의무기록 업무에 대한 전산화 실태조사

김효실 제주한라대학 1991 論文集 Vol.15 No.-

The object of computerized hospital management shall be labor for qualitative advancement of medical care as well as rationalization of management through integration and control of various information. Therefore, computerization of affairs of medical record department may make a role in it. To summarize the above study was as follows : 1. All of the fifteen studied hospitals were computerized in hospital management. Computerization of office management was nearly established but in three hospitals which have over 500beds were not established in computerization of medical record management. 2. In fifteen hospitals, computerization of patient index and number retrieval were most established objects. Because precise input and rapid retrieval of patient resources were important role of medical record department, it is necessary to computerize them. 3. In fifteen hospitals, the plan of computerization for incomplete chart control and chart control were highest interests. It is suggested that each hospital has great concern in effective management of incomplete chart control. Conclusively, profit of hospital was maximised by computerization of affairs of medical record department that intend precision and rapidity and save time, manpower, and cost. And for computerization of affairs of medical record department, thorough understanding and education for computerization were needed for staffs in medical record department. Medical record practitioner should play a role in administration of medical information in the hospital.

감정노동이 직무스트레스와 심리적 웰빙에 미치는 영향

김효실 한국관광학회 2014 관광학연구 Vol.38 No.8

This study attempted to find out the effect of emotional labor on job stress and psychological well-being among hotel employees who greet customers with a bright look and perform their tasks. The data collected from a survey of 282 employees in resort hotels was analyzed. The factor analysis showed that there were two dimensions for emotional labor(emotional dissonance and emotional efforts), three dimensions for job stress(work-related, customer-related, and environment-related stress), and six dimensions for psychological well-being (alienation, reduced personal accomplishment, dependence, environmental mastery, self-acceptance, and purpose of life). Research findings revealed that emotional dissonance had a positive influence on customer-related stress, work-related stress, and environment-related stress. Emotional dissonance had a positive influence on alienation, reduced personal accomplishment, and dependence. Emotional efforts had a positive influence on purpose of life and environmental mastery and a negative influence on reduced personal accomplishment. Lastly, customer-related stress had a negative influence on environmental mastery and work-related stress had a positive influence on alienation, dependence, and reduced personal accomplishment. 본 연구는 밝은 표정으로 고객을 맞이하며 업무를 수행하는 호텔 직원을 대상으로 그들의 감정노동이 직무스트레스와 심리적웰빙에 미치는 영향을 알아보고자 연구를 진행하였다. 연구의 표본은 호텔 직원 282명이며, 구조방정식모형을 사용하여 분석하였다. 탐색적 요인분석을 통해 감정노동은 두 개의 차원(감정부조화, 감정노력), 직무스트레스는 세 개워 차원(업무관련, 고객관련, 환경관련), 심리적웰빙은 여섯 개의 차원(소외, 개인성취감감소, 의존성, 환경통제력, 자아수용, 삶의 목적)으로 도출되었다. 분석 결과, 첫째, 감정부조화는 고객관련스트레스, 업무관련 스트레스, 환경관련 스트레스에 정(+)의 영향을 미치는 것으로 나타났다. 감정노력은 직무스트레스에 영향을 미치지 않는 것으로 나타났다. 둘째, 감정부조화는 소외, 개인성취감감소, 의존성에 정(+)의 영향을 미치는 것으로 나타났다. 감정노력은 삶의 목적과 환경통제력에 정(+)의 영향을 미치며, 개인성취감 감소에는 부(-)의 영향을 미치는 것으로 나타났다. 마지막으로 고객관련 스트레스는 환경통제력에 부(-)의 영향을 미치며, 업무관련 스트레스는 소외, 의존성, 개인성취감 감소에 정(+)의 영향을 미치는 것으로 나타났다. 하지만 환경관련 스트레스는 심리적 웰빙에 영향을 미치지 않는 것으로 분석되었다.

보드리야르의 시뮬라크르로서의 마크 트웨인의 시뮬라시옹 — 『신비한 소년 44호』를 중심으로 -

김효실 한국중앙영어영문학회 2022 영어영문학연구 Vol.64 No.1

This paper aims to reveal the fact that Mark Twain’s posthumous work, No. 44, the Mysterious Stranger, has already shown the phenomena of simulation analyzed in Simulacra and Simulation which was written by Baudrillard in 1981 even though Twain’s novel had been written long before in 1897-1908. Baudrillard, a French social philosopher, interprets the principle of the flow of society or symbols as a simulation phenomenon, saying that humans live in the fascinating world of simulacra created by simulation. The simulation in this novel is expressed in a virtual reality in which the heroes, No. 44 and August, travels to subdue Adolf playing the role of Karl Lueger, who was Hitler’s role model. In addition, the Duplicates outdoing the real workers who work for the print house clearly show what hyperreality is. In this world of hyperreality where simulacra outpace realities, the boundary between true and false is blurred. Having observed these social phenomena, Baudrillard argues that the serial emergence of these simulacra results in disappearance, which is consistent with No. 44’s thought, ‘nothing exists, including god.’ These factors revealed in No. 44, the Mysterious Stranger reflect how modern and creative Twain’s writing is, and serve as a chance to infer they are simulacra of Baudrillard’s simulation.

