• 대한토목학회논문집
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• 제34권4호
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• pp.1327-1334
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• 2014

도로, 철도, 하천 등 선형형태 사회기반시설물 사업들은 일반적으로 행정구역을 가로지르고, 길이는 수 km에서 수백 km 이상이며 폭이 좁고 길이가 긴 사업들로 사업승인을 위한 지형도면고시 작성을 위해 낱장 도곽 형태가 아닌 연속지적도를 사용한다. 2009년에 제정된 통합법인 측량 수로조사 및 지적에 관한법률은 사업승인을 위한 설계 및 시공도서 작성과 지형도의 좌표계를 세계측지계를 적용하도록 하고 있다. 그러나 통합법 부칙 제5조에 따라 지적은 지역좌표계를 유지하고 있어 연속지적도를 이용한 지형도면고시 내용의 기술적 오류가 발생한 경우 행정처분으로서 고시의 효력 여부, 그리고 토지경계에 대한 책임 문제가 제기되고 있다. 본 연구에서는 그 원인을 분석하고 선형형태 사업의 특성을 고려한 좌표변환 및 보정을 실시한 후, 그 결과를 기존에 구축된 연속지적도에 반영, 지형도면고시 절차 개선으로 이어질 수 있도록 제시하였다.

• 한국방사선학회논문지
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• 제15권4호
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• pp.481-490
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• 2021

한국에 초음파사 자격제도는 없다. 그러나 「의료기사 등에 관한 법률」에 방사선사가 초음파 진단기를 취급할 수 있도록 규정하고 있다. 따라서 방사선사가 초음파검사를 시행하는데 허용되는 업무 범위와 한계에 대하여 논란이 있다. 이에 한국 보건복지부의 유권해석과 행정심판 재결, 법원의 판결을 분석해 보았다. 그 결과 유권해석에서는 방사선사가 초음파영상검사를 수행할 때 의사가 방사선사의 촬영영상을 동시에 보면서 실시간으로 진단과 구체적인 지도가 이루어질 수 있다면, 물리적으로 동일한 공간에 있어야 한다는 의미로서 입회 또는 기타 의료기술을 활용한 "의사의 실시간 지도하에 방사선사의 초음파검사 및 촬영"은 가능하며, 이 경우 의사의 지도는 방사선사와 1:1로 이루어져야만 한다'고 풀이하고 있다. 행정심판에서는 초음파 관련 장비의 취급은 방사선사의 업무라고 재결하였다. 법원에서는 의사의 구체적인 지휘·감독 없이 방사선사가 단독으로 초음파검사를 시행하고, 방사선사가 초음파검사에 대하여 의학적 판단을 하는 것은 위법이라고 판결하였다. 그러나 미국, 캐나다, 호주, 일본 등에서는 초음파사(sonographer, 超音波検査士)가 의사의 처방에 따라 독자적으로 환자에 대한 초음파검사를 하고, 그 결과에 대한 예비소견을 작성하여 의사에게 전달하고 있다. 따라서 한국에서도 미국 등과 같이 초음파검사를 시행하는 방사선사가 실시간 지도를 받지 않고 의사의 처방에 따라 초음파검사를 수행할 수 있도록 제도적 개선이 요구된다.

• 한국산업보건학회지
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• 제23권2호
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• pp.114-122
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• 2013

Objectives: This study was performed in order to investigate by questionnaire the factors affecting the occupational satisfaction of work-environment measurement workers, as well as to suggest fundamental materials for systematic, administrative and economic improvements which are necessary to create a vision for the future. Material and Methods: A structured questionnaire was used at a total of 152 institutions and 1,254 work-environment measurement workers throughout the country from February to September 2012. Responses came from 97 institutions (64%) and 941 work-environment measurement workers (75.1%). The factors affecting the job satisfaction of work-environment measurement workers were statistically evaluated through $x^2$-test and ordinal logistic regression analysis. Results: Major factors affecting the job satisfaction of workers in relation to work-environment measurement were working, financial, and psychological conditions (p<0.05). Conclusions: Considering the results of this study, the improvement of labor conditions should be undertaken because workers engaged in work-environment measurement are fundamental to occupational health.

