• Title/Summary/Keyword: Nurses' work environment

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Comparison of Cardiovascular Risk Profile Clusters Among Industrial Workers

  • Hwang, Seon-Young;Lee, Ji-Hyun
    • Journal of Korean Academy of Nursing
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    • v.35 no.8
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    • pp.1500-1507
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    • 2005
  • Purpose. The purpose of this study was to identify subgroups of the physical and behavioral risk profiles for cardiovascular disease among industrial workers, and to examine predicting factors for the subgroups. Sample and Method. Health records of 2,616 male and female workers aged 19-56 years who were employed in an airplane manufacturing industry were analyzed. Data were analyzed using the Latent class cluster analysis. Results. Four different clusters (two high-risk groups, one low-risk group, and one normal group) were found and these clusters were significantly different by age, gender, and work type (p < .05 ). The two high-risk groups had higher chances of drinking alcohol, elevated BMI, FBS, total cholesterol, having hypertension, and were significantly older, and had relatively high chances of being day workers rather than other groups. The low-risk group had higher chances of drinking alcohol, higher BMI and total cholesterols compared to normal group, and highest portions of current smokers and shift workers in the four clusters and their mean BP was within prehypertension criteria. Conclusion. Industrial nurses should guide the lifestyle behaviors and risk factors of the high risk groups for CVD and need to intervene early for behavioral change for the low-risk group who are young and shift workers. Age, and work environment should be considered in planning for targeted preventive interventions for industrial workers.

Factors Affecting the Job Performance of Occupational Health Manager at the Hospital (의료기관 보건관리자의 직무 수행도에 영향을 미치는 요인)

  • Ji, Sun-Young;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.1
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    • pp.8-19
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    • 2020
  • Purpose: To identify the importance and performance levels of health management duties, work-related and general attributes of health managers in medical institutions and analyze their impact on the performance of managing health-care related tasks. Methods: This research identified the performance levels of 150 health managers who have been executing industrial health-related duties for more than six months as nurses in medical institutions with more than 30 hospital beds. The variables which affect their performances were then analyzed. Results: The average importance of health care duties was 8.1 out of 10 and 5.5 for performance levels. Multi-regression analysis on the variables affecting performance levels of health managers in medical institutions showed that health managers exhibit higher numbers under the following conditions: over 300 full-time employees, more than 1 year but less than 3 years of experience, positions above section chief level, affiliation to the safety and health department, and high perception of duty importance. Conclusion: Improved cognizance of health manager importance should occur initially; then, health-care center setup, assigning of exclusive occupational health managers, and organizational efforts to improve the working environment in tandem with the provision of educational training programs to improve work quality are necessary.

The Current Status of Workers at Major Industrial Health Institutions in South Korea (우리나라 산업보건 주요기관의 인력 현황)

  • Young Gyu Phee;Seung Won Kim;Sa Woo Lee;Gwangyong Yi
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.1
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    • pp.70 -77
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    • 2023
  • Objectives: The purpose of this study was to identify information on the workers at major industrial health institutions. Methods: The subjects were employees at work environment measurement institutions, specialized health management institutions, special health examination institutions, and health checkup institutions. Data on these employees was identified by age, career, region, and qualification. Results: The sample totaled 6,449 workers at major industrial health institutions. The number of doctors, nurses, and industrial hygienists was identified at 4,609. For their age groups, 34.1% were in their 30s, and 56.3% had less than five years of work experience. The distribution by region was 24.3% in Gyeonggi-do Province, 12.7% in Seoul, and 8.7% in Gyeongsangnam-do Province. Conclusions: Information on occupational health human resources has been published irregularly and is limited by specialty. Therefore, it is necessary to systematize information on human resources and disclose it regularly so that supply and demand conditions can be predicted when establishing industrial accident prevention policies.

A Study of the Health Service Computerization State and the Occupational Nurses's Satisfaction Level on Computerization (산업간호현장의 보건업무 전산화시스템 활용현황과 산업간호사의 전산화 직무만족도 연구)

