• 제목/요약/키워드: General Hospital Workers

검색결과 311건 처리시간 0.026초

핵의학 종사자의 방사선 피폭에 따른 생체신호 변화 분석 (Analysis of Changed Bio-Signal to Radiation Exposure of Nuclear Medicine Worker)

  • 이훈재;이상복
    • Journal of Radiation Protection and Research
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    • 제32권1호
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    • pp.27-34
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    • 2007
  • 본 논문에서는 일반인과 상대적으로 방사선피폭이 많은 핵의학 종사자들의 생체신호를 측정하여 방사선 피폭에 따른 생체신호 변화 정도를 비교 평가하고자 하였다. 핵의학과 종사자와 타부서 종사자들의 생체신호를 비교평가 하기 위하여 핵의학 종사자는 충북대학교 병원 핵의학과 종사자를 타부서 종사자는 전남대학교 병원 CT설, 일반촬영실, 의무기록실, 접수실 그리고 일반 사무실 종사자들에게 실험을 실시하였다. 실험에 쓰인 계측 장비들은 방사선량 계측을 위하여 Arrow -Tech사(社)의 poket dosimeter를 사용하였고, 생체신호인 심박수, 혈압을 측정하기 위하여 GE Medical Systems사(社)의 TONOPORT V, Heat flux, Skin temperature, Energy expenditure을 측정하기 위하여 Body Media사(社)의 Armband 인 SenseWare 2000을 사용하였다. 실험 결과 다음과 같은 결론을 얻었다. 1) 일일 장소에 따른 개인별 피폭 선량은 핵의학과가 3.05 uSv를 기록하였고, CT실, 일반촬영실, 병원 의무기록실, 병원 접수실, 일반 사무실, 교원 등이 뒤를 이었다. 핵의학과가 다른 장소(핵의학과를 제외한 나머지)에 비해 약1.4배 선량이 많았다. 2) 방사선 누적선량이 Heat flux, Skin temperature, Energy expenditure와는 별다른 관계가 없는 것을 알 수 있었다. 3) Blood pressure 에서는 Systolic blood pressure와 Diastolic blood pressure 이 핵의학과 종사자, 일반사무직 종사자, 일반인이 고르게 나타났다. 방사선선량이 상대적으로 많은 곳에서 근무하는 핵의학 종사자와 다른 직종에 종사하는 사람의 혈압을 비교해 왔을 때 변화가 없었다. 이 같은 결과로 볼 때 방사선 피폭이 상대적으로 많은 핵의학종사자들의 방사선 피폭에 따른 유해는 없다는 것을 알 수 있었다.

종합병원내 조리실 종사자들의 근골격계질환 예방을 위한 프로그램 개발과 평가: 실행연구 (A Program Development and Evaluation to Prevent Musculoskeletal Disorders among Kitchen Workers in General Hospitals: An action research)

  • 강은미;이혜원
    • 디지털정책학회지
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    • 제1권2호
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    • pp.79-87
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    • 2022
  • 본 연구는 종합병원 내 조리실 종사자들의 근골격계 질환 예방을 위한 프로그램을 개발하고자 수행한 참여적 실행연구이다. 이 연구는 G시 소재 C종합병원에 근무하는 조리실 근로자 15명, 영양사 3명, 간호사 2명, 물리치료사 1명이 참여하였으며 2018년 3월부터 12월까지 이루어졌다. 참여적 실행연구에 대한 개념적 모형을 바탕으로 양적 자료와 질적 자료를 통합적으로 수집하고 분석하였다. 근골격계 질환 예방을 위한 프로그램을 개발하여 총 13회를 적용한 결과, 프로그램의 구성과 운영시간, 전문성 부분에 있어서 만족도가 높게 나타났으며 향후 지속적인 프로그램의 운영을 원하는 것으로 나타났다. 따라서 본 연구결과를 바탕으로 향후 다른 근로자들을 대상으로 하여 근무부서와 작업의 특성을 고려한 근골격계 질환 예방 프로그램을 참여적 실행연구를 통해 개발하고 적용할 필요가 있다.

