• Proceedings of the ESK Conference
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• 1997.10a
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• pp.186-195
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• 1997

본 연구에서는 교대근무를 시행하는 사업장을 조사아여 교대 분류방법에 의해 교대제의 명확한 분류 와 국내의 교대제 적용업체의 편성상의 문제점을 파악하고 개선안을 제시하며, 문제점과 편성의 성격에 따을 스트레스의 정도를 분석하고자 하였다. 교대제는 크게 비심야 교대제, 심야 교대제, 휴일이 있는 종일 교대제, 휴일이 없는 종일 교대제로 나누어 진다. 마산, 창원 지역의 교대제는 휴일이 있는 종일 교대제를 가장 많이 취하고 있었으며, 전반적인 문제점으로는 휴일이 없는 교대제가 존재하며, 야근 연 속 일수가 4일 이상으로 길고, 생체리듬의 길어지는 특성에맞지 않는 역순환이 존재하며 휴일이 없는 종 일 교대제에서 야간 근무에서 주간근무로 근무간격시간이 짧다는 여러 가지 문제점을 가지고 있다. 편성 상의 문제점과 성격에 의한 SACL의 분석에서장시간 근무하는 12시간 2교대 보다 8시간 정상 근무하는 3교대 의 스트레스가 낮고, 야근 연속일 수는 5일 이하인 경우의 스트레스가 제일 낮았고, 휴일은 있는 경우가 높았다. 연령별로는 40대에서 교대제 편성상에따른 프트레스 점수간 차이를 보였지만 다른 연령대에서는 차이를 보이지 않았다.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.385-392
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• 2014

Workshift is a method of organization of working time in which workers succeed one another at the workplace. The shift work system enables round-the-clock activities required for meeting technological needs and productive and economic demands. This study tries to find the practical implications by investigating the workshift systems which are successfully applied in two representative Korean companies, Yuhan-Kimberly and POSCO. Case study method is applied in oder to analyze the special feature of shift work systems in two companies. It is concluded that the shift system(2-4system) has positively enhanced firm's capability including workers' satisfaction and commitment, product quality, and productivity. Specifically, the shiftwork system applied in the companies has significantly influenced on the workers' work-life balance.

• Sleep Medicine and Psychophysiology
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• v.5 no.1
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• pp.71-79
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• 1998

Objectives : This study was to evaluate sleep patterns and daytime sleepiness resulting from rotating shiftwork. The authors, also, tried to find out the relationship between the severity of daytime sleepiness and personality factors. Methods : The subjects consisted of 41 female rotating shiftwork nurses and the control group consisted of 39 female day timeworkers. All of them completed the Sleep questionnaire of Korea University Sleep Disorder Clinic, the Epworth Sleepiness Scale(ESS), the 16 Personality Factors(16PF), the Beck Depression Inventory(BDI) and the State Trait Anxiety Inventory(STAI). Multiple regression analysis of 16PF of the rotating shiftwork nurses was done to find out possible predictors of the severity of daytime sleepiness. Results : The mean duration of deprived sleep due to rotating shiftwork was $64.26\;{\pm}\;14.54\;min$. The frequency of sleep difficulty($1.24\;{\pm}\;1.17\;day/week$ vs $0.67\;{\pm}\;1.31\;day/week$, p < 0.05), time needed to fall asleep($103.05\;{\pm}\;73.48\;min$. vs $70.00\;{\pm}\;60.08\;min$, p < 0.05), sleep duration when having some difficulties in sleep ($204.25\;{\pm}\;79.90\;min$. vs $280.44\;{\pm}\;111.59\;min$., p < 0.001), recent changes in energy($x^2\;=\;4.16$, p < 0.05), worrying about sleep($x^2\;=\;11.08$, p < 0.05), and taking naps($x^2\;=\;4.98$, p < 0.05) showed significant differences between rotating shiftworkers and normal controls. The ESS socre of shiftworkers ($8.68\;{\pm}\;3.04$) was greater than that of normal controls ($6.86\;{\pm}\;3.04$)(p < 0.01). Personality factors such as C factor($R^2\;=0.283$), I factor($R^2\;=0.358$) and G factor($R^2\;=0.470$) were related with the severity of the daytime sleepiness(p < 0.001). Conclusions : The rotating shiftwork nurses had more difficulties in sleep such as having difficulties in falling asleep and in maintaining sleep, and showed lowered energy, decreased senses of well-being and so on. The rotating shiftwork nurses experienced more severe daytime sleepiness than controls did. Personality factors, such as C factor, I factor, and G factor of 16PF were suggested to be useful for predicting the severity of daytime sleepiness resulting from rotating shiftwork.

