• Title/Summary/Keyword: 3-shift system

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A Study on Hoslital Nurses' Preferred Duty Shift and Duty Hours (병원 간호사의 선호근무시간대에 관한 연구)

  • Lee, Gyeong-Sik;Jeong, Geum-Hui
    • The Korean Nurse
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    • v.36 no.1
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    • pp.77-96
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    • 1997
  • The duty shifts of hospital nurses not only affect nurses' physical and mental health but also present various personnel management problems which often result in high turnover rates. In this context a study was carried out from October to November 1995 for a period of two months to find out the status of hospital nurses' duty shift patterns, and preferred duty hours and fixed duty shifts. The study population was 867 RNs working in five general hospitals located in Seoul and its vicinity. The questionnaire developed by the writer was used for data collection. The response rate was 85.9 percent or 745 returns. The SAS program was used for data analysis with the computation of frequencies, percentages and Chi square test. The findings of the study are as follows: 1. General characteristics of the study population: 56 percent of respondents was (25 years group and 76.5 percent were "single": the predominant proportion of respondents was junior nursing college graduates(92.2%) and have less than 5 years nursing experience in hospitals(65.5%). For their future working plan in nursing profession, nearly 50% responded as uncertain The reasons given for their career plan was predominantly 'personal growth and development' rather than financial reasons. 2. The interval for rotations of duty stations was found to be mostly irregular(56.4%) while others reported as weekly(16.1%), monthly(12.9%), and fixed terms(4.6%). 3. The main problems related to duty shifts particularly the evening and night duty nurses reported were "not enough time for the family, " "afraid of security problems after the work when returning home late at night." and "lack of leisure time". "problems in physical and physiological adjustment." "problems in family life." "lack of time for interactions with fellow nurses" etc. 4. The forty percent of respondents reported to have '1-2 times' of duty shift rotations while all others reported that '0 time'. '2-3 times'. 'more than 3 times' etc. which suggest the irregularity in duty shift rotations. 5. The majority(62.8%) of study population found to favor the rotating system of duty stations. The reasons for favoring the rotation system were: the opportunity for "learning new things and personal development." "better human relations are possible. "better understanding in various duty stations." "changes in monotonous routine job" etc. The proportion of those disfavor the rotating 'system was 34.7 percent. giving the reasons of"it impedes development of specialization." "poor job performances." "stress factors" etc. Furthermore. respondents made the following comments in relation to the rotation of duty stations: the nurses should be given the opportunity to participate in the. decision making process: personal interest and aptitudes should be considered: regular intervals for the rotations or it should be planned in advance. etc. 6. For the future career plan. the older. married group with longer nursing experiences appeared to think the nursing as their lifetime career more likely than the younger. single group with shorter nursing experiences ($x^2=61.19.{\;}p=.000;{\;}x^2=41.55.{\;}p=.000$). The reason given for their future career plan regardless of length of future service, was predominantly "personal growth and development" rather than financial reasons. For further analysis, the group those with the shorter career plan appeared to claim "financial reasons" for their future career more readily than the group who consider the nursing job as their lifetime career$(x^2$= 11.73, p=.003) did. This finding suggests the need for careful .considerations in personnel management of nursing administration particularly when dealing with the nurses' career development. The majority of respondents preferred the fixed day shift. However, further analysis of those preferred evening shift by age and civil status, "< 25 years group"(15.1%) and "single group"(13.2) were more likely to favor the fixed evening shift than > 25 years(6.4%) and married(4.8%)groups. This differences were statistically significant ($x^2=14.54, {\;}p=.000;{\;}x^2=8.75, {\;}p=.003$). 