 PA자세에 따른 검사의 유용성을 비교 분석한 결과 영상의 화질에서 AP와 PA자세는 큰 차이가 없었던 반면, 환자의 안정성 및 방사선사의 검사 효율성에 있어 PA자세에 비해 AP자세의 평가 점수가 높게 나타났다. 이에 특별히 PA자세가 요구되지 않는다면 AP자세로 검사하여도 무방할 것으로 사료된다.

광합성 실험에서 나타난 초등 예비교사들의 반성적 사고와 실험 수행 능력 분석 (The Analysis of Elementary Pre-service Teachers' Reflective Thinking and Experiment Performance Ability on Photosynthesis Experiment)

  • 김동렬
    • 한국초등과학교육학회지:초등과학교육
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    • 제34권4호
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    • pp.502-518
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    • 2015
  • 본 연구는 초등학교 과학교과서에 수록된 광합성 실험을 초등 예비교사들이 직접 수행하고 그 실험결과와 자신의 반성을 담은 탐구과정상의 어려움과 해결책을 탐구보고서에 작성하도록 하였다. 10개조의 탐구보고서와 발표자료를 바탕으로 초등 예비교사들의 반성적 사고와 실험 수행 능력을 분석하였다. 반성적 사고에 대해서는 10편의 탐구보고서에서 '지식', '과정', '지향', '태도' 4가지 유형과 관련된 총 108개의 진술 문장을 추출하였다. 분석 결과 광합성 실험을 통해 획득한 '지식'에 대한 반성적인 사고에 대한 내용이 가장 많았다. 지식유형에서도 실험을 통해 새롭게 알게 된 것이나 기존의 개념이해가 변화한 내용에 대한 반성이 가장 높은 빈도를 보였다. 실험 수행 능력은 10개조 중 반성적 사고 4가지 유형을 합산하여 가장 높은 빈도를 보인 한 개 조와 가장 낮은 빈도를 보인 한 개 조의 탐구보고서를 '실험준비 및 안전사고 예방', '실험 수행', '실험결과 정리 및 일반화', '실험결과 보완 및 피드백' 4단계에 따라 분석하여 56개의 문장을 추출하였다. 분석 결과 '실험결과 보완 및 피드백' 단계에서 두 조 간에 가장 큰 차이를 보였다. 최하위 조의 경우 '실험결과 정리 및 일반화' 단계의 '컴퓨터를 이용한 정보 처리', '대체 시약 및 재료 탐색', '대체 실험법 고안' 능력과 관련된 내용은 탐구보고서에서 찾을 수가 없었다.

경남지역 일부 산업간호사의 업무수행에 관한 연구 (Study on activities of some occupational health nurses in Kyungnam area)

  • 김영숙;손혜숙;강정학;이창희;이채언
    • Journal of Preventive Medicine and Public Health
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    • 제28권3호
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    • pp.576-587
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    • 1995
  • Authors purposed to observe activities of occupational health nurses and it's related factors, and to suggest the way that induct better occupational health nurses' activities with questionaire to 87 occupational health nurses who individually work as health manager in the plant. The questionaire included type of plant and number of workers, general characteristics, work conditions, activities, etc. Major findings are as follows. 1. 82.8% of occupational health nurses were third decade. 93.1% graduated junior college or college. And 82.8% were not married. 2. General work conditions: 40.2% were belonged to safety-health section, 98.85% were mere clerks. 60.9% worked less than weekly 44 hours, and an annual salary of 50.6 % was between 10 million and 14 million won. 3. Work condition related to health manager work: there was separated health care room in 94.3%, working period as health manager(occupational health nurse) was less than 5 years in 70.1%, 49.4% had the out-of-health manager work. In 87.4%, occupational physician was appointed, only 6.9% of them were full time, 52.9% of them worked little in the plants. The problems related to workers' health were discussed with industrial nurses in 88.5%. 4. Attitude for their work: 88.5% were thought that their work is important for workers' health care, 57.5% satisfied to work as health manager. In 51.7%, motive to being industrial nurse were the appropriate aptitude. 5. Activities: General medical care in 100% were carried out, in 97.7% works related to general health examination, in 100% works related to special health examination were carried. But works related to use of protective apparatus were carried out in 20.8%. 6. Factors related to level of activities: In cases who solved the health related problems by themselves, the level of activites was significantly higher than in others. In cases there were full time occupational physician, the level of activities was significantly lower. 7. Occupational health nurse's needs: 100% wanted regular education, 89.7% wanted the qualifying examination. As the results, author suggests that the right of self-control is given to occupational health nurses and the work of occupational physician is clearly defined for the induction of the better activities of occupational health nurses.