• Journal of Convergence for Information Technology
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• v.11 no.3
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• pp.46-53
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• 2021

This study aimed to compare general and female health-related factor between day-work and shift-work worker. It is based on the data of the Korea National Health&Nutrition Examination Survey(KNHANES) 2nd year on 7th period. The number of participants was 10,430. Out of the participants, 1,995 workers' dara was analyzed. The age, marital status, education level, occupational status and childbirth experience of female workers indicated significant differences between day and shift work. By contrast, health-related quality of life did not represent significant differences these factors; income, subjective health cognition, stress perception, depression experience, menarcheal age, menopausal age and breastfeeding period. The shift work is inevitably implemented as an industrial development and flexible work hours. Therefore, social and national attention and measures as well as those of individual workers are required to reduce the side effects from shiftwork.

• Radiation Oncology Journal
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• v.20 no.2
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• pp.116-122
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• 2002

Purpose : A randomized prospective study was conducted to compare the efficacy of early or late alternating schedules of radiotherapy, and carboplatin and ifosfamide chemotherapy in patients with limited-disease small cell lung cancer. Materials and Methods: From August 1993 to August 1996, a total of 44 patients with newly diagnosed, limited-disease small cell lung cancer, PS $H0\~2$, wt $loss<10\%$ were enrolled in a randomized trial which compared early alternating radiotherapy (RT)/chemotherapy (CT) and late alternating RT/CT. The CT regimen included ifosfamide $1.5\;g/m^2$ IV, d1-5 and carboplatin AUC 5/d IV, d2 peformed at 4 week intervals for a total of 6 cycles. RT (54 Gy/30 fr) was started after the first cycle of CT (early arm, N=22) or after the third cycle of CT (late arm, N=22) with a split course of treatment. Results : The pretreatment characteristics between the two arms were well balanced. The response rates in the early $(86\%)$ and late $(85\%)$ arm were similar. The median survival durations and 2-year survival rates were 15 months and $22.7\%$ in the early arm, and 17 months and $14.9\%$ in the late arm (p=0.47 by the log-rank test). The two-year progression free survival rates were $19.1\%$ in the early arm and $19.6\%$ in the late arm (p=0.52 by the log-rank test). Acute grade 3 or 4 hematologic and nonhematologic toxicities were similar between the two arms. Eighteen patients $(82\%)$ completed 6 cycles of CT in the early arm and 17 $(77\%)$ in the late arm. Four patients received less than 45 Gy of RT in the early arm and two in the late arm. There was no significant difference in the failure patterns. The local failure rate was $43\%$ in the early arm and $45\%$ in the late arm. The first site of failure was the brain in $24\%$ of the early arm patients compared to $35\%$ in the late arm (p=0.51). Conclusion : There were no statistical differences in the overall survival rate and the pattern of failure between the early and late alternating RT/CT in patients with limited-disease small cell lung cancer.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.111-120
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• 2021

Objectives : Shift work has been known to cause various health problems by making it difficult for humans to adapt to their natural circadian rhythms. In particular, shift workers tend to complain of sleep difficulties associated with work schedules, and sometimes use alcohol as a self-medication to induce sleep. To date, no clear mechanism has been identified regarding the link between shift work and sleep, between shift work and drinking. This study aims to confirm the relationship between shift work and sleep, and to analyze whether the change in sleep caused by shift work causes drinking. Methods : This study included 11360 people (5704 men and 5656 women) among the Korean National Health and Nutrition Survey data in 2014, 2016 and 2018. The work type between 6am-6pm was defined as day work, and other work types were defined as shift work. Using logistic regression analysis, the relationship between shift work and sleep quality, shift work and high risk drinking, drinking amount at 1 time, drinking frequency were analyzed. In addition, we analyzed whether sleep mediates the relationship between shift work and drinking using mediated analysis. Results : Shift work showed a significant negative relationship with sleep quality in men and women (male OR=1.37, 95% CI 1.11-1.70, female OR=1.26, 95% CI=1.05-1.50). There was no significant relationship between shift work and alcohol in the case of men, but in the case of women, there was a significant positive relationship between shift work and the number of alcohol consumption (OR=1.34, 95% CI=1.04-1.72). When mediation analysis was conducted, it was found that women's sleep quality partially mediated the relationship between shift work and the frequency of drinking. Conclusions : The results of this study suggest that shift work causes sleep difficulties, and in the case of women, drinking can be induced through the partial mediating effect of sleep. Considering that women are more likely to choose drinking as a coping method for sleep problems, more active interventions for female shift workers are needed.

