• Title/Summary/Keyword: Health rights

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Systematizing Information Use to Address Determinants of Health Worker Health in South Africa: A Cross-sectional Mixed Method Study

  • Muzimkhulu Zungu;Annalee Yassi ;Jonathan Ramodike;Kuku Voyi;Karen Lockhart;David Jones;Spo Kgalamono;Nkululeko Thunzi;Jerry Spiegel
    • Safety and Health at Work
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    • v.14 no.4
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    • pp.368-374
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    • 2023
  • Background: Recognizing that access to safe and healthy working conditions is a human right, the World Health Organization (WHO) calls for specific occupational safety and health (OSH) programs for health workers (HWs). The WHO health systems' building blocks, and the International Labour Organization (ILO), highlight the importance of information as part of effective systems. This study examined how OSH stakeholders access, use, and value an occupational health information system (OHIS). Methods: A cross-sectional survey of OSH stakeholders was conducted as part of a larger quasi experimental study in four teaching hospitals. The study hospitals and participants were purposefully selected and data collected using a modified questionnaire with both closed and open-ended questions. Quantitative analysis was conducted and themes identified for qualitative analysis. Ethics approval was provided by the University of Pretoria and University of British Columbia. Results: There were 71 participants comprised of hospital managers, health and safety representatives, trade unions representatives and OSH professionals. At least 42% reported poor accessibility and poor timeliness of OHIS for decision-making. Only 50% had access to computers and 27% reported poor computer skills. When existing, OHIS was poorly organized and needed upgrades, with 85% reporting the need for significant reforms. Only 45% reported use of OHIS for decision-making in their OSH role. Conclusion: Given the gap in access and utilization of information needed to protect worker's rights to a safe and healthy workplace, more attention is warranted to OHIS development and use as well as education and training in South Africa and beyond.

The Influence of Human Rights Sensitivity and the Nursing Work Environment on Workplace Bullying Victimization among Nurses in Small- and Medium-Sized Hospitals (중소병원 간호사의 인권감수성과 간호근무환경이 직장 내 괴롭힘 피해에 미치는 영향)

  • Cho, Eun-Kyung;Kim, Moon-Jeong
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.27-38
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    • 2019
  • Objectives: The purpose of this study was to examine the influence of human rights sensitivity and nursing work environment on workplace bullying victimization among nurses in small- and medium-sized hospitals. Methods: The participants were 255 nurses from 5 general hospitals in Busan. A dataset was collected using a structured self-reporting questionnaire during the month of July 2018. The data were analyzed with SPSS WIN 23.0 software (IBM Corp., Armonk, NY, USA) using independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Nursing work environment showed negative correlation with workplace bullying victimization. Being a witness to bullying, organizational support, head nurse's leadership, and relationships with peers were found to influence workplace bullying victimization, and these 4 variables explained 37% of workplace bullying victimization. Conclusions: Formal procedures for cases of bullying and improvements in the leadership of head nurses and peer relationships are crucial to reducing workplace bullying victimization among nurses in small- and medium-sized hospitals. Hospital executives' efforts to provide sufficient physical and human resources for nursing services and to improve the welfare of nurses are also needed.

Research on the Actual Condition of Working Conditions in the Small and Medium Clinics (중소 병.의원 근무환경 실태조사)

  • Cheol, Kweon-Dae;Mi, Jang-Myeong;Hei, Jang-Yun;Mo, Chung-Kyung;Sin, Kwak-Choong
    • Journal of radiological science and technology
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    • v.28 no.1
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    • pp.55-65
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    • 2005
  • Research of actual condition of working conditions in the small and clinics, in the Seoul metropolitan city and Kyeonggido province. With the health care environmental change such as a rapid increase of the elderly people, rapid increase of health promotion needs, it is necessary to analyse and identity of the actual condition of working conditions for present and new radiological technologist. Research of general characteristics for the present radiological technologist. To research of the status employment, business scope, pay, working conditions, radiation safety management, equipment, and category association. Defining the problems of related working conditions, radiation safety management for the comprehensive methods to promote the rights the radiological technologist. A proposal for establishment legislature and system of the actual condition in the hospital for radiological technologist. Estimation for the demand and supply numbers of present radiological technologist and improvement of employment relations. Improved and refined scope business and duty regulation related to radiological technologist. Application for the establishment and development of promotion rights to utilize as basic data in a legislative and system frame of reference to implement the radiological technologist.