7. A great majority of respondents(86.9% or n=647) found to prefer the day shifts. When the four different types of duty shifts(Types A. B. C, D) were presented, 55.0 percent of total respondents preferred the A type or the existing one followed by D type(22.7%). B type(12.4%) and C type(8.2%). 8. When the condition of monetary incentives for the evening(20% of salary) and night shifts(40% of. salary) of the existing duty type was presented. again the day shift appeared to be the most preferred one although the rate was slightly lower(66.4% against 86.9%). In the case of evening shift, with the same incentive, the preference rates for evening and night shifts increased from 11.0 to 22.4 percent and from 0.5 to 3.0 percent respectively. When the age variable was controlled. < 25 yrs group showed higher rates(31.6%. 4.8%) than those of > 25 yrs group(15.5%. 1.3%) respectively preferring the evening and night shifts(p=.000). The civil status also seemed to operate on the preferences of the duty shifts as the single group showed lower rate(69.0%) for day duty against 83. 6% of the married group. and higher rates for evening and night duties(27.2%. 15.1%) respectively against those of the married group(3.8%. 1.8%) while a higher proportion of the married group(83. 6%) preferred the day duties than the single group(69.0%). These differences were found to be statistically all significant(p=.001). 9. The findings on preferences of three different types of fixed duty hours namely, B, C. and D(with additional monetary incentives) are as follows in order of preference: B type(12hrs a day, 3days a wk): day shift(64.1%), evening shift(26.1%). night shift(6.5%) C type(12hrs a day. 4days a wk) : evening shift(49.2%). day shift(32.8%), night shift(11.5%) D type(10hrs a day. 4days a wk): showed the similar trend as B type. The findings of higher preferences on the evening and night duties when the incentives are given. as shown above, suggest the need for the introductions of different patterns of duty hours and incentive measures in order to overcome the difficulties in rostering the nursing duties. However, the interpretation of the above data, particularly the C type, needs cautions as the total number of respondents is very small(n=61). It requires further in-depth study. In conclusion. it seemed to suggest that the patterns of nurses duty hours and shifts in the most hospitals in the country have neither been tried for different duty types nor been flexible. The stereotype rostering system of three shifts and insensitiveness for personal life aspect of nurses seemed to be prevailing. This study seems to support that irregular and frequent rotations of duty shifts may be contributing factors for most nurses' maladjustment problems in physical and mental health. personal and family life which eventually may result in high turnover rates. In order to overcome the increasing problems in personnel management of hospital nurses particularly in rostering of evening and night duty shifts, which may related to eventual high turnover rates, the findings of this study strongly suggest the need for an introduction of new rostering systems including fixed duties and appropriate incentive measures for evenings and nights which the most nurses want to avoid, In considering the nursing care of inpatients is the round-the clock business. the practice of the nursing duty shift system is inevitable. In this context, based on the findings of this study. the following are recommended: 1. The further in-depth studies on duty shifts and hours need to be undertaken for the development of appropriate and effective rostering systems for hospital nurses. 2. An introduction of appropriate incentive measures for evening and night duty shifts along with organizational considerations such as the trials for preferred duty time bands, duty hours, and fixed duty shifts should be considered if good quality of care for the patients be maintained for the round the clock. This may require an initiation of systematic research and development activities in the field of hospital nursing administration as a part of permanent system in the hospital. 3. Planned and regular intervals, orientation and training, and professional and personal growth should be considered for the rotation of different duty stations or units. 4. In considering the higher degree of preferences in the duty type of "10hours a day, 4days a week" shown in this study, it would be worthwhile to undertake the R&D type studies in large hospital settings.

