• 대한간호학회지
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• 제43권4호
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• pp.507-516
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• 2013

Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

• 한국직업건강간호학회지
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• 제8권2호
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• pp.193-211
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• 1999

This study was carried out to investigate the management and support system affecting to the occupational health nursing services(OHNS) provided in group occupational health agencies(GOHA). Questionnaire was developed and distributed to 82 nurses who were working in GOHA and who agreed to participate in the survey. The results were as follow: 1. OH nurses responded were mostly in the age of twenty to thirties(89%), married(73.7%), technical college graduates(88.9%), worked in hospital(85.4%) and participated more than 1 year in group occupational health services (96.3%). 2. Fifty eight point four percent of the OH nurses worked in number of workplace more than 30 to less than 60 in the OHNS form. The figure of workplaces undertaken by nurses was ranged greatly from 9 to more than 100. Number of employees who cared by nurses were mostly under 5,000 peoples in 93.3%. The types of industry was mostly manufacturing and located in the order of factory complex area, suburban, urban and others. 3. Most OH nurses(87.8%) were fully involved in the OHNS for the SSE. Their working days to visit SSE was 5 days per week(77.8%) and one day in the GOHA at 41.3%. 4. The OH documents using by nurses were found in more than 23 different types. However, they were largely summarized in the types of 'Workplace Health Management Card', 'Personal Health Counselling Card', 'Daily Health Management Report', 'Visiting List of Workplace' and 'Sick Employee List'. 5. The items of laboratory test provided by GOHA were mostly achieved in the purpose of basic health examination. They were used to be the blood pressure check(98.8%), blood sugar test (98.8%), urine sugar and protein(91.4%), SGOT and SGPT(85.3% each), cholesterol (82.9%), hepa vaccine immunization(82.9%), r-GPT(81.7%), hemoglobin(79.3%) and triglyceride(75.5%). 6. The OH nurses(92.7%) followed the work pattern to visit the GOHA before and after small-scale enterprises(SSE) visit by car driven by nurses in 74.3%. They were payed by GOHA for transportation fees in certain amounts. However, nurse is the main person(75.0%) who covers up in case of traffic accident. If the GOHA has no transportation regulation for the formal workplace visit, data showed that nurses had been responsible to take charge(31.7%). 7. The personnel manager who takes in charge for nursing services was 'nurse' in 61.7% and 41.2% worked as the final decision maker related to nursing work. The OH nurses' opinions about factors affecting to the management were classified in the four areas such as 'Nature(Quality) of health professional'. 'Content of OHNS', 'Delivery system of the GOHS', and 'Others'. The factors were indicated highly in 'Authority as health professional', 'Level of perception of director on the OH' and 'Physical work condition for OHNS'. The things that this study suggests in the recommendation would be summarized in such as the management and supporting system working for SSE in the OHNS is necessary to reform thoroughly. The reconsidered aspects might be in the matters of number of workplaces undertaken by nurses, development of effectively practical health documents, preparation for guideline of the laboratory test in the workpleces, establishment of convenient and encouraging support system and cooperation between other health professionals with respect and skill.

• 한국산업보건학회지
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• 제15권2호
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• pp.90-103
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• 2005

Objective: This study was carried out to assess the status of working environments, to improve the working environments, and to be helpful to prevent occupational disease. Methods: The authors measured the noise level, concentration of dust, heavy metals, organic solvents, and other chemicals at 95 industries (22 working processes) by type of working process in manufacturing industry of parts and accessories for motor vehicles and its engines from January to December 2003. Samples were measured and analyzed by regulations of Korea Ministry of Labor, manuals of National Institute for Occupational Safety and Health (NIOSH) and Occupational Safety and Health Administration (OSHA). Results: Results are as follows. 1. Major processes exceeding mean noise levels provided the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV) were shakeout [97.5 dB(A)]. shot-blast [94.2 dB(A)], pressing [92.9 dB(A)], crushing [91.2 dB(A)], and cleaning [90.6 dB(A)]. 2. Mean concentrations of dusts were not exceeded to the TLV. But concentration on some points of processes as like welding (6.50 mg/m3), foundry (5.24 mg/m3) were exceeded. 3. Mean concentrations of heavy metals were not exceeded to the TLV. 4. Mean concentrations of organic solvents and chemicals were not exceeded to the TLV. 5. Improving rate for working environment were significantly higher in industries with health manager than without (p<0.05), and by increasing the year of working environmental measurement (p<0.01). Conclusions: The results suggest that working processes of exceeding to the TLV will be needed rapid improvement of the working environment, and also the others will be needed positive management of the working environment. Health managers must be recommended to employ in the workplace, and further studies for relationship between working environment and health effects for the workers must be carried out.

