1.The Hawthorne Effect between Covert and Overt Observations in the Monitoring of Hand Hygiene Adherence among Healthcare Personnel at Coronary Care Unit and Cardiac Surgery Intensive Care Unit.
Jeong Hyun KIM ; Jae Sim JEONG ; Mi Na KIM ; Jeong Yun PARK ; Hye Ran CHOI
Korean Journal of Nosocomial Infection Control 2014;19(1):20-28
BACKGROUND: Direct observation of healthcare workers is commonly used in hospitals to investigate hand hygiene compliance. However, the hand hygiene compliance rate may increase due to the Hawthorne effect, which is the modification of behavior simply because subjects become aware that they are being observed. The objective of this study was to investigate the occurrence of the Hawthorne effect when directly observing hand hygiene compliance in intensive care unit (ICU) healthcare personnel. METHODS: A total of 87 staff members from the coronary care unit and cardiac surgery ICU of a general hospital in Seoul were included in this study: 24 residents and interns, 55 nurses, and 8 nursing assistants. Both covert and overt observations, where subjects were either unaware or aware of any direct observation, were performed on separate occasions. RESULTS: A total of 1,052 covert and 1,336 overt observations were documented over 30 and 34 occasions, respectively. Overall hand hygiene compliance was significantly higher with overt observation than with covert observation (1,041/1,336, 77.9% vs. 659/1,052, 62.6%, P<0.001). The Hawthorne effect was present in all professions and behaviors, with the exception of nursing assistants, and prior to touching a patient. CONCLUSION: Direct observation of hand hygiene compliance was associated with the Hawthorne effect when observations were made overtly and this was likely to contribute to an overestimation of compliance rate.
Compliance
;
Coronary Care Units*
;
Delivery of Health Care*
;
Effect Modifier, Epidemiologic*
;
Hand Hygiene*
;
Health Personnel
;
Hospitals, General
;
Humans
;
Intensive Care Units*
;
Nursing
;
Seoul
;
Thoracic Surgery*
2.Ground-Glass Opacity in Lung Metastasis from Adenocarcinoma of the Stomach: A Case Report.
Mi Ran JUNG ; Jeong Kon KIM ; Jin Seong LEE ; Koun Sik SONG ; Tae Hwan LIM
Journal of the Korean Radiological Society 2000;43(2):191-193
Ground-glass opacity is a frequent but nonspecific finding seen on high-resolution CT scans of lung parenchyma. Histologically, this appearance is observed when thickening of the alveolar wall and septal interstitium is minimal or the alveolar lumen is partially filled with fluid, macrophage, neutrophils, or amorphous material. It has been shown that ground-glass opacity may be caused not only by an active inflammatory process but also by fibrotic processes. When a focal area of ground-glass opacity persists or increases in size, the possibility of neoplasm-bronchioloalveolar carcinoma or adenoma, or lymphoma, for example- should be considered. Diffuse nonsegmental ground-glass opacity in both lung fields was incidentally found on follow up abdominal CT in a stomach cancer patient and signet-ring cell-type metastatic lung cancer was confirmed by transbronchial lung biopsy. We report a case of diffuse ground-glass opacity seen in metastatic lung cancer from adenocarcinoma of the stomach.
Adenocarcinoma*
;
Adenoma
;
Biopsy
;
Follow-Up Studies
;
Humans
;
Lung Neoplasms
;
Lung*
;
Lymphoma
;
Macrophages
;
Neoplasm Metastasis*
;
Neutrophils
;
Stomach Neoplasms
;
Stomach*
;
Tomography, X-Ray Computed
3.Sclerosing Polycystic Adenosis of the Parotid Gland: A Case Report.
Byung Joo JEONG ; Mi Ran KIM ; Zhe Long LIANG ; Bon Seok KOO ; Jin Man KIM
Korean Journal of Pathology 2011;45(Suppl 1):S79-S83
Sclerosing polycystic adenosis (SPA) of the salivary glands is a rare entity analogous to fibrocystic disease of the breast. Less than 50 cases of SPA have been published in the literature. We report the first Korean case of SPA of the right parotid gland. A 34-year-old man presented with a slowly growing right parotid mass. Computed tomography showed a relatively well-demarcated, heterogeneously enhancing mass with multiple small calcifications. Fine needle aspiration showed cohesive sheets of epithelial cells with granular oncocytic cytoplasm and scattered lymphocytes. The parotidectomy specimen showed a 3 cm-sized solid nodular lesion with small cysts. Microscopically, the lesion was an unencapsulated mass of sclerotic fibrous tissue with cystic ducts, multiple calcifications, and lymphoplasma cell infiltration. Sclerosing adenosis and cystic ducts with frequent apocrine-like cells were noted. Familiarity with the cytologic and histological features of SPA is very important making the correct diagnosis.
Adult
;
Biopsy, Fine-Needle
;
Breast
;
Cystic Duct
;
Cytoplasm
;
Epithelial Cells
;
Humans
;
Lymphocytes
;
Parotid Gland
;
Recognition (Psychology)
;
Salivary Glands
4.Sclerosing Polycystic Adenosis of the Parotid Gland: A Case Report.