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Exploring Policy Reform Options for the Welfare Regime Shift in Korea (한국 복지의 새판 짜기를 위한 문제 인식과 방안 모색)

  • Hong, Kyung Zoon
    • Korean Journal of Social Welfare
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    • v.69 no.2
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    • pp.9-30
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    • 2017
  • Generally, regime shift occurs less frequently than policy change and/or government change. Regime shift needs alterations and changes along the three critical components which constitute a domestic regime: (1) the character of the socioeconomic coalition that rules the country; (2) the political and economic institutions through which power is acquired and exercised; and (3) the public policy profile that give political direction to the nation. This paper tries to examine characteristics of the welfare regime of Korea, and explore policy reform options for the welfare regime shift in Korea. From the viewpoint of livelihood security perspective, I firstly tries to examine development process of Korean welfare regime and specify the main characteristics of that regime. Secondly, I present three policy reform options: (1) reform of the formal political institutions such as electoral system and government type; (2) restructuring of the composition of government expenditure structure; and (3) reduction of the informal employment. These three policy reform options are related to the alteration of socioeconomic coalitions and the changes of the political and economic institutions. Instead of concluding remarks, I finally suggest two debate topics to the round table discussion.

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PN Sequence Generation from 2-D Array of Shift Registers

  • Kim, Hyun-Jung;Lee, In-Kyu;Kim, Woon-Kyung M.
    • ETRI Journal
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    • v.27 no.3
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    • pp.273-279
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    • 2005
  • Toward code division multiple access (CDMA) communications and data protection, we propose and analyze pseudorandom noise (PN) sequences generated from a 2-dimensional array structure of shift-registers. For any positive integers m and n, we construct PN sequences of period $2^{mm}-1$ using an $m{\times}n$ array of registers and show that we can generate all shifted PN sequences as required by IS-95x with the proper linear combination of available sequences.

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Modular Backpropagation Network to Diagnosing Plasma Processing Equipment

  • Kim, Byungwhan
    • 제어로봇시스템학회:학술대회논문집
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    • 2002.10a
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    • pp.32.5-32
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    • 2002
  • Processing plasmas are playing a crucial role in either depositing thin films or etching fine patterns. Any variability in process factors (such as radio frequency power or pressure) can cause a significant shift in plasma state. When this shift becomes large enough to change operating condition beyond an acceptable level, overall product quality can greatly be jeopardized. Thus, timely and accurate diagnosis of plasma malfunction is crucial to maintaining device yield and throughput. Many diagnostic systems have been developed, including HIPOCRATES [1] and PIES [2]. Plasma equipment was also diagnosed by combining neural network and expert system called Dempster-Schafer Theory [3]. A fact c...

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New Evaluation on Maximum Ratio Diversity Reception for the Detection of Signals over Correlated Nakagami Fading Channels

  • Hong Wan-Pyo;Kim Chang-Hwan
    • Journal of information and communication convergence engineering
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    • v.2 no.3
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    • pp.145-148
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    • 2004
  • The performances of M-ary signals using L-branch maximum ratio combining (MRC) diversity reception in correlated Nakagami fading channels are derived theoretically. The coherent reception of M-ary differential phase shift keying (MDPSK), phase shift keying (MPSK), and quadrature amplitude modulation (MQAM) is considered. It is assumed that the fading parameters in each diversity branch are identical. The general formula for evaluating symbol error rate (SER) of M-ary signals in the independent branch diversity system is presented using the integral-form expressions.

Comparison of Quench Methods in The Coal Gasification System with Carbon Capture (CO2 포집을 포함한 석탄 가스화 시스템에서 급냉 방법에 따른 비교)

  • Lee, Joong-Won;Kim, Ui-Sik;Ko, Kyung-Ho;Chung, Jae-Hwa;Hong, Jin-Pyo
    • Journal of Hydrogen and New Energy
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    • v.23 no.3
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    • pp.285-292
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    • 2012
  • The integrated gasification combined cycle (IGCC) system is well known for its high efficiency compared with that of other coal fueled power generation system. IGCC offers substantial advantages over pulverized coal combustion when carbon capture and storage (CCS) is required. Commercial plants employ different types of quenching system to meet the purpose of the system. Depending on that, the downstream units of IGCC can be modeled using different operating conditions and units. In case with $CO_2$ separation and capture, the gasifier product must be converted to hydrogen-rich syngas using Water Gas Shift (WGS) reaction. In most WGS processes, the water gas shift reactor is the biggest and heaviest component because the reaction is relatively slow compared to the other reactions and is inhibited at higher temperatures by thermodynamics. In this study, tehchno-econimic assessments were found according to the quench types and operating conditions in the WGS system. These results can improve the efficiency and reduce the cost of coal gasification.