• 한국직업건강간호학회지
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• 제3권호
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• pp.71-85
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• 1993

본 연구는 일부 산업장을 대상으로 근로자의 건강증진을 위한 제반 활동의 내용과 수준을 구체적으로 파악하고자 시도되었다. 연구방법은 산업안전교육원 교육 프로그램에 참여했던 안전관리자, 보건관리자등을 임의로 선정하여 648개 산업장에 관하여 설문조사하였다. 자료분석은 산업장 특성별 빈도와 백분율, 각 활동의 업종 및 규모별 실시율, 평균활동수 등을 산출하였다. 연구 결과는 다음과 같다. 첫째, 근로자의 건강증진과 관련된 써클활동이나 교육활동을 지원하고 있는 산업장은 전체의 66.2%를 차지하였고, 업종별로는 제조업과 운수창고업이 높았으며 규모가 클수록 지원율이 높은 경향을 보였다. 그러나, 금연, 스트레스관리, 영양지도, 여성건강관리를 위한 각종 활동에 대한 지원은 매우 적은 것으로 나타났다. 지원내용에 있어서는 주로 운영비를 지원하고, 장소 및 시설을 마련해주는 수준임을 알 수 있다. 둘째, 작업장내에서는 금연을 하도록 하는 정책을 갖고 있는 산업장이 전체의 24.9%였고, 회사 전체에서 금연한도록 하는 경우는 48.3%를 차지하였다. 업종별로는 작업 장내 금연의 경우 제조업, 광업/건설업, 금융보험/서어비스업에서 비교적 높았고, 회사 전체 금연의 경우는 제조업과 운수창고업에서 높았다. 세째, 산업장 내에 근로자를 위하여 운동시설 및 기구를 마련해 두고 있는 산업장은 전체의 98.6%였고, 운동 시설의 평균 수는 $2.96({\pm}1.85)$개였다. 규모에 따라, 업종에 따라 유의한 차이를 보였다(p=.0000, p=.0000). 회사가 지원하는 운동모임의 수는 전체 평균 $3.60({\pm}2.09)$개였으며, 규모와 업종에 따라 유의한 차이를 보였다(p=.0000, p=.0000) 네째, 근로자를 위하여 식사를 제공하는 산업장은 점심식사의 경우 85.8%였고, 저녁식사 37.1%였으며 아침식사, 간식, 야식을 제공하는 산업장의 비율은 비슷한 수준이었다. 이러한 결과를 토대로 우리나라에서 산업장 건강증진 프로그램 개발을 위한 정책과 관련된 제언을 할 수 있었다.

• 한국환경보건학회지
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• 제39권4호
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• pp.354-359
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• 2013

Objectives: The purpose of this study was to investigate exposure levels to K2 rifle noise at a military rifle range among soldiers in training, the left and right ears of shooters, and control managers in the day and night times. Methods: For this study, we visited military rifle ranges and measured the noise of a K2 rifle with a sound level meter (3M Quest SoundPro$^{TM}$) at four different locations with values of Peak (dB(A)) and Max (dB(A)). Results: The highest peak value of impulse noise level averaged 150.4 dB(A), ranging from 149.7 to 150.5 dB(A) at the left-ear side. Impulse noise levels in the daytime were also recorded as higher than during the night. This result was significantly different between daytime and nighttime locations, such as soldier training, right ear of shooter, and control manager (P < 0.001). Conclusion: This study confirmed that there is a need for proper management of impulse noise at military rifle ranges.

