1.Factors Influencing Clinical Nurses’ Medication Safety Competence
Journal of Korean Academy of Fundamental Nursing 2022;29(2):237-247
Purpose:
The purpose of this study was to measure the influence of job stress, critical thinking disposition, and clinical decision-making ability on clinical nurses’ medication safety competence.
Methods:
A descriptive survey was conducted among 140 nurses with more than 6 months of work experience in 4 general hospitals in Busan metropolitan city. Data were collected from August 15 to October 30, 2021 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression.
Results:
Medication safety competence had significant correlations with job stress (r=.20, p=.021), critical thinking disposition (r=.63, p<.001), and clinical decision-making ability (r=.54, p<.001). Multiple regression analysis for medication safety competence revealed that the most powerful predictor was critical thinking disposition. Job stress and critical thinking disposition explained approximately 45% of the variance in medication safety competence.
Conclusion
This study confirms the need to make systematic efforts in clinical settings to improve nurses’ medication safety competence, and seeks ways to do so. To enhance clinical nurses’ medication safety competence in the future, programs that manage job stress and improve critical thinking disposition within the nursing department in particular and the hospital in general should be developed and implemented.
2.Changes in Clinical Features of Epiblepharon before and after the COVID-19 Pandemic
Journal of the Korean Ophthalmological Society 2025;66(2):81-85
Purpose:
This study compares the clinical features of children who underwent Hotz’s operation for epiblepharon before and after the COVID-19 pandemic focusing on body mass index (BMI).
Methods:
We retrospectively reviewed the randomized charts of 976 children diagnosed with epiblepharon who underwent Hotz’s operation in our hospital from March 2016 to December 2022. Patients were divided into two groups: those who underwent surgery from March 2016 to December 2019 (before the pandemic, group 1) and those who had it from August 2020 to December 2022 (after the pandemic, group 2). Patients were further categorized into age groups (0-2, 3-5, 6-8, 9-11, and 12-14 years) for comparison of clinical features.
Results:
Groups 1 and 2 included 714 and 262 patients, respectively. In group 2, BMI was significantly higher in the 6-8 and 9-11 groups and skin fold height was also higher.
Conclusions
In regard to clinical features, BMI was greater after the COVID-19 pandemic in children aged 6–11 years, and skin fold height was higher across all age groups. These changes are likely due to lifestyle modifications associated with the pandemic.
3.Changes in Clinical Features of Epiblepharon before and after the COVID-19 Pandemic
Journal of the Korean Ophthalmological Society 2025;66(2):81-85
Purpose:
This study compares the clinical features of children who underwent Hotz’s operation for epiblepharon before and after the COVID-19 pandemic focusing on body mass index (BMI).
Methods:
We retrospectively reviewed the randomized charts of 976 children diagnosed with epiblepharon who underwent Hotz’s operation in our hospital from March 2016 to December 2022. Patients were divided into two groups: those who underwent surgery from March 2016 to December 2019 (before the pandemic, group 1) and those who had it from August 2020 to December 2022 (after the pandemic, group 2). Patients were further categorized into age groups (0-2, 3-5, 6-8, 9-11, and 12-14 years) for comparison of clinical features.
Results:
Groups 1 and 2 included 714 and 262 patients, respectively. In group 2, BMI was significantly higher in the 6-8 and 9-11 groups and skin fold height was also higher.
Conclusions
In regard to clinical features, BMI was greater after the COVID-19 pandemic in children aged 6–11 years, and skin fold height was higher across all age groups. These changes are likely due to lifestyle modifications associated with the pandemic.
4.Changes in Clinical Features of Epiblepharon before and after the COVID-19 Pandemic
Journal of the Korean Ophthalmological Society 2025;66(2):81-85
Purpose:
This study compares the clinical features of children who underwent Hotz’s operation for epiblepharon before and after the COVID-19 pandemic focusing on body mass index (BMI).
Methods:
We retrospectively reviewed the randomized charts of 976 children diagnosed with epiblepharon who underwent Hotz’s operation in our hospital from March 2016 to December 2022. Patients were divided into two groups: those who underwent surgery from March 2016 to December 2019 (before the pandemic, group 1) and those who had it from August 2020 to December 2022 (after the pandemic, group 2). Patients were further categorized into age groups (0-2, 3-5, 6-8, 9-11, and 12-14 years) for comparison of clinical features.
Results:
Groups 1 and 2 included 714 and 262 patients, respectively. In group 2, BMI was significantly higher in the 6-8 and 9-11 groups and skin fold height was also higher.
Conclusions
In regard to clinical features, BMI was greater after the COVID-19 pandemic in children aged 6–11 years, and skin fold height was higher across all age groups. These changes are likely due to lifestyle modifications associated with the pandemic.
5.A Survey of Discernment and Knowledge Regarding Skin Cancer in General Population.
Hyun Min SEO ; Seung Jae LEE ; Ji Hye PARK ; Ga Young LEE ; Won Serk KIM
Korean Journal of Dermatology 2014;52(1):57-58
No abstract available.
Skin Neoplasms*
;
Skin*
6.Grounded Theoretical Analysis on the Hospital Accreditation Experience of Head Nurses in General Hospitals.