Byung Joo JEONG ; Mi Ran KIM ; Zhe Long LIANG ; Bon Seok KOO ; Jin Man KIM
Korean Journal of Pathology 2011;45(Suppl 1):S79-S83
Sclerosing polycystic adenosis (SPA) of the salivary glands is a rare entity analogous to fibrocystic disease of the breast. Less than 50 cases of SPA have been published in the literature. We report the first Korean case of SPA of the right parotid gland. A 34-year-old man presented with a slowly growing right parotid mass. Computed tomography showed a relatively well-demarcated, heterogeneously enhancing mass with multiple small calcifications. Fine needle aspiration showed cohesive sheets of epithelial cells with granular oncocytic cytoplasm and scattered lymphocytes. The parotidectomy specimen showed a 3 cm-sized solid nodular lesion with small cysts. Microscopically, the lesion was an unencapsulated mass of sclerotic fibrous tissue with cystic ducts, multiple calcifications, and lymphoplasma cell infiltration. Sclerosing adenosis and cystic ducts with frequent apocrine-like cells were noted. Familiarity with the cytologic and histological features of SPA is very important making the correct diagnosis.
Adult
;
Biopsy, Fine-Needle
;
Breast
;
Cystic Duct
;
Cytoplasm
;
Epithelial Cells
;
Humans
;
Lymphocytes
;
Parotid Gland
;
Recognition (Psychology)
;
Salivary Glands
5.Effects of Preoperative Pain Management Education on the Control of Postoperative Pain: Focused on the PCA used Surgical Patients with Uterine Tumor.
Jeong Sook PARK ; Mi Hwa LEE ; Hye Ran LEE
Journal of Korean Oncology Nursing 2011;11(2):108-115
PURPOSE: The purpose of this study was to examine the effects of preoperative pain management education on postoperative pain control in patients with uterine tumor using patient controlled analgesia. METHODS: This study used non-equivalent control group non-synchronized design. Data were collected from September, 2008 to March, 2009 at one university hospital in Daegu, Korea. There were 60 participants, 30 in both the experimental and control group. The experimental group was given preoperative pain education using videos, leaflets, and a PCA model. Postoperative pain intensity, frequency of the PCA button being pressed, and doses of additional analgesics were observed through 24 hours postoperative and knowledge of pain and attitude about the use of the pain medicine were measured at 3 days postoperative. Collected data were analyzed using t-test, chi2 test, repeat measured ANOVA, and Bonferroni methods. RESULTS: There were no significant differences in the postoperative pain level between the experimental and control group. Postoperative frequency of the PCA button pressed, doses of additional analgesics, pain knowledge and attitude about the use of the pain medicine of the experimental group were significantly higher than those of the control group. CONCLUSION: Pain management education is an effective nursing intervention for pain control after surgery.
Analgesia
;
Analgesics
;
Humans
;
Korea
;
Pain Management
;
Pain, Postoperative
;
Passive Cutaneous Anaphylaxis
6.Study for Professionalism, Organizational Citizenship Behavior, Psychological Ownership of Nurse Officers.
Myoung Ran YOO ; Jeong A YOO ; Youn Mi KIM
Journal of Korean Academy of Nursing Administration 2012;18(3):290-300
PURPOSE: The purpose of this study was to investigate differences in professionalism, organizational citizenship behavior and psychological ownership between nurses and nurse officers. METHODS: A cross-sectional survey was conducted with 1017 hospital nurses and military nurse officers. The instruments used were the Korean Version of Hall's Professionalism Inventory' modified by Baek (2007), Organizational Citizenship Behavior Qquestionnaire(OCBQ) modified by Lee (2006), and the Psychological Ownership Inventory' developed by Van Dyne and Pierce (2004). RESULTS: The average score for military nurse officers professionalism was 3.15, for organizational citizenship behavior, was 3.43 and for psychological ownership, 3.64. These scores were higher than the scores for hospital nurses. There were significant positive correlations between the variables(r=.47~.581, p<.001). CONCLUSION: The results of this study indicate an affirmable outcome and that the significant variables affected levels of Professionalism, Organizational citizenship behavior, and Psychological ownership. So in order to improve the level of variables, there is a need to consider strategies related to organization, work environment and conceptualization as related to the variables.
Cross-Sectional Studies
;
Humans
;
Military Personnel
;
Ownership
7.Analysis of the Effectiveness in the Hospital Management of Methicillin-Resistant Staphylococcus aureus by Different Isolation Policies.