병원의 조직문화와 조직구성원의 임파워먼트와의 관계 (Relationship between Organizational Culture and Hospital Worker's Empowerment)

  • 정순관;전정님;이은주
    • 보건행정학회지
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    • 제17권1호
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    • pp.28-49
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    • 2007
  • Organizational culture has been, by and large, regarded as one of the most significant factors to manage organizations. Especially the understanding of empowerment is pivotal, leading to explain organizational cultures. For hospital workers whose services are closely related to quality and performance of their hospitals, empowerment is now called upon more than ever before. This study is intended to investigate the relationship between organizational culture types and hospital workers' empowerment levels. The data were collected from 589 hospital workers at one university hospital and two general hospitals using the self reported questionnaire from Jan.9 to Jan.20 in 2004. The findings were as follows: 1. Empowerment levels were significantly different among the four organizational culture types. Developmental culture group showed the highest empowerment score(3.74), and next were group culture(3.64), rational culture(3.62), and hierarchial culture(3.46). 2. There was a significantly positive correlation between group culture and empowerment(r=.298, p<.000), between developmental culture and empowerment(r=.295, p<.000). But there was not a significantly correlation between hierarchial culture, and between rational culture. 3. According to the multiple regression analysis, self-esteem(${\beta}$=.417, p<.001), position (${\beta}$=-.190, p<.001), self-control(${\beta}$=.185, p<.001), and age(${\beta}$=.169, p<.01) were significant among general properties for organizational empowerment. As for organizational cultures, developmental culture(${\beta}$=.165, p<.001), group culture(${\beta}$=.099, p<.01), and rational culture (${\beta}$=.063, p<.05) were significant other than hierarchial culture. In conclusion, it is necessary to promote group culture and developmental culture to enhance hospital worker's empowerment level, and this article elucidates that understanding the organizational culture embedded in each organization is important for efficient management of organization.

Modified Orbitozygomatic Approach without Orbital Roof Removal for Middle Fossa Lesions

  • Lopez-Elizalde, Ramiro;Robledo-Moreno, Edgar;O'Shea-Cuevas, Gabriel;Matute-Villasenor, Esmeralda;Campero, Alvaro;Godinez-Rubi, Marisol
    • Journal of Korean Neurosurgical Society
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    • 제61권3호
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    • pp.407-414
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    • 2018
  • Objective : The purpose of the present study was to describe an OrBitoZygomatic (OBZ) surgical variant that implies the drilling of the orbital roof and lateral wall of the orbit without orbitotomy. Methods : Design : cross-sectional study. Between January 2010 and December 2014, 18 patients with middle fossa lesions underwent the previously mentioned OBZ surgical variant. Gender, age, histopathological diagnosis, complications, and percentage of resection were registered. The detailed surgical technique is described. Results : Of the 18 cases listed in the study, nine were males and nine females. Seventeen cases (94.5%) were diagnosed as primary tumoral lesions, one case (5.5%) presented with metastasis of a carcinoma, and an additional one had a fibrous dysplasia. Age ranged between 27 and 73 years. Early complications were developed in four cases, but all of these were completely resolved. None developed enophthalmos. Conclusion : The present study illustrates a novel surgical OBZ approach that allows for the performance of a simpler and faster procedure with fewer complications, and without increasing surgical time or cerebral manipulation, for reaching lesions of the middle fossa. Thorough knowledge of the anatomy and surgical technique is essential for successful completion of the procedure.

병원 아웃소싱 직원과 정규직원의 조직문화 인식이 직무에 미치는 영향 (Effects of Job Satisfaction according to the Understanding of Organization Culture between Outsourcing Workers and Regular Workers)

  • 장효강;류황건;배성권
    • 한국콘텐츠학회논문지
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    • 제9권2호
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    • pp.279-288
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    • 2009
  • 본 연구의 목적은 병원의 정규직원과 아웃소싱 직원간의 일반적 특성을 이해하고, 아웃소싱에 대한 태도에 있어서 차이를 분석하며, 근무환경, 가치관, 조직문화요인 등의 요소들을 비교분석하고, 이러한 요인들을 최적화하여 직무만족과 직무몰입, 이직의도에 각기 어떠한 영향을 미치는가를 분석하고자 하였다 설문조사 결과, 정규직원들이 직업에 대한 자부심, 직무수행능력에 대한 인정수준, 상사에 대한 업무지시 방식에 대한 만족도, 하루업무량에 대한 만족도 등에 대한 내용들에 있어서 아웃소싱 직원에 비해 긍정적으로 인식하고 있었고, 통계적으로도 유의한 결과를 보였다. 또한, 다중회귀분석을 통해 직무만족과 직무몰입에 영향을 미치는 조직문화 요인으로, 정규 직원에게서는 이념수행과 가치관이, 아웃소싱 직원에게서는 가치관과 이념인식, 교육이 영향을 미치는 요인으로 나타났다. 그러므로 직무만족과 직무몰입을 극대화하기 위해서는 아웃소싱 직원들의 긍정적인 가치관 확립을 위한 프로그램의 개발과 함께 직원 채용시 긍정적 가치관을 소유하고 있는 직원을 선발하는 것이 매우 중요하다고 할 수 있다.

