The purpose of this study was to develop a standardized handover protocol for emergency nurses. A standardized handover protocol was developed through surveys on the perception of the existing handover method, literature review, and consultation with experts. After applying the newly developed standardized handover protocol to actual nursing practice, the effectiveness was evaluated through surveys and focus group interviews. As a result, statistically significant improvements were found in 'interaction and support' and 'efficiency', and positive aspects such as 'shortening time spent on handover' and 'reducing personal characteristics of nurses' were found via focus group interviews. On the other hand, improvement in 'quality of information' was not significant, and there were also 'concern for new handover methods'.
In conclusion, it appears that the use of a standardized handover protocol can improve the efficiency while ensuring the quality of transmitted information. And ultimately this will reduce the potential risks for patients.

In businesses, personnel competence is critical for organizational performance. This is why strong emphasis is put on securing high-quality public resources. Similarly, medical businesses are putting more and more importance on an effective personnel management of the nursing organization which is their biggest component. This study was an attempt to ascertain the effect of general hospital nurses' person-environment fit and job satisfaction on their organizational citizenship behavior. Participants of the study were 270 nurses who were currently working for any of 3 general hospitals. 248 sheets of a questionnaire form filled out by the subjects were collected as data. Through the data analysis, this study obtained some findings that are summarized in the following. First, organizational citizenship behavior of the surveyed nurses varied depending on their characteristics such as age, marital status, educational level, total period of clinical careers and current professional position. Second, there were positive correlations between the participants' person-environment fit and job satisfaction, and their organizational citizenship behavior. And third, organizational citizenship behavior turned out to be significantly influenced by person-environment fit and job satisfaction. In terms of person-environment fit, meanwhile, some particular factors of it were found more significantly influential to that behavior. They were person-job fit and person-supervisor fit. These findings suggest that strategies for improving nurses' person-environment fit and job satisfaction should be set up, ultimately contributing to effective outcomes of the nursing professionals' organizational citizenship behavior.

Korea Health Panel(KHP) provides detailed information on individual medical expenditure and diseases for establishing national medical policies. Since the survey conducted from 2008 to 2018 consists of more than 250 separate data files, KHP researchers spend a lot of time and effort in creating panel data for empirical analysis. In this study, we propose a Stata module with the name of “smart_khp_v3” to fill the gap between KHP raw data and the panel data for analysis. If we in advance set up a Stata command specifically working for KHP data files, we can save much time in constructing a panel data repetitively. This module has not only the advantage of a combined data set of household member + single episode, but also household member + multiple episodes panel data. We present the role of “smart_khp_v3” as an intermediate tool that can improve the quality of research by assigning more time and effort on research analysis itself rather than building panel data.

This study explores an alternative mechanism in which relationship drivers such as customer satisfaction, gratitude and engagement behavior are established among medical service users. Characterizing medical service encounters as potentially stressful events, this study proposes and empirically examines medical service customers' perceived control as a promising factor that may improve their overall healthcare experiences. The study adopts a research model and a set of hypotheses in an attempt to examine the implications of giving healthcare customers control upon their service experiences. Data collection was implemented by a professional research company located in South Korea. Findings of the study reveal the importance of having customers feel a sense of control during their healthcare experience, as perceived control turns out to exert both direct and indirect influences upon their satisfaction, gratitude, and engagement behavior. Such findings of the study provide new insights for the practitioners and academics to establish and strengthen long-term relationships with medical customers.

Middle-age accounts for more than 40% of the total population. And Suicide is the leading cause of death for them. However, there are rare studies about middle-aged suicide and self-harm. The purpose of this study is to identify factors affecting suicide in middle-age patients hospitalized for intentional self-harm by patient characteristic, disease characteristic and dangerous characteristic from 2009 to 2018. Study data was using Korean national hospital discharge in-depth survey data produced by Korea Disease Control and Prevention Agency. Study subjects were 84,139 inpatients and analyzed frequency, chi-square test, and logistic regression by using STATA 12.0(StataCorp, College Station, Texas). The results of this study show that influencing factors of suicide were woman(OR, 0.328, CI. 0.233-0.461), depression(OR, 0.381, CI. 0.227-0.639), family conflict(OR, 0.525, CI. 0.314-0.877), suffocation(OR, 29.984, CI. 9.914-90.687), fall(OR, 5.742, CI. 1.606-20.532), fire/flame(OR, 13.113, CI. 3.240-53.077). These findings are expected that it will help enable more precise medical practices in the management and prevention of middle-aged suicide and help make effective decisions.

Purpose: The purpose of this study is to identify the trends and seasonality of the three major emergency diseases(Acute myocardiac infarction, Stroke, Severe trauma) and to use them to establish efficient resources and evidence-based physicians to predict the number of patients.
Methodology: From 2014 to 2018, the number of patients who received emergency medical care for acute myocardial infarction, stroke, and severe trauma (based on ICISS 2008) was predicted using Emergency Medical Status Statistics provided by the National Medical Center. Based on the Autoregressive integrated moving average model, the increasing trend and seasonality of patients by disease were confirmed and the number of patients was predicted.
Findings: Since 2014, the number of patients with emergency diseases has steadily increased, with the highest number of patients in the order of Severe trauma (based on ICISS 2008), Stroke, and Acute myocardiac infarction. Patients with cerebrovascular disease, such as Acute myocardiac infarction and stroke, increased rapidly in winter(Oct-Jan), and patients with severe trauma increased mainly in summer or autumn(May-Oct) and number of patients will increase with seasonality.
Practical Implications: The number of major emergency patients is expected to increase steadily over time, so it is important to be prepared for this. Therefore, providing emergency care with limited resources is a very important issue, and in order to prepare for the growing elderly population, emergency medical patients, and unpredictable infectious diseases, it is necessary to keep track of the number of patients for each emergency disease.