  • Jung, Hee Young;Park, Hyoung-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.1
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    • pp.5-18
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    • 2004
  • This study aims to investigate the use state of the health service computerization system in the occupational nursing field and the occupational nursers' satisfaction level, and provide basic data to promote the development of the health service computerization system for the nursing field. For this study, a questionnaire was provided to 118 occupational nurses who belong to Busan and Gyeongnam branches of KAOHN(Korean Association of Occupational Health Nurses) for 2 months (from Dec. 1, 2002 to Jan. 31, 2003). A tool of Choi Yong-Heui(2000) was used to investigate the satisfaction level of using the health service computerization system. The collected materials were analyzed in real number and percentage, average and standard deviation, t-test and ANOVA by using the SPSS WIN 10.0 program. This study is summarized as follows: 1. The average age was $31.99{\pm}5.58$ old in this study. The married were 54.2%. Participants who graduated from a junior college was 76.9%. The average service period was $4.48{\pm}4.68$ years. In service types, 79.7% of participants served in a health care center. The average service period was $3.22{\pm}2.89$ years. The service place which had 1000 workers or more was 35.6%. 2. Only 20.3% of participants in this study had a computer use education. 3. The field who participants used mostly was communication/internet, $3.29{\pm}.85$ hours in average. 4. 97.1% of occupational fields had computers and peripheral devices: 71.4% in pentium computer, 42.8% in the hard disk capacity of 20-29GB, 60.0% in 15 inch monitors, 86.2% in printers, 18.1% in digital cameras, 12.4% in LAN, and 9.5% in scanners. 80.1% of the occupational fields which were objects of study could use communication. 5. The occupational fields which did not introduced the health service computerization system were 62.8%. The main cause was attributable to entrepreneurs' insufficient recognition 66.6%. 51.5% of the entrepreneurs did not have an introduction plan. 37.2% of participating companies had the health service computerization system. 56.4% of them introduced it since the year 2000. 81.6% of the introduction motivation aimed to the efficiency of health service. The most issue upon introduction was insufficient understanding of a person in charge - 25.6%. The in-house development of the system covered 56.4%. 61.5% of the participants accepted their demands from the first stage of development. The direct effect of computerization showed the increase of 25.9% in the quickness and continuity of service treatment, and 25.9% in the serviceability of statistical treatment. 6. 22.0% of the participants had a computerization system use education. 69.2% of them had a in-house education. An educational method by nurses who used the computerization system was 76.9%. 92.3% of the education was helpful for practical duties. 7. An analysis of the computer use by health service fields showed that the medicine management in a health management field was 15.9%. the work environment measuring management in a work environment filed was 32.9%. the employment. general and special examination management in a heal th management field was 61.1 %. the various reports management in an administrative field was 64%. the health education data preparation management in an educational field was 58.0%. and the medicine and expendables management in an equipment management field was 51.6%. An analysis of the computerization system use showed that the various statistical data manage in a health management field was 13.0%. the work environment measuring management in a health management field was 34.8%. the personal disease management in a health management field was 51.9%. the heal education data preparation management in an educational field was 54.5%. and the equipment management of health care centers in an equipment management field was 52.6%. 8. 31.6% of the participants wanted that health service computerization system would include the generals of health services. 42.4% of the participants thought that first of all. the aggressive interest and investment of employers were required to build the health service computerization system. 9. The participants' satisfaction level on the computerization system use was $3.51{\pm}.57$ points. An analysis by each factor showed $3.62{\pm}.68$ points in a service change factor. $3.15{\pm}.63$ points in a computer program use factor, and $3.45{\pm}.71$ points in a continuous computerization use factor. 10. An analysis of the computerization system use by general characteristics of participants showed that the married (p = .022) had the satisfaction level higher than the unmarried. 11. The satisfaction level of the computerization system use by participants' computer use ability tended to be higher in proportion to the increase of computer use abilities in spreadsheet (F=2.606. p=.048). presentation (F=3.62. p=.012) and communication/internet(F=2.885. p=.0321. Based on the study results mentioned above. I will suggest as follows : The nationwide enlargement and repetition study is required for occupational nurses who serve in occupational nursing fields. The computerization system in a health service field is inferior comparing with other fields. The computerization system standard by business types and characteristics should be prepared through employers's aggressive participation and national support. Therefore various statistical data which occurs in occupational fields will be managed systematically and efficiently. A regular and systematic computer education plan for occupational nurses in charge of health services in the filed is urgently required to efficiently manage and improve the health of on-site workers.

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Factors Related with Job Satisfaction in Workers - Through the Application of NIOSH Job Stress Model - (직장인의 직무만족도 관련요인 분석 - NIOSH의 직무스트레스 모형을 적용하여 -)

