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박연옥 ( Yon Ok Park ),문경선 ( Kyung Sun Moon ),정명숙 ( Myung Suk Chung ),김효심 ( Hyo Sim Kim ) 한국의료윤리학회 2006 한국의료윤리학회지 Vol.9 No.2
A study was designed to compare patients` and nurses` views on the expectations and performance related to ``respect for patients.`` The subjects of this study, which was approved by an Institutional Review Board, were 276 nurses working in general wards or intensive care units and 172 patients admitted to the general ward of a university hospital in South Korea.?The instrument used in the study was based on the concept of Respect for Patients developed by Yoo Myoung-Ran. The collected data was analyzed using SPSS WIN 12.0 with a paired t-test, independent t-test, and a one way ANOVA. The results were as follows. First, there was a statistically significant difference between nurses` views of the expectations and performance levels related to respect for patients (p=.000). Second, there was a statistically significant difference between patients` views of expectations and performance?levels related to respect for patients (p=.000). Third, the level of expectation concerning respect for patients as viewed by nurses and patients was 4.46 and 4.22 respectively. This was a statistically significant difference (p=.000). The level of performance related to respect for patients as viewed by nurses and patients was 3.48 and 3.82 respectively. This too was a statistically significant difference (p=.000). Fourth, there was a statistically significant difference in the level of expectations concerning respect for patients relative to the level of the nurses` education (p=.015) and a statistically significant difference in the level of performance related to respect for patients relative to the nurses` working place (p=.001). There was a statistically significant difference in the level of expectations concerning respect for patients relative to patients` income levels (p=.009) and a statistically significant difference in the level of performance concerning respect for patients relative to patients` income levels (p=.005) and religion (p=.037).
표준 진료 지침서(Critical Paths) 개발에 관한 연구 - 충수절제술(Appendectomy) 환자용 -
김용순,박지원,박연옥,조은숙,김명욱,Kim, Yong-Soon,Park, Jee-Won,Park, Yon-Ok,Cho, Eun-Sook,Kim, Myung-Wook 한국의료질향상학회 1996 한국의료질향상학회지 Vol.2 No.2
Background : A critical path defines an optimal sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to better utilize resources, maximize quality of care, and minimize delays. It can be thought of as a visualization of the patient care process. In this study, a review of appendectomy patient records was undertaken to identify a critical path for the management of this treatment. Methods: For this study, records of patients under 15 or over 65 years of age were excluded ; cases where the patient was pregnant, or where complications developed were also excluded. The remaining 21 cases were divided into two categories according to the indication for appendectomy : for acute appendicitis, and for perforated appendix or drainage of periappendical abscess. The time frame for the review was from patient examination immediately prior to operation, through discharge. The study team was composed of a surgeon, research head nurse, education head nurse, surgical part head nurse, and medical recorder. Following their review of the 21 charts, the team determined an appropriate progression and schedule for an appendectomy. Result : Through the chart and literature review, the following aspects of the care process were identified as typical and tracked : monitoring/assessment, treatment, lines/drains, medication, activity, diet, tests and patient education. Conclusion : From this study, the design team determined two separate critical paths : one for appendectomy only, and one for appendectomy plus drainage. Next, these paths must be validated and fine-tuned through clinical implementation. In addition, a comparison of our design with the critical paths determined at other hospitals would be extremely valuable for advancing research in this area. Lastly, the critical path approach to improving patient care and maximizing hospital resources should be applied to other procedures.