정신보건관련인력의 정신질환자에 대한 태도 연구

사공정규,송창진,손인기 東國大學校 2000 東國論叢 Vol.39 No.-

Attitudes of the health personnel toward the mentally ill affect the development and utilization of the community mental health program and reintegration of the mentally ill into society. Therefore the authors carried out a survey of attitudes toward mentally ill in the health personnel by measuring Community Attitudes to the Mentally Ⅲ Inventory(CAMI). The purpose of this survey was to get basic data to develop plan and strategy of community mental health in Pohang city. The results were as follows : (1) The health personnel of Pohang community showed positive attitude of 'Benevolence' and 'Community mental health ideology' and negative attitude of "Authoritarianism' and 'Social restrictiveness'. Therefore community mental health project in Pohang city will be established and activated easily. (2) The male group had more authoritative, less community mental health oriented attitude. (3) the more aged group had more authoritative, social restrictive attitude. (4) the unmarried group had less authoritative, social restrictive attitude. (5) The lower educated group had more authoritative, social restrictive and less benevolent, community mental health oriented attitude. (6) Monthly income 1-2 million Won group had more authoritative, social restrictive attitude, less community mental health oriented attitude. (7) The respondents who have never met mentally ill had less community mental health oriented attitude. (8) The respondents who themselves had used mental health services more benevolent, less authoritative, social restrictive attitude. From the above results, authors propose that planning of mental health project be necessary containing information and education for negative group and making resource for positive attitude group.

종합병원 보건의료인의 독감 예방접종 의도와 영향요인: 계획된 행위이론의 적용

유지영,양진향 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.2

Purpose: Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program. Results: There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance. Conclusion: The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

요양병원 간호인력에 따른 노인에 대한 지식, 태도, 직접간호수행 정도 및 노인학대 인지도

정지영,윤순영 노인간호학회 2012 노인간호학회지 Vol.14 No.3

Purpose: The purpose of this study was to examine elder care related knowledge, attitudes, nursing practice and awareness of elder abuse in geriatric hospital health personnel. Methods: The participants were 382 health personnel from 7 geriatric hospitals in 3 cities. Questionnaires contained structured questions on geriatric hospital health personnel's knowledge, attitudes, nursing practice and elder abuse awareness. Descriptive analysis, t-test, one-way ANOVA, Scheffé test and Pearson correlation coefficients were used with SPSS/WIN 12.0 program for data analysis. Results: Knowledge level of nurses was significantly higher than that of nurse assistants or caregivers (p=.002). Nursing care performed by caregivers was significantly higher than that of nurse assistants or nurses (p<.001). Attitude and elder abuse awareness did not make a significant difference according to occupation. Attitudes, knowledge and nursing practice were partially correlated. The level of nursing practice performed by nurses, nurse assistants or caregivers correlated with elder abuse awareness. Conclusion: The results of the study indicate a need for appropriate education and clinical guidelines on elder abuse for geriatric hospital personnel. More studies are needed to identify factors influencing elder abuse in geriatric hospitals.

Attitudes toward rehabilitating inmates among occupational therapy students in the United States

Sarah Catherine Tucker,Hon Keung Yuen 한국보건의료인국가시험원 2019 보건의료교육평가 Vol.16 No.-

PurposeThis study was to examine occupational therapy (OT) students’ attitudes toward rehabilitating inmates and validate an instrument used to measure their attitudes. MethodsOT students (n=128) from one university in Alabama, United States, completed an online survey exploring their attitudes toward rehabilitating inmates, which was assessed using the Rehabilitation Orientation Scale (ROS), a 7-point scale. Dimensional structure, internal consistency reliability, construct validity, and relations to other variables of the ROS was evaluated using factor analyses, Cronbach’s alpha, known-groups method, and univariable correlations, respectively. ResultsUnidimensionality of the ROS was confirmed with an alpha coefficient of 0.90. The mean ROS score of the respondents was 5.1; a score toward 7 indicated a more supportive attitude. About 60% of the respondents reported supportive attitudes (i.e., an ROS score ≥5). Respondents’ ROS scores were significantly higher than those of the public and criminal justice professionals. Female students reported a more supportive attitude than males. Multiple regression analysis indicated that respondents’ consideration of working in prison settings after graduation and their perception that OT has a role in prison settings were significantly associated with support for rehabilitating inmates, after controlling for gender and an acquaintance with someone who has been incarcerated. ConclusionResults indicated that the ROS demonstrated adequate psychometric properties as it applied to this population. The majority of respondents reported supportive attitudes toward rehabilitating inmates. Consideration of working in prison settings after graduation and the perception that OT has a role in prison settings were 2 independent factors associated with respondents’ attitudes toward rehabilitating inmates.