  • Kim, Soon-Lae;Lee, Bok-Im;Lee, Jong-Eun;Rhee, Kyung-Yong;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.190-199
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    • 2003
  • This study was conducted to determine the factors affecting job satisfaction in workers by using the Job Stress Model proposed by the National Institute for Occupational Safety and Health (NIOSH). Data were collected from December 1 to December 30, 1999. The subjects were 2,133 workers employed at 155 work sites, who were examined using NIOSH Job Stress questionnaire translated by the Korea Occupational Safety ${\pounds}|$ Health Academy and Occupational Safety ${\pounds}|$ Health Research Institute. SAS/PC program was used for statistical analysis using descriptive analysis. Pearson's correlation coefficient, ANOVA, and Stepwise multiple regression analysis. The results of this study were as follows. 1. According to general characteristics of the subjects, job satisfaction was high in those with less number of children. 2. By work condition, job satisfaction was higher in those who were working in a permanent job position, were working with regular time basis than with shift basis, were working in regular shift hours than in changing shift hours, were working for a short period, and were working less hours and overtime works per week. 3. In terms of physical work environment, job satisfaction was significantly related to 10 physical environmental factors. In other words, job satisfaction was high in workers who were working in an environment with no noise, bright light, temperature adjusted to an appropriate level during summer and winter, humidity adjusted to an appropriate level. well ventilation, clean air, no exposure to hazardous substance during work hour, overall pleasant work environment and not crowded work space. 4. By work-related factors, job satisfaction was high in those with less ambiguity about future job and role, high job control/autonomy, and less workload. On the other hand, job satisfaction was low in those with little utilization of competencies, and much role conflict at work and workload. 5. As for the relationships between job satisfaction and the non-work related factors, job satisfaction was high in workers who were volunteering at different organizations or active in religious activities for 5-10 hours per week. 6. In the relationships between job satisfaction and buffering factors, significantly positive correlations were found between job satisfaction and factors such as support by direct superior, support by peers, and support by spouse, friend and family. 7. There were nine factors that affected job satisfaction in the workers: age, number of children, work hours per week, noise, temperature at the work site during summer, uncomfortable physical environment, role ambiguity, role conflict, ambiguity in job future, work load, no utilization of competencies and social support from direct supervisor. These nine factors accounted for 26% of the total variance in the multiple regression analysis. In conclusion. the following are proposed based on the results of this study. 1. The most important physical environmental factors affecting job satisfaction in workers were noise, role ambiguity, and work load, suggesting a need to develop strategies or programs to manage these factors at work sites. 2. A support system that could promote job satisfaction is needed by emphasizing the roles of occupational health nurses who may be stationed at work sites and manage the factors that could generate job stress. 3. Job satisfaction is one of the three acute responses to stress proposed in NIOSH job stress model (job satisfaction. physical discomfort and industrial accidents). Therefore, further studies need to be conducted on the other two issues.

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Study of VDT Work Environment for Nurses in General Hospital (종합병원 VDT 작업 간호사들의 작업환경에 관한 연구)

  • 권영국;김순례;원종호
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2000.04a
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    • pp.577-580
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    • 2000
  • 종합병원에서는 많은 환자들의 데이터를 효과적으로 관리하기 위해 각종 자료를 전 산화하고 있으며, 그곳에서 근무하는 간호사들은 VDT (Visual Display Terminal) 앞에서 작업시간의 대부분을 보내야만 한다. 간호사들의 요통 유병률이 타 직종에 비해 높은 편이며, 업무와 관련해서 경험한 요통이 간과되는 경향이 있고, 사고보고를 하지 않는 경우가 많아서 실제의 요통 발생률은 보고된 것보다 더 높을 수 있다[1]는 연구결과가 발표된 바 있으며, 이러한 이유에는 여러 원인이 있겠으나, 그 중에서 특히 VDT작업을 하는 간호사들과 작업환경과의 관계를 규명해 보고자 서울 지역의 일부 종합병원 VDT(Visual Display Terminal) 작업 간호사들을 대상으로 실태조사를 하였다. 본 연구의 목적은 VDT 작업 간호사들의 설문지 응답과 직무분석 그리고 작업자세와 작업환경조건 등을 고려하여 VDT증후군에 대한 위험요인을 파악하고, VDT 관련 직업병 예방대책을 마련하고자 하였다. 설문지 분석결과 종합병원 간호사들의 근무환경 및 업무활동과 통증발생 결과간에 관련성이 있음을 알 수 있었다. RULA 프로그램 분석결과인 Level 5가 나왔으며, 이는 3단계 위험수준을 가리키는 것으로 곧 작업환경을 바꾸어야 하는 것으로 나타났다.