• Korean Journal of Social Welfare
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• v.58 no.1
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• pp.115-141
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• 2006

The purpose of this study is to understand the changes from adopting daily two-shift roster in child care institutions. To accomplish this purpose, we collected data mainly from depth interview with managers, child care workers, and children in child care institutions adopting daily two-shift roster, and analysed these data through qualitative case study approach. The results of this study are as follows. First, child care workers take the chance of recreation, their working conditions improved, they were participated in self-development activity, and they could make relationship with persons in social network. But, some participants worried about decrease of responsibility of workers. Second, one hand, possibility of high-quality care for child is increased, on the other hand, possibility of improving attachment relationship between workers and children is decreased. some children is confused by shift. But, most important strength is that partners have complementary parenting roles through discussion about parenting skills. They have developed communication skills by trial and error, and growed with children through sharing. Third, many qualified persons have applied for institution because of improvement of working conditions, thus institutions had the chance of adopting qualified workers. These workers have various abilities and resources, could mobilize resources from community, and could progress various programs and intervene for children. But, institutions had many difficulties in process adopting daily two-shift roster because of unstable financial support and previous structure. Most of participants worried about that local government may cut down a subsidy.

• Journal of the Korea Convergence Society
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• v.12 no.7
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• pp.295-304
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• 2021

This study is a secondary data analysis to investigate the nursing tasks performance, appropriate performer, and job satisfaction in the general wards with sift work. We found that nurses performed direct (45%) and indirect nursing (55%). The workload per shift was 37.2% in the day, 35.6% in the evening, and 27.2% at night. The tasks performed after handover were 'direct nursing (34.5%)' and 'documentation and notification (25.8%)'. Nurses responded that there were some tasks that could be delegated to nursing assistants or had ambiguous boundaries with other medical personnel. There was a significant correlation between compliance to the job description of the night shift and job satisfaction (rs=.43, p=.01). These results imply that it is necessary to establish strategies that will enhance work efficiency based on job analysis by shift work, reduce handover time using EMR system, stmart devices, and clarify appropriate performers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.178-187
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• 2021

This study is a descriptive correlation study to identify the factors affecting life satisfaction for shift service workers and is a secondary data analysis study using the raw data from the Fifth Korean Work Environment Survey. Five hundred and seventy-seven study subjects were selected from 20-year-old wage workers who had more than one year of work experience at the time of the survey and had worked more than 40 hours a week. The analysis used SPSS 23.0 WIN, including a t-test, one-way ANOVA by Scheffe test, Pearson's correlation oefficients, and Hierarchical multiple regression analysis. Regarding the general characteristics of the subjects, there was a difference in life satisfaction according to age, educational level, industrial type, and subjective health status. The higher the work-life balance and work satisfaction of the shift service worker, the higher the life satisfaction. In addition, social support had a moderating effect on the relationship between work-life balance and work satisfaction of shift service workers. Active social support, work satisfaction, and work-life balance improvement promotion programs were developed and applied to shift work service workers considering the factors influencing life satisfaction, thereby improving the life satisfaction of work shift service workers.

• Quality Improvement in Health Care
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• v.1 no.2
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• pp.44-59
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• 1994

Medical consumers(patients) want evening-clinic because of busy work. For patient's convenience and improving service, hospital should accept it. Considering payment system and patient's demand, personnel expenses, hospital can not accept. The practice of shift system to accept patient's demand and hospital's economic aspect was made. To analysis the effect of the system and probability to alternative to evening clinic this study was done. This study was composed of basal study, intervention, evaluation of effect. The basal study were composed of studying demand on evening clinic, the number of beds, doctors employee, the time table of practice and work, and the number of patients at arrival time. The intervention composed of changing of practice time, changing of working time by the number of patients at arrival time, increasing of employee. The evaluation of effect were composed of evaluating the number of patient at time, the effect of shift system, the comparison of the number of in and out patients and questionnairing the practice of shift system. In the practice time at 2 shift system First team works 7-15 hours and Second team 12-20 hours. there are no lunch and supper time. At 18-20 hours the number of patients were 25-30. The number of patient a depart were 6-7. The number of out-patient increase in 13% and inpatient increase in 10% before the system. Doctors(100%), employee(94.6%), and patients(86.4%) approved this system. The advantage of this system were utilization of surplus time, lengthen the practice time, even distribution of patients and shortening of waiting time, rapid treatment of emergent patients. The disadvantage of this system were shortage of manpower, not all depart practice, continuity of practice, no lunch and supper time, irregular rounding. At present because of small Demanding on evening clinic, this shift system was economical. To succeed this study more effectively all depart in hospital participate. But because of economical reason it is impossible for hospital to do it. If the government assist the economic loss that all depart participate in this system it is very helpful for hospital to succeed in implementing this system more early.