• Safety and Health at Work
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• 제8권1호
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• pp.19-28
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• 2017

Background: Conservation of resources theory assumes loss of resources as a cause of job strain. In hospital work, conflicts with supervisors are tested to predict lower resources, that is, supervisory social support, participation possibilities, and appreciation. All three resources are expected to predict, in turn, experienced stress (job strain) and lower job satisfaction, lower affective commitment, and a higher resigned attitude towards the job (job attitudes). Methods: The sample included 1,073 employees from 14 Swiss hospitals (n = 604 nurses, n = 81 physicians, n = 135 medical therapists, and n = 253 technical and administrative staff). Of the total sample, 83.1% were female and 38.9% worked full-time. The median tenure was between 7 years and 10 years. Constructs were assessed by online questionnaires. Structural equation modeling was used to test mediation. Results: Structural equation modeling confirmed the negative association of conflict with supervisors and job resources. Tests of indirect paths to resources as a link between conflicts with supervisors and job attitudes were significant. For nurses, social support, participation and appreciation showed a significant indirect path, while among medical technicians the indirect paths included social support and appreciation, and among physicians only appreciation showed a significant indirect path. In medical therapists no indirect path was significant. Job resources did not mediate the link between conflict with supervisors and stress in any occupational group. Conclusion: Conflicts with supervisors are likely to reduce job resources and in turn to lower job attitudes. Work design in hospitals should, therefore, address interpersonal working conditions and conflict management in leadership development.

• 가정∙방문간호학회지
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• 제27권3호
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• pp.250-258
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• 2020

Purpose: This study aimed to investigate the relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis units at primary care centers. Methods: In this cross-sectional descriptive study, 116 nurses working in hemodialysis units at 22 primary care centers were enrolled as participants. They were selected them by the convenience sampling method. Data were collected using structured questionnaires that included questions on general characteristics, nursing work environment, patient safety culture, and patient safety nursing activities. Results: The nursing work environment was relatively good; however, the patient safety culture and patient safety nursing activities were poor. A positive correlation was found between nursing work environment, patient safety culture, and patient safety nursing activities. Factors that affect patient safety culture were rated high in the order of nursing work environment and patient safety nursing activities, and factors affecting patient safety nursing activities were rated high in the order of patient safety culture and age. Conclusion: This study showed that the development of tailored patient safety training for nurses in hemodialysis units working in primary care and administrative support from those institutions are needed. In particular, strategies accounting for nurses' characteristics such as age are required to strengthen patient safety nursing activities.

• 한국인구학
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• 제3권1호
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• pp.42-51
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• 1979

A study on analysis of daily activities and time allocations of Community health Practitioners(CHP) and Community Health Aids(CHA) who assigned to Ocku Demonstration Health Project of the Korean Health Development Institute was conducted for one week from 3rd through 8th December 1979. The purpose of this study was to determine the efficacy including productivity of the community Health Workers developed by KHDI for rural areas. Five Community Health Practitioners and eight Community Health Aids were selected for the studies and their activities and time allocations were measured by designed format for one week. The following are the summary of the findings. 1. The mean age of the CHPs was 34.4 years with standard deviation 4.8 years, while that of CHAs was 26.9 years with standard deviation 3.1 years. 2. On educational background, all of the CHPs were graduated from Junior Nursing College, six CHAs were from high school and the rest of them from middle school. 3. On marital status, all CHPs were married, meanwhile four CHAs were married and the rest of them were single. 4. On service duration in public health fields, all of the CHPs have worked for less than three years, meanwhile five CHAs for 5 to 9 years and one CHA for more than 10 years. 5. Only one CHP lives in the myon where she works, and the rest of them live in other areas. Three CHAs live in the same myon where they work, and five live in other areas. 6. On types of work, the CHPs have worked on technical areas for 3.6 hours per day and on supportive and administrative activities for 2.7 hours and other activities for 1.8 hours on average. 7. The CHAs have spent 2.9 hours a day on technical activities, 4.2 hours on supportive and administrative activities and 1.6 hours on other activities in terms of time spent on average. 8. The average hours per day spent by CHPs on functional areas were 2.2 hours for clinic activities, 13.7 minutes for maternal health, 30.1 minutes for infant and child health, 13.4 minutes for family planning, 1.1 hours for supporting activities and 1.7 hours for administrative affairs. 9. The average hours per day spent by CHAs on functional areas were 4.1 hours for administrative affairs, 2.6 hours for supportive activities and only 2.9 for maternal health, infant and child health an family planning, and other technical works. 10. The average time spent by CHPs on clinical works were 1.0 minutes for history takings on disease, 2.6 minutes for physical examinations, 1.1 minutes for measurements, 3.8 minutes for administration of medications, 1.5 minutes for educations and 0.9 minutes for others. 11. On the average 92.8 percent of whole working hours of CHPs were spent in the substations, meanwhile 70.4 percent of CHAs were spent in the substations. 12. 17.8 percent of field working hours of CHAs were spent on the roal for their transportations. 13. The average time for unit service performance by CHPs were 10.9 minutes on clinical case, 18.1 minutes on maternal health, 14.8 minutes on infant and child health, 20.5 minutes on family planning and 29.9 minutes on tuberculosis control. 14. The average time for unit service performance by CHAs were 19.4 minutes on clinical work, 19.9 minutes on maternal health, 20.1 minutes on infant and child health, 17.2 minutes on family planning, 22.2 minutes on tuberculosis control.