졸업 시점 간호대학생의 임종간호태도 영향 요인

정선영 인문사회 21 2023 인문사회 21 Vol.14 No.2

The purpose of this study was to identify related factors affecting End-of-Life nursing attitudes. As for the research method, a survey of 193 fourth-year nursing students at a university in W city was conducted using tools to measure death anxiety, attitude to death, and End-of-Life nursing attitude, and the final 155 responses were analyzed using the IBM SPSS 19.0 program. The factors influencing nursing students’ End-of-Life nursing attitudes were verified in the order of attitude toward death, whether they took hospice nursing, and prediction of adaptation to hospice wards. Therefore, it is necessary to reduce death anxiety through understanding the meaning of life and death and learning hospice-related subjects, and to cultivate a positive attitude toward death and a positive attitude toward End-of-Life nursing attitude.

일부 지역 제조업체 안전·보건관계자들의 지식 및 태도에 관한 연구

송영표,리갑수,이성수,안규동,이병국 순천향대학교 산업의학연구소 1996 순천향산업의학 Vol.2 No.1

The useful preventive measure for industrial accidents in manufacturing industries could be achieved through automation, education of workers on safety, proper work practice and etc. The success of prevention of industrial accident could be haevily relied on the awareness of accident prevention of workers and management personnel in each industries. In order to obtain general awareness of industrial accident in terms of knowledge and attitude and to provide useful information for the proper preventive measure of industrial accident, questionnaire survey was done with manufacturing industries in Chunan area which has 5 and more workers. Questionnaire with 50 question items were sent to 570 relevant personnels in 471 manufacturing industries. Out of 560, 460 relevant personnel replied to the questionnaire. The results obtained were as follow; 1. While most manufacturing industries(391 industries, 86.7%) under study reported that they had full time occupational safety and health personnel, only 30 manufacturing industries(6.5%) with legal requirement of such personnel did not have relevant ones. 2. Most popular position for the personnel of safety and health duty were section chief(33.2%), and 46.8% of safety and health personnel were in the age group of 30-39. Whereas 66.9% of them were titled as production chief and management chief. 3. Most safety and health personnel(98.5%) reported that disseminated information from professional organization of occupational safety and health were very useful to carry out their safety and health duties. 4. Eight one percent respondent received safety education from governmental organization or affiliated institute and most of them (97.3%) reported that such education was very effective. 5. While 61.8% of respondent reported the necessity of field inspection by inspector for routine and consultation, 30.0% of respondent wanted document inspection without real field inspection. But most respondent replied that such inspections were useful for conducting safety and health prevention. 6. While 93.7% of respondent thought that accident prevention were helpful for production, 88.8% and 86.0 of them replied that accident prevention could influence the cost of production and quality of products, respectively which eventually influenced the competitiveness of each industries. 7. Eighty five percent of respondent replied that accident could be prevented with educational, personal and material resources. 8. While 96.5% of respondent replied that their industries provided safety education, out of them 26.2% industries thought that their safety education were superficial. The most popular frequency of safety education was once per month(56.0%) and 31.0% industries provided once a week. On the other hand 13.1% of industries provided every day safety education on regular basis. 9. While 45.2% of respondent replied that employer had strong commitment for safety and health, 41.3% of respondent replied that there were some changes and progression of employer's attitude for safety and health issues. 10. While 49.2% of respondent replied the necessity of legal requirement of safety personnel, 45.8% of respondent replied that voluntary requirement for safety personnel were more practical and helpful for accident prevention. 11. The necessity of periodic health examination were replied from most respondent(90.0%) and 73.0% of respondent thought that periodic health examination were helpful for the promotion of worker's health, but 56.4% of respondent criticized that periodic health examination were superficial and needed revision of content and method of periodic health examination. 12. Most respondent(92.7%) agreed the necessity of environmental measurement and 64.4% of respondent had their confidence on the result of environmental measurement, whereas 56.7% of respondent replied that their industries were repaired and improved according to the recommendation of environmental measurement and 85.6% of respondent replied that some kind of countermeasure for the recommendation such as supplies of personal protective equipments were done.

대학병원 질 향상 관련 위원회 소속 의사들의 의료 질 관리 활동에 대한 인식 및 태도

이상일 한국의료QA학회 1998 한국의료질향상학회지 Vol.5 No.1

Background : The purpose of this study was to understand general attitudes of physicians toward hospital quality improvement activities who have been members of QA committee in 32 Korean university hospitals. Methods : A postal survey about opinions of hospital quality improvement activities and desirable policy directions was sent to 328 QA committee member physicians. The questionnaires were composed of 48 items. In total 152 physicians responded to this survey(response rate: 49.3%). This study was carried out from January to February 1996. Results : Most physicians(97.5%) recognized the necessity of hospital QA activities. The most dominant supporting reason for quality activities was to improve clinical outcome. Two thirds of physicians regarded their own hospital activities for quality improvement as inactive. They considered that the obstacles were too little concern(33.6%). unclear objectives(28.9%). lack of human resources(14.3%), and insufficient education and training for quality improvement(10.1%). The most favoring policy among respondents was to give health care providers economic incentives. Provision of education and training for implementing quality improvement was the next to it. Physicians revealed their preferences for professional society, government, health insurance societies, consumer groups, hospital labor unions, and mass media in sequence as sponsoring agencies for hospital accreditation program. Conclusion : These study suggested that the concrete means for motivating physicians and promoting constructive partnership among related parties should be developed in order to activate current hospital quality activities in Korea.