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Population-Based Intervention for Liver Fluke Prevention and Control in Meuang Yang District, Nakhon Ratchasima Province, Thailand

  • Kompor, Pontip;Karn, Rattikarn Muang;Norkaew, Jun;Kujapun, Jirawoot;Photipim, Mali;Ponphimai, Sukanya;Chavengkun, Wasugree;Paew, Somkiat Phong;Kaewpitoon, Soraya;Rujirakul, Ratana;Wakhuwathapong, Parichart;Phatisena, Tanida;Eaksanti, Thawatchai;Joosiri, Apinya;Polsripradistdist, Poowadol;Padchasuwan, Natnapa;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.685-689
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    • 2016
  • Opisthorchiasis is still a major health problem in rural communities of Thailand. Infection is associated with cholangiocarcinoma (CCA), which is found frequently in Thailand, particularly in the northeastern. Therefore, this study aimed to evaluate the effectiveness of health intervention in the population at risk for opisthorchiasis and CCA. A quasi-experimental study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeastern Thailand, between June and October 2015. Participants were completed health intervention comprising 4 stations; 1, VDO clip of moving adult worm of liver fluke; 2, poster of life cycle of liver fluke; 3, microscopy with adult and egg liver fluke; and 4, brochure with the knowledge of liver fluke containing infection, signs, symptoms, related disease, diagnosis, treatment, prevention, and control. Pre-and-post-test questionnaires were utilized to collect data from all participants. Students paired t-tests were used to analyze differences between before and after participation in the health intervention. Knowledge (mean difference=-7.48, t=-51.241, 95% CI, -7.77, -7.19, p-value =0.001), attitude (mean difference=-9.07, t=-9.818, 95% CI=-10.9, -7.24, p-value=0.001), and practice (mean difference=-2.04, t=-2.688, 95% CI=-3.55, -0.53, p-value=0.008), changed between before and after time points with statistical significance. Community rules were concluded regarding: (1) cooked cyprinoid fish consumption; (2) stop under cooked cyprinoid fish by household cooker; (3) cooked food consumption; (4) hygienic defecation; (5) corrected knowledge campaign close to each household; (6) organizing a village food safety club; (7) and annual health check including stool examination featuring monitoring by village health volunteers and local public health officers. The results indicates that the present health intervention program was effective and easy to understand, with low cost and taking only a short time. Therefore, this program may useful for further work at community and provincial levels for liver fluke prevention and control.

시설물 모니터링을 위한 기준영상 기반 스마트폰 영상의 기하보정 (Rectification of Smartphone Image Based on Reference Images for Facility Monitoring)

  • 김휘영;최경아;이임평;윤혁진
    • 대한원격탐사학회지
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    • 제33권2호
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    • pp.231-242
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    • 2017
  • 시설물의 장기적이고 지속적인 사용을 위해서 모니터링은 중요하다. 특히, 도로, 댐, 교량 등의 시설물은 안전과 비용의 문제로 자주 점검하기 어렵다. 이러한 문제에 대한 효율적이고 경제적인 대안으로 스마트폰 기반 모니터링을 고려할 수 있다. 시설물 모니터링을 위해 스마트폰 영상을 정량적으로 분석하기 위해서, 먼저 절대좌표계를 기준으로 보정해야 한다. 본 연구는 임의의 위치에서 취득된 스마트폰 영상을 기준영상을 기반으로 보정하여 시설물 모니터링에 활용하는 방법을 제시한다. 기준영상을 활용하여 지오레퍼런싱을 수행하여 스마트폰의 외부표정요소를 결정한다. 이를 이용하여 스마트폰 영상을 시설물의 대상 객체면에 투영하여 보정한다. 제안된 방법은 보에서 취득한 시험데이터에 적용하였다. 스마트폰의 외부표정요소는 위치 5 cm, 자세 $0.28^{\circ}$ 정확도로 결정되었다. 보정된 스마트폰 영상에서 측정한 길이는 10 cm의 오차를 보였다. 제안된 방법을 이용하여 스마트폰 영상을 시설물 모니터링에 효과적으로 활용할 수 있을 것으로 기대된다.

방사선 이용의 필요성 및 인체장해에 대한 대학생의 인식조사 (An Investigation on The Necessity of the Use of Radiation and The Recognition of Radiation Hazard among College Students)

  • 한은옥;문인옥
    • 한국학교ㆍ지역보건교육학회지
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    • 제7권
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    • pp.51-58
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    • 2006
  • Background & Objectives: This study investigates the recognition on the necessity of the use of radiation for both college students who are considered that they have a high knowledge level in radiation and proposes basic materials to change the recognition of the use of radiation. Also, the investigation was applied to average people who showed the most negative attitudes on radiation. Methods: A questionnaire was applied to 600 college students for five days from October 10 to 15, 2005 and used in statistical analysis. Results: The average value obtained in the recognition of the use of radiation was 76.60 points in which male respondents who were majored in natural science, health, and engineering department and respondents who have experienced radiation related education, radiation diagnosis, and radiation treatment demonstrated higher levels. Also, the average value obtained in the recognition of the radiation damage was 71.66 points in which respondents who were majored in natural sciences, humanities, engineering, and health department showed higher levels than that of respondents who were majored in art and physical department. Groups that exhibited higher recognition levels in the necessity of the use of radiation were male respondents and respondents who were majored in natural science, humanities, and health department and have experienced radiation diagnosis and radiation treatment. In the results of the correlation analysis on the necessity of the use of radiation and recognition of radiation damages, the recognition of radiation damages was presented as negative attitudes in the case of the higher recognition level in the necessity of the use of radiation. Conclusions: Regarding the frequency of the use of radiation in Korea, a 80.9% of university students who showed a high education level had no experiences in radiation related education. Although they showed a relatively high level of 76.6 points in the recognition level of the necessity of the use of radiation, the negative attitude on the radiation damage was also presented as a high level of 71.7 points. Because the providing chance of radiation related information was limited as compared to the atomic power used in Korea and dependancy of the use of radiation, it is necessary to provide the basic information related in the use of radiation to the public. In addition, various investigations on the use of radiation and such negative attitudes are required in future for the public. Also, the correct information of the radiation safety should be delivered to the public.

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