『허클베리 핀의 모험』에 나타난 배타적 인종주의의 원인과 현상 - 다윈의 진화론적 관점을 중심으로 -

김효실 미래영어영문학회 2018 영어영문학 Vol.23 No.3

This paper aims to examine how exclusive racism is revealed through the behaviors of white boys such as Huckleberry Finn and Tom and the other characters in The Adventures of Huckleberry Finn in the light of Darwin's evolutionary perspective. The racism shown in this novel has been spreading, rationalizing the dominant discourse of white people creating social conventions that blacks are inferior. This idea is already deeply embedded in the boys' consciousness. Huck, who symbolizes the abolitionist often makes a statement that ignores Jim, and Tom, who represents the white supremacist plays life-threatening prank to Jim. So this article refutes critics' arguments that favorably interpret Tom and Huck as boys who represent American vivid self. In doing so, it reveals Huck's arrogance to ignore Jim's excellence involuntarily and Tom's cruelty and hypocrisy, which Tom shows when he puts Jim at risk and compensates it to him with money, even throwing white people into confusion. By realizing that Tom's play is no longer an innocent one, the readers find out the racism is dangerous enough to destroy the lives of white people as well as the lives of black people.

제주시내 일부 초·중·고등학생들의 비만실태 및 비만 관련 요인

김효실,김현이,홍성철 한국보건통계학회 2002 보건정보통계학회지 Vol.27 No.1

Purpose: The purpose of this study is to investigate the prevalence and factors associated with childhood and adolescent obesity in Jeju city. Method: The survey was performed with 2,590 students (746 4th grade students from elementary schools, 1,070 Ist grade students from middle schools, 774 lst grade students from high schools) of Jeju city on June, 2000. The body mass index (BMI) was calculated from measured height and weight and also examined the degree of obesity by comparing with standard weight. we defined obesity as more than 20% above the standard weight for height. Result: The prevalence of childhood obesity that exceeded the standard weight for height by more than 20% was 16.19o, showing higher rate in boys than in girls. The prevalence of adolescent obesity was 11.89% of mdddle school students and 11.0% of high school students respectively.BP and hemoglobin level of the students were within normal limit, however, cholesterol level was higher than general standard. Especially the level of the adolescent female obese group was more than 190mg/dℓ. In regard to parents' income, there was no significant difference between the obese group and non-obese group. The birth weight of obese group was higher than non-obese group but correlation coefficient was low level. Students' BMI at the 1st and 2nd grade elementary schools was highly related to present BMI, there was significant difference (P<0.001) statistically. When the parental BMI was compared the present BMI of the participants, participants'BMI correlated more closely fathers' BMI thin their mothers', This study found that the obese group had a higher intake of meat and a lower intake of vegetables than the non-obese group. Conclusion: As the prevalence of childhood and adolescent goes up gradually, more effective programs to prevent obesity should be developed. Also the parents should be educated about the medical problems of obesity exactly. In addition, underweight problem is serious, so we should be concerned about underweight students as well.

산업체 급식 속성요인이 급식만족도에 미치는 영향 -안산지역 외국인 근로자를 대상으로-

김효실,김영금,차석빈 한국관광학회 2012 관광학연구 Vol.36 No.3

The number of foreign workers in South Korea has increased rapidly in recent years. Thus far, however, relatively little research, has been conducted on dimensions of industrial catering and the food consumption experiences of international employees at Korean firms. Data were collected from 178 foreign workers employed at the Ansan Industrial Complex. Research findings revealed that of the 13 attributes of industrial catering service, three dimensions of cleanliness, food quality, and service experienced featured most prominent. Additionally, food quality and staff’s service dimensions had a significant effect on the catering satisfaction of foreign workers respectively. The findings imply that when providing meals the industrial catering companies should consider background characteristics of foreign workers, paying special respect to religious preferences and related cultural eating practices. In addition, the companies need to train their staffs regularly to be kind to the workers. This study concluded with the limitations of the study and future research areas. 이 연구는 산업체에서 근무하는 외국인 근로자들의 급식 이용행태, 이들의 급식 속성 요인 도출 및 이러한 요인들이 급식만족도에 영향을 미치는 정도를 분석하여 회사 식당이나 급식업체 운영자에게 유용한 시사점을 제공하고자 이루어졌다. 178명의 안산지역 외국인 근로자들을 대상으로 설문조사한 분석결과는 다음과 같다. 먼저, 외국인 근로자의 산업체 급식 속성 요인은 음식의 질, 인적서비스, 청결성의 3개 요인으로 도출되었다. 또한, 산업체 급식 속성요인들 중에서 음식의 질과 인적서비스 요인만이 급식만족도에 유의한 영향을 미치는 것으로 분석되었다. 세부적으로는 급식만족도에 있어 음식의 질이 인적서비스보다 더 영향을 미치는 것으로 조사되었다. 이 연구는 이러한 연구결과를 바탕으로 학문적․실무적 시사점을 제시하였다.