• 기록학연구
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• 제26호
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• pp.63-93
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• 2010

이 글은 지방자치가 성숙되기 위해서는 기록문화가 발전해야 함을 밝힌 글이다. 우리나라에서 1994년에 지방자치 선거가 실시되어 자치단체 활동을 수행한 지 16년이 지났다. 지방자치는 지방의 경제적 자립, 지방민의 의식 성장 등이 이루어져야 제대로 이루어질 수 있다. 아울러 지방의 기록이 잘 관리되고 공개 활용된다면, 지방자치가 활성화될 수 있을 것이다. 그러나 해방 이후 현재까지 지방자치단체의 기록들이 제대로 관리되지 못하였다. 지방자치단체의 기록보존소가 제대로 설립되지 못하고, 조직 예산 및 전문인력 등이 제대로 배치되지 않아 지방기록관리가 원활히 수행되지 못하였다. 그 결과 의미있는 지방기록이 남아 있지 않아 지방행정시책 및 흐름을 알 수가 없다. 지방자치단체의 기록이 잘 관리된다면, 행정의 효율화, 행정의 책임화, 행정의 투명화가 이루어질 수 있다. 지방공무원의 업무경험과 사업경험이 기록으로 생산되고 관리되어 후임 공무원 및 지역민에게 참조되고 활용되어야 행정의 효율이 높아질 것이다. 아울러 업무 기록이 잘 관리되어야, 그를 바탕으로 각 단계별로 책임소재를 규명할 수 있다. 지방자치단체는 모든 행정절차와 결과를 주민에게 공개하여 행정의 투명성을 확보할 수 있다. 현재의 상황에서 지방자치단체의 기록을 관리하기 위한 전제 조건은 기록물관리기관 및 전담기구의 설치와 기록물관리 전문요원의 배치이다. "공공기록물 관리에 관한 법률"에는 2007년 12월 31일까지 시 도지사가 행정자치부장관 등과 협의하여 지방기록물관리기관의 설치 및 운영 등에 관한 계획을 수립하도록 명시하였으나, 아직까지 이루어지지 않고 있다. 기록물관리기관이 설치되고, 기록물관리 전문요원을 비롯한 기록관리팀이 신설되어 운영되어야 지방기록관리는 비로소 제대로 이루어질 수 있을 것이다. 나아가 이를 바탕으로 기록문화운동이 활발하게 전개되어 지방 공무원 및 지방민들이 지방 기록의 중요성을 인식하고, 지방기록관리를 검증하고, 지방의 기록을 공개하여 연구자와 주민들이 활용할 수 있을 때, 지방자치는 한 단계 높아질 것이다.