일개 병원의 환자안전문화에 대한 인식 (A Study on Worker's Perception of Patient Safety Culture in a hospital)

  • 이해원;조현선;김순화
    • 한국의료질향상학회지
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    • 제17권1호
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    • pp.89-105
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    • 2011
  • Background : The purpose of study in to grasp the level of perception of hospital workers on the patient safety culture, consider the difference in perception of patients safety culture according to medical service and finally find out a way to establish patient safety culture in hospital. Methods : As for the data, the analysis on frequency, t-test, ANOVA and tukey test were carried out by using SPSS 12.0. Result : The results of comparison among the positive response ratios on the patients culture of hospital workers showed that the subjects had perceived the teamwork within units most positively(74.1%), and perceived most negatively on the non-punitive response to error(16.2%)and the staffing(26.2%). 68.6% of subjects answered that the medical error were mostly of always reported. when daytime working hours are longer, perception of patient safety culture ranked low. In general, departments for direct medical service than departments for indirect medical service assessed patient safety culture high. Conclusion : Organizational learning and teamwork within units, communication openness, active support of hospital management for patient safety, and cooperation across the units would be crucial to promote the overall perceptions of patients safety of hospital workers and the level of patients safety in the units and to improve the quality of the event reporting system.

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종합병원 근무자의 근로생활의 질과 조직유효성과의 관련성 (Relationship between Quality of Working Life and Organizational Effectiveness of Employees at the General Hospital)

  • 이선희;조희숙
    • 한국병원경영학회지
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    • 제4권2호
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    • pp.1-20
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    • 1999
  • Objectives: Quality of Working Life(QWL) is a set of employee's physical, mental conditions which are perceived at their work. Most employees and managers are concerned about the quality of working life as a strategy for improving organizational effectiveness. The purpose of this study is to investigate the relationship between QWL and organizational effectiveness of employees at the general hospital. Methods : Data were collected by self-administered questionnaires at the general hospital in Kyunggi-Do. Survey was conducted to 675 workers. QWL was measured by using 5 items from the scale developed by Walton(1973). Organizational effectiveness was measured by measuring organizational commitment, intention of job-shift, and job satisfaction. Results: The recognitions to each component of QWL were significantly different by socio-demographic characteristics such as sex, age, education levels and working duration. Also, QWL were significantly different by types of organizational culture. Multiple regression analysis and multiple logistic regression analysis were applied to find the relationship of QWL and organizational effectiveness. As a result, job-pride, compensation, working condition, human relationship and development showed significant relationship with organizational effectiveness. Conclusions: These results show that QWL is significantly related to organizational effectiveness. So we expect that this result will be used as basic informations for management and motivation of employees at the general hospital.

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Increased breast cancer incidence among nurses in a tertiary university hospital in South Korea