호텔 직원의 감정노동이 심리적 웰빙에 미치는 영향

김효실,차석빈 한국외식경영학회 2014 외식경영연구 Vol.17 No.1

This study attempted to find out the effect of emotional labor on psychological well-being of hotel employees who greet customers with a bright look and perform their tasks. First, through conducting the theoretical review this study tried to the derive underlying dimensions of emotional labor and psychological well-being. Second, it investigated the relationship between the derived factors. The exploratory factor analysis showed that there were two dimensions(emotional dissonance and emotional efforts) for emotional labor and six dimensions(self-acceptance, purpose of life, environmental mastery, alienation, reduced personal accomplishment, and dependence) for psychological well-being, respectively. Research findings revealed that emotional dissonance had a positive effect on alienation, reduced personal achievement, and dependency. Emotional efforts had a positive effect on purpose of life, self-acceptance, and environmental mastery and a negative effect on alienation, reduced personal achievement, and dependency. 본 연구는 밝은 표정으로 고객을 맞이하며 업무수행을 하는 호텔 직원을 대상으로 그들의 감정노동과 심리적 웰빙 간 관계 연구를 진행하였다. 분석결과, 감정노동은 2개 요인인 감정부조화, 감정노력으로 도출되었으며, 심리적 웰빙은 6개 요인인 삶의 목적, 자아수용, 환경통제력, 소외, 개인성취감 감소, 의존성으로 도출되었다. 감정노동과 심리적 웰빙 간 관계 결과에서는 감정부조화는 소외, 개인성취감 감소, 의존성에 정(+)의 영향을 미치는 것으로 나타났다. 감정노력은 심리적 웰빙 전체에 영향을 미치는 것으로 나타났으며, 삶의 목적, 자아수용, 환경통제력에 정(+)의 영향을, 소외, 개인성취감 감소, 의존성에는 부(-)의 영향을 미치는 것으로 나타났다.

#미투 속의 언론, 언론 속의 #미투 - ‘2차 가해’ 행위 보도 멈추고 대안 담론 매개 역할 해야 하지만...

김효실 한국방송학회 2018 한국방송학회 학술대회 논문집 Vol.2018 No.4

제주 여성의 부인 암에 관한 조사 연구 : 제주시내에 소재한 1개 병원의 의무기록을 중심으로

김효실 제주한라대학 1999 論文集 Vol.23 No.-

During the period from Jan.1,1997 through Dec.31,1999, 44 cases of gynecological cancer were analyzed at one hospital in JeJu city. In this study, I have analyzed the epidemiologic analysis based on Medical records, The result were summarized as follows; 1. The new cancer patients were distributed from 1993 to 1999, and annual incidence was gradual increment yearly. The leading primary cancer site was uterine cervix(79.5%) and followed by ovary(13.6%). 2. The majority of patients were found in the group of age between 51-60(27.3%), and parity distribution was concentrated on the parity of 1-2. 3. The major diagnostic method was microscopic examination(biopsy of primary cancer site,75.0%) and distribution of the patients by the clinical stages showed the highest in the stage 0 (34.1%). 4. The leading histopathologic type showed squamous cell carcinoma (65.9%),followed by Adenocarcinoma(15.9%). 5. The incidence of lymph node metastasis was 50.0%, followed by urinary bladder, rectum, peritoneum. 6. The leading type of the treatment was surgery only(40.9%) especially, surgery showed the highest in the stage 0 (73.3%). 7. The result of the survival rate by the stage showed as follows; 100% in stage 0, 75% in stage I, 50% in stage II, 50% in stage III, 33.3% in stage IV respectively. 8. Distribution of malignant cases by age, stage and topography showed the highest in the 41-50 age group from stage 0, and showed highest in uterine cervix (79.5%) through all age group.

병원 밖에서 발생한 급성 심장정지 환자의 생존결과에 영향을 미치는 요인 : 다수준 분석

김효실,전진호 사단법인 한국응급구조학회 2020 한국응급구조학회지 Vol.24 No.2

Purpose: This study aimed to identify the factors affecting the survival outcomes of out-of-hospital cardiac arrest based on the Sudden Cardiac Arrest Survey by the Korean Centers for Disease Control and Prevention from 2012 to 2016. Methods: Out of 84,776 cases, 57,104 cases of cardiac arrest were analyzed. To identify the factors that affect survival outcomes after a sudden cardiac arrest (SCA), we performed a logistic regression using SPSS. We also performed a multilevel analysis using SAS to determine whether the survival outcomes were affected by the socioeconomic level and health index of the communities. Results: When SCA was witnessed by someone, the possibility of discharge with survival outcomes increased by a factor of 4.54. If CPR was administered immediately in emergency situations, this possibility further increased. When defibrillation was performed before hospitalization, the possibility was increased by a factor of 10.31. The multilevel analysis reflected the personal and regional factors that had an impact on the survival outcomes. Conclusion: Because the initial response in SCA is crucial, a community response system is essential before hospitalization. It is necessary to actively publicize and educate the people because the their understanding, sympathy, and cooperation in emergency situations play a role in determining the survival outcomes of the patients.