• 한국도서관정보학회지
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• 제24권
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• pp.301-334
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• 1996

This study is aimed at examination and analysis of current status of university library's line and staff organization especially the private university's. Motivation for this study is based on the following facts : First, the library work now is changing from the conventional one to automated one. Second, librarians in the front line must be trained in the newly set work because of the separation of work process in automated libraries. Methodologies of this study, apart from theoretical aspects, were visiting and interviewing librarians at 30 university libraries, examining the current status and problems of the line and staff organization of the university libraries. The result from the study is as follows: First, interviewing reveals that 35% of the 75 private university library is having 'associate directorship by librarian' system. Benefits from this system are described, recommending other University libraries adopt this system. This system su n.0, pplements the weak point of concurrent director's office of lay professor, as well as encourages librarian's morale by promotion. Second, the current organization of the university libraries are to be reformed. Namely, 1) the name of each division must be newly and a n.0, ppropriately set of changed suiting for the work of automated library, thus reforming the division. This must be conducted via collection of opinions of the Korean Library and Information Science Society' and associated organizations. 2) Newly formed division(for example, administrative division or division of operation and management, division conducting digital library work, etc.) must be added to the line and staff organization. 3) For information service division, there must be a certain number of subject specialists. 4) Status of the directorship of university library, librarianship, issue of renaming of university library are also described.

• Safety and Health at Work
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• 제12권3호
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• pp.390-395
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• 2021

Background: Health-care providers typically undergo shift work and are subjected to increased stress. Night shift work may induce disturbed sleep cycles and circadian rhythm. The objective of this study was to explore if night shift workers (NSWs) show an increased risk of abnormal thyroid-stimulating hormone (TSH). Methods: We conducted a retrospective cohort study of 574 employees without thyroid disease and abnormal TSH at baseline who underwent annual check-ups between 2007 and 2016 in a medical center. NSWs were defined as those with working time schedules other than daytime hours. We calculated the incidence rate and estimated the adjusted hazard ratio (HR) for incident abnormal TSH and subclinical hypothyroidism compared with non-NSWs using a Cox regression model. Results: A total of 56 incident abnormal TSH cases and 39 subclinical hypothyroidism cases in NSWs were identified during 3000 person-years of follow-up. In models adjusted for age, sex, obesity, and working departments, we found no increased relative risk for incident abnormal TSH (HR: 0.72, 95% confidence interval: 0.33-1.60) or subclinical hypothyroidism (HR: 0.52, 95% confidence interval: 0.19-1.45) when comparing NSWs to non-NSWs; nor were incidence rates significantly different among exclusively medical employees after excluding administrative staff. Conclusion: In this hospital-based nine-year follow-up retrospective cohort study, NSWs were not associated with increased relative risk of incident abnormal TSH and subclinical hypothyroidism, in contrast to previous cross-sectional studies.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2003년도 학술대회지
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• pp.73-81
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• 2003

미국 건설산업은 숙련된 기능공의 부족이라는 도전적 과제를 경험해 오고 있다. 이 문제는 다음과 같은 여러 원인들에 의해 야기된것이다. 건설산업의 이미지 저하, 훈련과 교육의 부족, 불분명한 경력관리, 임금의 저하, 노동인력의 구성변화. 건설인력과 관련된 이러한 문제점들을 근본적으로 해결하기 위해 Two-Tier Work Force Strategy라는 획기적인 접근방법이 Center for Construction Industry Studies (CCIS)에서 제안되었다. Two-Tier Work Force Strategy는 Tier I과 Tier II Strategy로 구성되어 있다. Tier I 전략은 기술이 떨어지고 단순작업이 가능한 기능인력을 활용하며, 많은 수의 현장관리인원을 필요로 한다. Tier II 전략은 상대적으로 잘 교육받고, 기술수준이 높은 소수의 기능인력을 활용하며, 그들은 기능능력과 더불어 관리능력도 갖추고 있어야 한다. 그들은 더 높은 급여를 받지만, 높은 기술수준으로 인해 더 생산적으로 일할 수 있고, 다중기술의 보유로 더 오래 현장에머물며, 안전, 품질, 공정, 그리고 원가적 측면에서 향상된 프로젝트 성과를 가져온다. Two-Tier Work Force Strategy는 근래의 기능인력에 대한 문제점을 해결하고, 미래에 더 나은 노동환경을 가져올 수 있는 방안이 될 수 있을 것이다.