Jeong Sil CHOI ; Mi Ran KIM ; Young Hee KIM ; Ae Jung HUH ; Keum Soon KIM
Korean Journal of Nosocomial Infection Control 2005;10(2):73-77
BACKGROUND: The purpose of this study is to evaluate the evidence for the effectiveness of different isolation policies in reducing the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in hospital in-patients. METHODS: We prospectively evaluated the effectiveness of an isolation policy on transmission of MRSA in the 745-beds hospital. First period, all patients with MRSA (March - July 2000) were not isolated Second period, strict isolation policies were performed (August 2000 - January 2002). All patients with MRSA were isolated in separated room, hand hygiene using alcohol handrub, gowning and g1oving, apply of MRSA notice sticker, criteria in isolation remove, separated disinfection and wastement. Third period, semi strict isolation policies were performed (February 2002 - August 2005). Some patients with MRSA were isolated in separated room and others were admitted in general ward for bed shortage. Only some practices were performed in hand washing and separated disinfection in general ward. RESULTS: The rates of MRSA nosocomial infection per patients during 1st, 2nd, and 3rd surveillance were reported 0.56, 0.23, and 0.42 (P<0.05). Patient-days rate of MRSA nosocomial infection during 1st, 2nd, and 3rd surveillance were reported 0.62, 0.27, and 0.38 (P<0.05). CONCLUSION: With many different isolation policies, it was possible to reduce nosocomial infection of MRSA. In this study, strict isolation policies (2nd period) were the most effective practices in reducing MRSA infection.
Cross Infection
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Disinfection
;
Hand Disinfection
;
Hand Hygiene
;
Humans
;
Incidence
;
Infection Control
;
Methicillin Resistance*
;
Methicillin-Resistant Staphylococcus aureus*
;
Patients' Rooms
;
Prospective Studies
8.Development and Evaluation of an e-learning Blood-borne Infection Control Program for Nursing Students.
Journal of Korean Academy of Fundamental Nursing 2010;17(2):249-258
PURPOSE: To develop an e-learning blood-borne infection control program and to evaluate the effects of the program on risk perception, knowledge, preventive health behaviors related to blood-borne infections, and satisfaction with the program by nursing student. METHODS: The program was developed through the processes of analysis, design, development, implementation, and evaluation. The pre-experimental research design involved a one group pretest-posttest design. The setting was two universities located in Daejeon, Korea. RESULTS: Using the program that was designed and developed, results for the total score of risk perception, knowledge, and preventive health behaviors in the post-test application were significantly higher than in the pre-test application (p<.05). Relevance and usefulness of the information received the highest ratings, while the system's design were demonstrated to have the lowest ratings. Those areas requiring correction were modified accordingly. CONCLUSION: Application of an e-learning blood-borne infection control program is effective, and can be expanded to other student nurses who also have a high risk of blood-borne infections.
Blood-Borne Pathogens
;
Health Behavior
;
Humans
;
Infection Control
;
Korea
;
Research Design
;
Students, Nursing
9.Unmet Needs for Job Maintenance of Breast Cancer Survivors
Su Jeong HAN ; Hye Won KIM ; Mi Ran KIM
Journal of Korean Academy of Fundamental Nursing 2020;27(3):298-309
Purpose:
To develop and apply an integrative model for breast cancer survivors’ return to work, survivors’unsatisfied demands for job maintenance were identified.
Methods:
This study was a qualitative research that used a focus group to investigate breast cancer survivors’ unsatisfied demands for job maintenance. Data collection was conducted four times from February to October 2019 with six participants.
Results:
The study showed that the six participants identified the following unsatisfied demands for breast cancer survivors who returned to work: the individual’s physical and psychological condition, attitudes and support from family, work-related characteristics, the healthcare system, and social (political) issues. Thirteen sub-topics were identified.
Conclusion
This study provided necessary data to prepare a strategy for breast cancer survivors to return to work and proposed to develop an integrative model and a professional training program in further research.
10.Nutrition teacher’s perception and current status of nutrition education for free learning semester program: a preliminary study
Mi Joo PARK ; Jeong-Hwa CHOI ; Young-Ran HEO
Korean Journal of Community Nutrition 2023;28(1):24-37
Objectives:
This study aimed to investigate the current status of nutrition education via a free learning semester program (NE). The understanding of the program, the potential difficulties, and future initiatives for NE improvement were also investigated.
Methods:
A total number of 161 nutrition teachers from Gwangju and Jeonnam filled in a questionnaire and participated in this survey, which was performed from July to August 2019.
Results:
Our results showed that 8.1% of the nutrition teachers had taught nutrition education in free learning semester programs. The most frequently implemented model was subject selection, followed by club activities. Most of the nutrition teachers comprehended the purpose of NE. The attitude of nutrition teachers to NE differed by the understanding of its purpose. Positive attitude was evident due to a better understanding of the purpose by nutrition teachers. Nutrition teachers reported the most common difficulties of NE were the lack of preparation due to the heavy workload and the lack of a standard running program.The most effective method of NE was the activity classes. The experience of practicing NE influenced the choice of contents for each operating model. Nutrition teachers that were experienced in NE conducted via free learning semester programs preferred the selected topics model, but those without experience chose the career search model.
Conclusions
Although some obstacles exist, nutrition teachers had a positive attitude and perceived well the importance of NE. Therefore, the awareness for the significance of NE of nutrition teachers needs to be improved. For better NE practice, it is necessary to reduce/ manage the workload of general food service. Furthermore, the development of standard running and promotion programs, and teacher training programs should be ensured.