Ji Hyun MOON ; Ga Eul JOO ; Jinhwa LEE
Journal of Korean Academy of Nursing Administration 2016;22(5):437-447
PURPOSE: The purpose of this study was to conduct a grounded theoretical analysis on the hospital accreditation experience of head nurses in order to understand their behavior on the adaption of this new system. METHODS: The participants were 8 head nurses with more than 3 years of experience. The data were collected through in-depth interviews using audiotape recording analyzed by the constant comparative method described in Strauss and Corbin's methodology. RESULTS: There were 113 concepts, 26 subcategories and 12 categories identified through the open coding process. In the axial coding, the following paradigm model was proposed: 1) the causal conditions were ‘hardware problem’ and ‘software problem’, 2) the contextual conditions were ‘vertical relationship’, ‘individual preference’, and ‘family support’, 3) the intervening conditions were ‘passive conditions’ and ‘active conditions’, 4) the action/interaction strategies were ‘leading role’ and ‘dependent role’, 5) the consequences were ‘positive acceptance’ and ‘negative acceptance’, 6) the central phenomenon was ‘difficult situation’ and 7) the core category was ‘leading in harmony’. CONCLUSION: The new system led head nurses having difficulties as the middleman between the hospital administration and general nurses, but they made a continuous effort to overcome and adapt to it through a number of strategies.
Accreditation*
;
Clinical Coding
;
Grounded Theory
;
Head*
;
Hospital Administration
;
Hospitals, General*
;
Methods
;
Nursing, Supervisory*
;
Tape Recording
7.A Case of Disseminated Herpes Zoster Associated with Herpetic Folliculitis.
Hyun Min SEO ; Ji Hye PARK ; Chong Won CHOI ; Ga Young LEE ; Won Serk KIM
Korean Journal of Dermatology 2013;51(2):163-165
No abstract available.
Folliculitis
;
Herpes Zoster
;
Herpesvirus 3, Human
8.Cerebral Ischemic Stroke in an Infant with Acute Myocarditis: A Case Report.
The Korean Journal of Critical Care Medicine 2013;28(2):119-122
A 9-month-old infant presented with cough, tachypnea, and grunting was admitted. The patient was revealed to have cardiomegaly, high NT-proBNP, and severe left ventricular dilation and dysfunction; she was subsequently diagnosed with acute myocarditis and congestive heart failure. Intravenous immunoglobulin, inotropics, diuretics, angiotensin converting enzyme inhibitors and beta blocker were used. However, left hemiparesis suddenly developed at 30-day after treatment. Brain MRI showed high signal intensity in the right middle cerebral arterial territory on diffusion weighted brain MRI and in the left parietal lobe with gyral enhancement. Echocardiogram revealed no definite intraventricular thrombus. The patient was started on an antiplatelet agent only without anticoagulant therapy for the treatment of cerebral infarct in respect of the risk to the infant. Four years after the cerebral ischemic stroke (CIS), she showed complete recovery from hemiparesis, with no more CIS. In conclusion, severe ventricular dilatation and dysfunction can lead to thromboembolic events in infants. We should keep in mind that anticoagulant or antiplatelet agents can be used in specific situations.
Angiotensin-Converting Enzyme Inhibitors
;
Brain
;
Cardiomegaly
;
Cough
;
Diffusion
;
Dilatation
;
Diuretics
;
Heart Failure
;
Humans
;
Immunoglobulins
;
Infant
;
Myocarditis
;
Natriuretic Peptide, Brain
;
Paresis
;
Parietal Lobe
;
Peptide Fragments
;
Platelet Aggregation Inhibitors
;
Stroke
;
Tachypnea
;
Thrombosis
9.Effects of Analgesics and Sedatives before Silicone-tube Intubation on Patients’ Pain with Nasolacrimal Duct Stenosis
Journal of the Korean Ophthalmological Society 2023;64(10):879-885
Purpose:
We investigated the effect of preoperative administration of analgesics and sedatives on pain levels during silicone tube intubation conducted under local anesthesia in patients with acquired nasolacrimal duct stenosis.
Methods:
We retrospectively reviewed the medical records from 121 patients at the ophthalmology department of our hospital from July 2016 to May 2022. In total, 71 patients were administered acetaminophen and diazepam orally, while the remaining 50 were not. Postoperative pain (measured using the visual analogue scale [VAS] score [0 = no pain, 10 = severe pain] immediately after operation), operative duration, and improvement in epiphora symptoms were compared between the two groups.
Results:
The premedication group had significantly lower VAS scores than the non-premedication group (5.23 ± 2.75 vs. 6.34 ± 2.33, p = 0.02). It also had a notably shorter (p < 0.01) operation duration and higher subjective improvement rate of epiphora symptoms. However, premedication did not influence the tube retention period post-surgery (p = 0.86).
Conclusions
The administration of analgesics and sedatives prior to silicone tube intubation effectively mitigates operative pain and reduces operation duration. Furthermore, it may help improve postoperative epiphora symptoms.
10.The Effect of Nasal Septal Deviation and Septoplasty on Dacryocystorhinostomy Progression
Journal of the Korean Ophthalmological Society 2025;66(1):1-7
Purpose:
To investigate the impact of nasal septal deviation and septoplasty on dacryocystorhinostomy progression.
Methods:
From March 2015 to January 2022, we reviewed the medical records of primary acquired nasolacrimal duct obstruction (PANDO) patients who underwent dacryocystorhinostomy at Konyang University Hospital. Patients were categorized into groups: those without septal deviation (group 1), those with septal deviation on the same side as the surgical site (group 2), and those with septal deviation on the opposite side (group 3). Septoplasty was performed in cases of symptomatic septal deviation on the same side. We assessed whether the presence, type, and correction of septal deviation influenced the postoperative outcome of dacryocystorhinostomy.
Results:
The study included 204 patients: 94 in group 1, 60 in group 2, and 50 in group 3. No significant differences were observed in the type, degree of nasal septum deviation, surgery duration, success rate, and symptom improvement period across the groups. When group 2 was subdivided into those who did not undergo septoplasty (group 2A) and those who did (group 2B), no differences were noted.
Conclusions
Nasal septum deviation and septoplasty did not influence the outcomes of dacryocystorhinostomy. Septoplasty may be unnecessary for PANDO patients without symptomatic nasal septum deviation.