  • Juho Choi;Dong-Wook Lee;Baek-Yong Choi;Seung-Woo Ryoo;Taeshik Kim;Yun-Chul Hong
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.44.1-44.11
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    • 2023
  • Background: A series of breast cancer cases were recently reported in a tertiary university hospital in South Korea. Nurses are generally exposed to risk factors for breast cancer such as night shift work, antineoplastic agents, and job strain. However, the epidemiological evidence of excess incidence among nurses remains lacking. This study aims to investigate the excess incidence of breast cancer among nurses in a tertiary university hospital and provide epidemiological evidence of occupational risk factors. Methods: A retrospective cohort was developed using personnel records of female workers in the nursing department who worked from January 2011 to June 2021 in a tertiary university hospital in South Korea. Sick leave records were used to identify cases of breast cancer. The standardized incidence ratio of breast cancer among nurses was compared to the general population. Results: A total of 5,509 nurses were followed up for 30,404 person-years, and 26 breast cancer cases were identified. This study revealed a significantly increased breast cancer incidence among all included nurses, with a standardized incidence ratio of 1.65 (95% confidence interval [CI]: 1.08-2.41), compared to the general population. Workers, who handle antineoplastic agents in their representative department and current and/or former department, had significantly elevated breast cancer standardized incidence ratios of 2.73 (95% CI: 1.008-5.94) and 3.39 (95% CI: 1.46-6.68), respectively. Conclusions: This study provides significant evidence of increased breast cancer risk among nursing staff in a hospital setting, particularly those who handle antineoplastic drugs. Measures that reduce exposure to risk factors should be implemented, especially anticancer drugs, to protect healthcare professionals. Further research at a national level that focuses on healthcare workers is necessary to validate breast cancer incidence and its contributing factors.

The Relationship between Hospital Selection by Employer and Disabilities in Occupational Accidents in Korea

  • Ahn, Joonho;Jang, Min;Yoo, Hyoungseob;Kim, Hyoung-Ryoul
    • Safety and Health at Work
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    • 제13권3호
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    • pp.279-285
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    • 2022
  • Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

병원종사자의 직업성 스트레스에 관한 연구 - 서울시내 500병상 이상 병원종사자를 중심으로 - (Occupational Stress of Hospital Workers)

  • 이우천
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.1-33
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    • 1998
  • The purpose of this thesis is to study theoretical access to the methods that have been used for the research of occupational stress, thereby providing management methods of occupational stress of hospital workers. With a stress model of hospital workers set up from the viewpoint of organization management, 929 sets of questionnaires were collected from intern doctors, resident doctors, nurses, nursing aides, pharmacists, medical technicians, workers in patient affairs(reception and medical insurance workers), administrators and clerks from the 8 hospitals in Seoul with more than 500 beds. Upon variance analysis, correlation analysis and regression analysis of the collected questionnaires, this work examined how differences in stress caused by specific occupations and formulated a method of stress management for the hospital workers. The results are as follows. 1) If some duties of the nurses suffering from role-overloaded stress are transferred to the nursing aides dissatisfied with insufficient role, the two grunting groups can be satisfied at the same time. It is also necessary to transfer some jobs of the overloaded workers in patient affairs to the administrators, or the other way around. To reduce stress of conflict and ambiguity of role caused by the obscure division of roles between the workers, the role of each occupation should be delineated and the clear division of roles should be translated into action strictly according to that delineated. 2) Stress of inefficiency of organization from which the student doctors suffer can be relieved by management of participation. If they have access to the process of decision-making in general hospital affairs and consequently their understanding and the autonomy of job performance are promoted, such stress will be reduced. 3) To cope with stress of career development from which nurses, medical technicians, administrators, workers in patient affairs suffer, it is necessary to establish whether they have a chance to revive their careers, whether there are any ways of remotivation for less contributive workers, and whether they encourage each other to develope their careers. If they are given a chance to develope their careers, such stress will be relieved. 4) Pharmacists, suffering from stresses of living and personal relations, have strong cohesive power among themselves and organize a well-integrated team; thereby reducing the stress of personal relations and increasing productivity. 5) For administrators and student doctors confined to lesser social supports and for nurses and workers in patient affairs whose recognition of stress and job satisfaction are affected by social supports, emotional and informational supports for job performance help alleviate an individual's mental, and physical stress. 6) In addition to the above-mentioned stress-management methods, if an organizational coping strategy is provided according to the types of stress from the general viewpoint of the whole group of hospital workers, it would be of great help to managing stress. For example, the redesign of jobs, the management of objective, the improvement of working environment, the formation of an autonomous working group and various working plans can be set up for those who suffer from stress related to inappropriate role, while career counseling and development of career process can be provided for those dissatisfied with career development. Participation in the process of decision-making and the restructuring of the organization are needed for those who suffer from stress of malfunctioning organization, whereas creation of a supportive organizational atmosphere is desired for those who feel stressed due to personal relations. As well, such organizational coping strategies. as the increase of welfare facilities, seminars and educational programs and provision of health-promotion facilities can be provided.

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