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Concept Analysis of Positive Psychological Capital (긍정심리자본에 대한 개념분석)

  • Lee, Soon Neum;Kim, Jung A
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.181-190
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    • 2017
  • Purpose: This study was done to clarify the concept analysis of positive psychological capital. Methods: Walker and Avant's concept analysis process was used in this study. CINAHL, ProQuest, Web of science, NDSL, RISS databases from 2004 to 2016 were searched using the keywords 'Positive psychological capital' and 'PsyCap'. Sixty-one relevant articles and three book were finally selected. Results: Analysis of identified literature indicated that positive psychological capital attributes were developable potential, positive cognition, expression of emotion, multiple psychological capability, and resources with positive effect. The antecedents were goal achievement, training, leader's motivation, and supportive organizational environment. The consequences were overall wellbeing which is composed of individual's physical, psychological and social wellbeing and enhancement of work outcome. Conclusion: The findings in this study provide a definition of the concept of positive psychological capital and theoretical evidence for the future research for nurses including program development.

Effect of Happiness and Empowerment on Nursing Performance of Clinical Nurses (간호사의 행복감과 임파워먼트가 간호업무성과에 미치는 영향)

  • Kim, Seon-Young;Kwon, Young-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.112-120
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    • 2020
  • This study examined the relationship between the happiness, empowerment, and nursing performance of nurses with more than one-year of clinical experience, and the factors affecting the nursing performance. The subjects were 164 nurses who worked in two general hospitals in Incheon and Chungcheong-do, Korea. Data were collected from October to November 2018. The main findings of this study were as follows. The mean scores for happiness, empowerment, and nursing performance were 3.07±0.36, 3.37±0.43, and 3.40±0.44 points. Happiness was positively correlated with empowerment (r=.58, p<.01) and nursing performance (r=.58, p<.01), empowerment was positively correlated with the nursing performance (r=.58, p<.01). The factors influencing the nursing performance were empowerment (β=.65, p<.001), total length of a clinical career (β=.19, p<.001), education level (β=.12, p<.05), and happiness (β=.12, p=.05), showing an explanatory power of 64%. Based on these results, it is necessary to provide sufficient human and physical resources to improve the nursing performance and manage the organizational level to increase the nurses' happiness and empowerment. To improve the work performance of nurses, an empowerment improvement program tailored to the clinical experience and educational level should be developed, and the working environment that can increase the nurse's happiness should be improved.

Development of Measuring Tool for Health Promotion Behavior of Nurses (간호사의 건강증진행위 측정도구 개발)

  • Kim, Min-young;Choi, Soon-Ok;Kim, Eun-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.138-147
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    • 2021
  • The purpose of this study was to develop a measuring tool for the health promotion behavior of Korean nurses. This would address the lack of a proven tool that reflects the nature of the nurses' nursing environment. This study was conducted on 530 nurses from January to December 2019. A literature review and focus group interview were conducted, data analysis was carried out to measure validity and reliability, and the conceptual framework was constructed by applying the IMB model. Five factors namely self-concept (2 questions), hospital life management (4 questions), knowledge and information regarding health (5 questions), physical and mental stress management (3 questions), and work adaptation (2 questions) were framed into 16 questions. The model fit was 346.23 (��<.001), Parsimonious Normed Fit Index (PNFI) was 0.60, and Parsimonious Comparative Fit Index (PCFI) was 0.63, which met the acceptance criteria, and the Root Mean Square Error of Approximation (RMSEA) was 0.10. Goodness of Fit Index (GFI) was 0.88, Comparative Fit Index (CFI) was 0.85, and Incremental Fit Index (IFI) was 0.85 which were found to be acceptable as per the applicable standards. All items had a Cronbach's �� score of .85, which ensured stable reliability. The nurse's health promotion behavior measurement tool developed in this study will be used to measure the nurse's health promotion behavior in terms of nursing practice which will help in understanding the broad contours of this behavior.

Development of Case Management using Critical Pathway of Posterolateral Fusion for Lumbar Spinal Stenosis (사례관리를 위한 Critical Pathway 개발 : 요추협착증 환자의 융합술)

  • Park, Hae-Ok;Ro, Yoo-Ja
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.727-740
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    • 2000
  • It is well recognized that case management is required to survive in the rapidly changing medical environment. One of the case management is the critical pathway(CP) which is assumed to increase the quality of care and at the same time to decrease the length of stay in hospital. The purpose of the study was to develop a CP for the management of patients with postero-lateral fusion for lumbar spinal stenosis. Through review of literature and medical records of patients with spinal stenosis, a pilot CP was designed, including 8 different care components such as medication, laboratory tests, assessment etc., from one day before surgery to 6 days of postoperative care. Every item of the pilot CP was evaluated by a panel of experts to test the content validity. The items not agreed on by more than 4 out of 6 experts were deleted or modified to be integrated in the CP. To apply the modified CP to a clinical environment, the items reflecting treatment, medication and lab work were entered into an order communication system(OCS), and doctors and nurses were taught to use the CP. Finally, the development of CP for the patients with posterolateral lumbar fusion was completed after the application and variance analysis of the CP.

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