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- 저자 : 송주연 ( Ju Yeoun Song ) (검색결과 4 건)
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신생아중환자실에서의 Extended Spectrum Beta Lactamase (ESBL) 생성 Klebsiella pneumoniae 유행의 성공적인 관리
송주연 ( Ju Yeoun Song ),정인숙 ( Ihn Sook Jeong ) 부산대학교 간호과학연구소 2013 글로벌 건강과 간호 Vol.3 No.1
Purpose: To describe successful control of outbreak of ESBL producing K. pneumoniae in neonatal intensive care unit. Methods: The 9 K. pneumoniae isolated from blood (7), urine (1), eye discharge (1) culture. The 5 cases with blood isolated were all occurred in infants with less than 1,500 g body weight. Intervention activities included hand hygiene, using maximal sterile barrier precaution during central venous catheter insertion, monitoring of medical staff`s performance of the contact precaution guidelines, and regular environmental cleaning and incubator disinfection. Especially, our study found the serious problem that the omnibedTM incubators are not replaced regularly to minimize intervention for very low birth weight infants. Results: It was recommended to replace a used omnibedTM incubator with an antiseptic one every week. Before the implementation of infection control, K. pneumoniae infection rate 6.29 per 1,000 patient-days. After the implementation, 2.02 per 1,000 patient-days January 2011 and 0 infection after February 2011. Conclusion: Our study demonstrates the importance of hand hygiene, aseptic technique, isolation precaution and environmental cleaning and disinfection of medical equipment. Especially, this outbreak was controlled by emphasizing the control of incubator as environmental reservoirs using for premature baby.
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송주연 ( Ju Yeoun Song ),정인숙 ( Ihn Sook Jeong ) 부산대학교 간호과학연구소 2013 글로벌 건강과 간호 Vol.3 No.2
on nursing students. Methods: Cross-sectional survey was done with a self-administered questionnaire from 350 nursing students in 8 college from December 19, 2011 to February 21, 2012. Results: Overall correct answer to 13 knowledge-type questions was 70.8% percent, which wasn`t significantly different ever taken clinical practice (p=.174). 236 nursing students had taken an infection control training, which was significantly different (p=.012). The question ``the most important vehicle in pathogen transmission`` showed the highest correct answer (94.9%), followed by ``risk-guided application of a preventive strategy`` (92.0%). The question ``the main purpose of glove use`` showed the lowest correct answer (28.3%), followed by the basic concept of standard precautions` (34.6%). Preferred single prevention measure was ``hand hygiene`` (98.6%). 47.5% of the respondents answer ``know vaguely`` on the question about ``self assessment of knowledge on the concept of isolation precaution``. Preferred source of information on isolation precautions was searching for guideline (62.6%) followed by calling the hotline (24.8%). The most important obstacle to compliance with isolation precaution guideline was forgetfulness (65.4%), followed by lack of time (42.9%), lack of knowledge (34.3%), and lack of needs (2.6%). Conclusion: The knowledge on the isolation precautions among nursing students was low, therefore nursing students require fundamental and comprehensive courses in infection control precautions prior to taking part in the clinical practice. Considering forgetfulness was the most important obstacle to adhere to isolation precaution guideline, repeated education in the schools or hospitals are also recommended.
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송주연 ( Ju Yeoun Song ),정인숙 ( Ihn Sook Jeong ) 서울대학교 간호과학연구소 2015 간호학의 지평 Vol.12 No.1
Purpose: This observational study was aimed to determine the influence of the Hawthorne effect on the adherence to hand hygiene (HH) among healthcare workers (HCWs) in South Korea. Methods: HCWs were monitored in 2 periods regarding adherence to HH when there were indications for HH. In first period, HCWs recognized that their behavior of hand hygiene being observed (overt observation), and did not recognize in second period (covert observation). Results: The overall difference in HH rate between two periods was 45.0% point (77.8% vs 32.8%). There were significant differences between profession but in nurse aids. The differences in HH rate between two periods were 46.1% point in nurses, 29.9% point in physicians, 64.0% in radiologists, 62.5% point in laboratory technicians, 36.4% point in physio-therapist, and 1.0% point in nurse aids. The Hawthorne effect on the adherence to HH lasted more than 3 months. Conclusion: The Hawthorne effect markedly influence on the adherence to HH regardless of profession except nurse aids. Therefore, Hawthorne effect can be useful tool to improve and sustain the adherence to HH among HCWs in South Korea.
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김명희 ( Myeung Hee Kim ),이상화 ( Sang Hwa Lee ),송주연 ( Ju Yeoun Song ),유지형 ( Ji Hyoung Yu ),윤지향 ( Ji Hyang Youn ) 부산대학교 간호과학연구소 2014 글로벌 건강과 간호 Vol.4 No.2
Purpose: This study was conducted to investigate the clear concept of nurses` emotional labor. Methods: The research was conducted using Walker & Avant`s conceptual analysis process. Results: Nurses` emotional labor is defined as the empathy by expressing, the patient-centered emotion control, and the role conflict as nurse. Antecedents were found to be bracketing, capacity of emotional exchange, work ethic, expert knowledge. Consequences were found to be emotional dissonance. Conclusion: Nurses` emotional labor as defined by the results of this study will contribute to the nurse`s work environment. The results of this study accurately define the vague concept of nurses` emotional labor and help to manage emotional labor. Further research needs to develop nurses` emotional labor measurements.
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