Validity of Breast Cancer Symptom Questionnaire and Its Relationship With Breast Ultrasonography in Young Female Night Workers

  • Chae, Chang-Ho
    • Safety and Health at Work
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    • v.11 no.3
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    • pp.361-366
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    • 2020
  • Background: This study aimed to identify the validity of breast cancer symptom questionnaire of worker's special health examination and its relationship with breast ultrasonography findings in young female night workers. Methods: The breast cancer symptom questionnaire data of worker's special health examination and breast ultrasonography results in young female shift workers who worked in one electronic manufacture company were collected from 2014 to 2018. Results: Of the 857 workers, 18 had a Breast Imaging Reporting and Database System category 4 or higher. Among other variables, shift work tenure alone was associated with the risk of having a Breast Imaging Reporting and Database System category higher than 4. The sensitivity, specificity, positive predictive value, and negative predictive value of the symptom questionnaire were 16.7%, 87.7%, 2.8%, and 98.0%, respectively. Conclusion: The current breast cancer symptom questionnaire of the worker's special health examination is inappropriate due to its low sensitivity and positive predictive value. In the future, female night workers will need alternative measures for more accurate screening for breast cancer.

Bit Interleaved Coded Modulation for Noncoherent N-symbol Continuous Phase Frequency Shift Keying (비동기식 N-심볼 연속 위상 주파수 변조 방식을 위한 비트 인터리브 된 부호화 변조)

  • Kim Chang-Joong;Lee Ho-Kyoung
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.16 no.3 s.94
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    • pp.286-292
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    • 2005
  • We design and analyze the bit interleaved coded modulation(BICM) for noncoherent N-symbol continuous phase frequency shift keying(CPFSK) on the interleaved Rayleigh fading channel. In this paper, we use the equivalent normalized squared distance(ENSD) of noncoherent N-symbol CPFSK to design and analyze the BICM system. Specially, we design the BICM system for noncoherent 2-symbol 4-ary CPFSK, and analyze the performance of the system by using the ENSD. Simulation results are also provided to verify the theoretical performance analysis.

Hessenberg Method for Small Signal Stability Analysis of Large Power Systems (대규모 전력계통의 미소신호 안정도 해석을 위한 Hessenberg법)

  • Nam, Hae-Gon;Song, Seong-Geun;Sim, Gwan-Sik;Mun, Chae-Ju;Kim, Dong-Jun;Mun, Yeong-Hwan
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.49 no.4
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    • pp.168-176
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    • 2000
  • This paper presents the Hessenberg method, a new sparsity-based small signal stability analysis program for large interconnected power systems. The Hessenberg method as well as the Arnoldi method computes the partial eigen-solution of large systems. However, the Hessenberg method with pivoting is numerically very stable comparable to the Householder method and thus re-orthogonalization of the krylov vectors is not required. The fractional transformation with a complex shift is used to compute the modes around the shift point. If only the dominant electromechanical oscillation modes are of concern, the modes can be computed fast with the shift point determined by Fourier transforming the time simulation results for transient stability analysis, if available. The program has been successfully tested on the New England 10-machine 39-bus system and Korea Electric Power Co. (KEPCO) system in the year of 2000, which is comprised of 791-bus, 1575-branch, and 215-machines. The method is so efficient that CPU time for computing five eigenvalues of the KEPCO system is 3.4 sec by a PC with 400 MHz Pentium IIprocessor.

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Study on Influences and Elimination of Test Temperature on PDC Characteristic Spectroscopy of Oil-Paper Insulation System

  • Liu, Xiao;Liao, Ruijin;Lv, Yandong;Liu, Jiefeng;Gao, Jun;Hao, Jian
    • Journal of Electrical Engineering and Technology
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    • v.10 no.3
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    • pp.1107-1113
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    • 2015
  • Test temperature is an important factor affecting the measurement results of dielectric response of field power transformers. In order to better apply the polarization and depolarization current (PDC) to the condition monitoring of oil-paper insulation system in power transformers, the influences and elimination method of test temperature on PDC characteristic spectroscopy (PDC-CS) were investigated. Firstly, the experimental winding sample was measured by PDC method at different test temperatures, then the PDC-CS was obtained from the measurement results and its changing rules were discussed, which show that the PDC-CS appears a horizontal mobility with the rise of temperature. Based on the rules, the “time temperature shift technique” was introduced to eliminate the influence of test temperature. It is shown that the PDC-CS at different test temperatures can be converted to the same reference temperature coincident with each other.