국내 정신과 의사의 항정신병 약물 장기 지속형 주사제 처방에 대한 인식조사

박한선,배승민,유재홍,김수인,임원정 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives Long acting injectable antipsychotic medication have the ability to sustain the drug effect for a long duration, thus enabling advances in the management of those psychiatric patients who have poor compliance or who have difficulty getting the oral form of their antipsychotic medications. Despite their benefits, previous studies have reported that depot antipsychotics have a much lower prescription ratein the treatment of schizophrenia or schizoaffective disorder. Psychiatrist's attitude toward depot antipsychotics clearly has an influence on the decision-making process regarding the selection of medications. Until now, there has been no data with respect to psychiatrists' attitudes regarding long-acting injectable antipsychotics in Korea. This Study examined these attitudes toward antipsychotic depot medications as well as the factors which could contribute to their choice of deports. Methods We questioned 347 psychiatrists, who had been attending a conference, about their attitudes toward depot antipsychotic treatment. Results The most important factor causing reluctance with respect to prescribing depot treatment (for both classes of antipsychotics) was a presumed sufficient level of compliance with available oral antipsychotic treatments. In addition, typical depots are not considered to be an appropriate treatment option for first-episode patients, and as a result, they are used sparingly. Lastly, atypical long-acting injectable drugs are avoided due to their strict criteria of insurance and high treatment costs. Conclusion Aversions to prescribe depot treatment are frequent among psychiatrists and appear to be unrelated to the antipsychotic class. The stated reasons for not choosing depots are generally not supported by the current literature. Further research is required to clarify the advantages using depot treatments.

Impact of interprofessional education on students of the health professions: a systematic review

Amy Leigh Dyess,Jordyn Shelby Brown,Natasha Dianne Brown,Katherine Merrill Flautt,Lisa Jayroe Barnes 한국보건의료인국가시험원 2019 보건의료교육평가 Vol.16 No.-

Purpose: Interprofessional education (IPE) is a concept that allows students from different health professions to learn with and from each other as they gain knowledge about their chosen professions and the professions of their colleagues. The purpose of this systematic review was to determine the effectiveness of IPE in the academic preparation of students of the health professions. Methods: A search was conducted of the PubMed and CINAHL databases using the following eligibility criteria: IPE including students from 3 or more healthcare professions, IPE exposure within academic coursework, measurement of attitudes and/or perceptions as outcomes, and quantitative reporting of results. Articles were screened by title, abstract, and full text, and data were extracted. Results: The search yielded 870 total articles. After screening, 7 articles remained for review. All studies reported a positive impact of IPE on the education of students of the health professions. Conclusion: Evidence showed that IPE activities were an effective tool for improving attitudes toward interdisciplinary teamwork, communication, shared problem-solving, and knowledge and skills in preparation for collaboration within interdisciplinary teams.

Risk Assessment of Physical Hazards in Greek Hospitals Combining Staff's Perception, Experts' Evaluation and Objective Measurements

Tziaferi, Styliani Gewrgios,Sourtzi, Panayiota,Kalokairinou, Athina,Sgourou, Evi,Koumoulas, Emmanouel,Velonakis, Emmanouel Occupational Safety and Health Research Institute 2011 Safety and health at work Vol.2 No.3

Objectives: The promotion of health and safety (H&S) awareness among hospital staff can be applied through various methods. The aim of this study was to assess the risk level of physical hazards in the hospital sector by combining workers' perception, experts' evaluation and objective measurements. Methods: A cross-sectional study was designed using multiple triangulation. Hospital staff (n = 447) filled in an H&S questionnaire in a general hospital in Athens and an oncology one in Thessaloniki. Experts observed and filled in a checklist on H&S in the various departments of the two hospitals. Lighting, noise and microclimate measurements were performed. Results: The staff's perception of risk was higher than that of the experts in many cases. The measured risk levels were low to medium. In cases of high-risk noise and lighting, staff and experts agreed. Staff's perception of risk was influenced by hospital's department, hospital's service, years of working experience and level of education. Therefore, these factors should be taken into account in future studies aimed at increasing the participation of hospital workers. Conclusion: This study confirmed the usefulness of staff participation in the risk assessment process, despite the tendency for staff to overestimate the risk level of physical hazards. The combination of combining staff perception, experts' evaluation and objective measures in the risk assessment process increases the efficiency of risk management in the hospital environment and the enforcement of relevant legislation.