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A Study on Legal Protection, Inspection and Delivery of the Copies of Health & Medical Data (보건의료정보의 법적 보호와 열람.교부)

  • Jeong, Yong-Yeub
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.359-395
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    • 2012
  • In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

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Study on the Workers' Participation in Industries (일부(一部) 사업장(事業場)의 산업보건(産業保健) 사업(事業)에 있어서의 근로자(勤勞者) 참여(參與)에 관한 조사(調査) 연구(硏究))

  • Choi, Jae-Wook;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.339-355
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    • 1991
  • The concept of workers' participation in occupational health was introduced to Korea recently in relation to primary health care in occupational health. But there is confusion and debate about workers' participation concept. The purpose of this study was to review the concepts of workers' participation and to conduct evaluation the workers' participation status in occupational health and safety, 394 workers and 54 employers (5.6%) in north area of Kyunggi-Do, were selected and interviewed with a questionnaire by a trained interviewer from August to September 1990. In general, the concept of workers' participation is based on industrial domocratisation and Declaration of Human Rights which had been powerful ideologies in labor movement. Contrary to workers' participation, community participation is rooted in the Health Rights. So, it is necessary to consider concept of workers' participation to improve participation. The results of survey were as follows. 1. Most of companies (71.75) carried out occupational health education to workers in study area. 2. The Occupational Safety and Health Committee (OSHC) were set up in 24.1% among the study companies, and 72.7% of workers among respondents thought that OSHC was helpful to workers health. 3. The workers signed his name to personal health report in 43.1% and the rate of participation in occupational environment examination was 54.9%. 4. The workers prefer the OSHC (39.3%), owner (35.1%) and union (25.8%) as a occupation health organisation, but owners prefer OSHC (54.5%), manager (43.2%) and union (2.3%). 5. Among the factors of the general characteristics, the existence of labor union was a major determinant of workers' attitude and level of workers' participation. As we have seen, most levels of workers' participation are low in occupational health. The variable of existence of labor union among the factors was a ma determinant of workers attitude and level of workers' participation. Therefore, in order to promote workers health, it is necessary to ponder long deeply on occupational health care system under the viewpoint of workers' participation.

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EXPLANATION BY PHYSICIANS AND CONSENT OF PATIENTS (의사(醫師)의 설명(說明)과 환자(患者)의 동의(同意))

  • Choe, Haeng-Sik
    • The Korean Society of Law and Medicine
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    • v.5 no.2
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    • pp.294-319
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    • 2004
  • Because the treatment of a physician generally pertains to the intrusion into body of a patient, his/her consent is a must in order for such conduct to be justifiable. To ensure effective consent of a patient, the physician should fully inform him/her of kind and details of the disease and way of treatment and risks associated with it. The patient can, then, make a decision whether he/she should accept any treatment or operation, if necessary, on the basis of such information. The obligation of physicians to explain has since long been recognized as important in view of guaranteeing the rights of patients for self-decision and protecting them from arbitrary assessment of physicians for treatment. Progress has been made in this respect even to the extent that physicians treat patients on equal terms and think first of all much of establishing trustworthy relationships with patients. Lots of studies in Korea and foreign countries have tried to explore the issues concerning the obligation of physicians to explain in the meantime but seem to have failed to make concrete and versatile approaches from the standpoint of protecting the rights of patients. Wouldn't it be really possible for patients to perceive their own rights and cope actively with the medical treatments? If physicians have full understanding to the rights of patients, they will be put in a better situation to protect themselves and patients, in turn, can identify their own responsibility correctly, which will eventually contribute to fulfilling the goal of treatment. With this background, the present paper examines briefly the obligations of physicians for explanation based mainly on the preceding theories and judicial precedents in the first place and then deals with the status quo and contents of the German medical laws, with a focus on the treaty of European Law 1997 and its working document on the applications of genetics for health purposes that stipulate the detailed criteria on the medical treatment and rights of patients and Germany's $\ulcorner$Charter of Rights for Patients$\lrcorner$ promulgated in 2003.

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Human Rights Damage and Self-esteem of University Students: The Mediating Effect of Hope and Grit (대학생의 인권침해경험과 자아존중감: 희망과 그릿의 매개효과)

  • Lee, Chang-Seek;Park, Ji-Young;Raj, Padhaya Pushpa;Gautam, Umakanta;Denis, Ndam Mbah;Adhikari, Sunit
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.51-57
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    • 2019
  • The objective of the study was to determine the mediation effects of hope and grit in the relationship between human rights damage and self-esteem. A sample of students was recruited from two universities in Korea. For data analysis, SPSS PC+ and SPSS PROCESS macro were used. Frequency, reliability, correlation and mediating effect analysis were performed. Bootstrap technique was done to verify the mediating effect. Results showed as follows. First, grit, self-esteem and hope were negatively correlated with human rights damage, but grit, self-esteem and hope were positively correlated with each other. Second, hope and grit mediated in the relationship between human rights damage and self-esteem. For further research, it was discussed how university students who experienced human rights abuses could use grit and hope to maintain their lowered self-esteem.

Effects of Human Rights Violation of the Elderly on Ageism - Focusing on the Mediating effect of Experiences elated to the elderly- (노인인권침해지각이 노인차별주의에 미치는 영향 -노인관련경험의 매개효과를 중심으로-)

  • Jang, Kyeung-Ae;Heo, Seong-Eun
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.168-175
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    • 2021
  • This study aimed to identify the impact of human rights violations on elderly discrimination, focusing on the mediating effect of elderly-related experiences. After conducting a two-month survey of 143 dental students in some parts of Busan from September 4, 2020, hierarchical regression analysis was conducted to find out the mediating effects of elderly-related experiences using the SPSS 26.0 program. Dental hygiene students' perception of infringement on elderly human rights was shown to be significant in elderly discrimination(r=-.310) and elderly-related experiences(.185), indicating that elderly-related experiences were partially mediated in elderly human rights infringement and elderly discrimination. Therefore, this study intends to provide basic data on the development of dental hygiene curriculum in a super-aging society by reconsidering the need for senior-related experiences in dental hygiene and education.

The Impact of Employment Precariousness on Depression: Focusing on the Multidimensional Concept of Precarious Employment (고용 불안정성이 우울에 미치는 영향: 불안정 고용의 다차원적 개념을 중심으로)

  • Che, Xianhua;Moon, Daseul
    • The Journal of the Korea Contents Association
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    • v.22 no.4
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    • pp.677-688
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    • 2022
  • Precarious employment is negatively associated with mental health including depression. The aim of the study is to suggest the multidimensional definition of precarious employment and examine its impacts on depression. Using the fifth save of the Korean Working Condition Survey, we first measured six different dimensions of employment precariousness: temporariness, disempowerment, vulnerability, difficulty exercising rights, unpredictability of working times, and low wage. All of six precariousness indicators consisted of a scale from 0 to 100. Then, we conducted logistic regression to examine the association between employment precariousness and depression. For men, the risk of depression increased by 3.1%, 1%, and 0.5%, respectively, for each one point increase in vulnerability, difficulty in exercising rights, and unpredictability of working times. For women, the risk increased by 0.5%, 2.3%, and 0.8%, respectively, for each one point increase in temporariness, vulnerability, and difficulty in exercising rights. Our findings suggest that not only a secure employment contract, but also their substantive labor rights should be guaranteed for health for workers.