• 한국직업건강간호학회지
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• 제25권4호
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• pp.340-351
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• 2016

Purpose: The purpose of this study was to identify depression and its influencing factor of nurses among comprehensive nursing care service ward. Methods: The research was cross-sectional descriptive study. The subjects of the study were 173 nurses of comprehensive nursing care service ward in Gyeonggi-do. Data collection was done using self-reported structured questionnaires asking about job stress, emotional labor, job burnout, somatic symptoms, turnover intention, depression and general characteristics from May 16 to June 3, 2016. Data were analyzed with SPSS/WIN 19.0 program. Results: Mean scores of job stress were 159.15(range 43~215), emotional labor 30.90(range: 9~45), job burnout 59.45 (range: 0~132), somatic symptoms 24.03 (range: 12~60), turnover intention 5.61 (range 0~18) and depression 19.25 (range: 0~60) and reported as depression in 63.6%. Somatic symptoms (${\beta}=.26$, p<.001), job burnout (${\beta}=.37$, p<.001) had significant associations with depression and the most important variable was job burnout. Conclusion: It is necessary to apply the developed program to reduce job burnout in hospitals and to prevent and/or control depression. And also, it needs to improve working conditions and increase the nursing staff to reduce somatic symptoms for nurses among comprehensive nursing care service ward.

• 한국직업건강간호학회지
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• 제23권2호
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• pp.67-79
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• 2014

Purpose: The purpose of this study was to review the articles and theses on the patient safety culture of clinical nurses for identifying overall research trends regarding patient safety culture among hospital nurses, and to suggest strategies for improving nursing work environment related to patient safety culture. Methods: The subjects for this study were 17 articles selected according to inclusion criteria from five databases in Korea. Results: Seven articles were collected from nursing journals and ten from master's theses. The studies on the 17 articles were conducted at 66 hospitals from seven regions of Korea. The tools for patient safety culture were selected among the three tools from AHRQ and two Korean translation tools. The mean score of patient safety culture was 3.43. Conclusion: The findings from the article review indicate that, in order to improve nursing work environment for patient safety culture, the hospital and nursing manager should emphasize the education for patient safety, communication and open-minded reporting, and cooperation among the departments of hospital.

• 한국직업건강간호학회지
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• 제17권1호
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• pp.34-44
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• 2008

Purpose: This study was conducted to find out the effects of self-efficacy on job stress symptoms and coping strategies depending on perceived job stress. Method: The subjects were 447 workers employed in a manufacturing company. Demographic characteristics, self-efficacy, job stress, job stress symptoms and coping strategies were assessed by a self-administered questionnaire. Each envelope to keep the secret sealed completed questionnaires. Result: Job stress and job stress symptoms in workers with a high level of self-efficacy were lower than those of a low level of self-efficacy. Active coping strategies in workers with a high level of self-efficacy group were higher than those of a low level of self-efficacy. In multiple regression analysis, job stress symptoms were significantly higher in increasing job stress, increasing self-efficacy, office workers, manager group and increasing age. Active coping strategies were significantly higher in increasing self-efficacy, increasing career, males and decreasing job stress. Whereas passive coping strategies were significantly higher in females, increasing job stress and increasing self-efficacy. Conclusion: This study suggests that self-efficacy is a significant factor on job stress, job stress symptoms and coping strategies. Therefore, developing a job stress management program to increase self-efficacy and verifying its effects are needed.

• 한국산업보건학회지
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• 제31권1호
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• pp.38-49
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• 2021

Objectives: This study was conducted to analyze the impact of safety/health managers' experience of trauma case on their post traumatic stress disorder and the mediation effects of job stress and the moderated mediation effects of social support. Method: Using a structured questionnaire, data were collected from 241 workplace safety/health managers with experience in trauma case. The collected data were analyzed using SPSS(IBM. Ver.26.0) and verified through SPSS PROCESS Macro (Ver. 3.4). Results: The trauma case experience and the job stress, which is a mediation variable, had a statistically significant positive effect on post-traumatic stress disorder, and the job stress had a positive mediation effect in the relationship between the trauma case experience and post-traumatic stress disorder. Social support had a statistically significant negative moderation effect in the relationship between the trauma case experience and job stress; social support had a moderated mediation effect on the indirect effect of a job stress on the post-traumatic effect through a trauma case experience. Conclusion: The above findings suggest that work-related job stress management is important in order to reduce safety/health managers' post-traumatic stress disorder caused by the experience of trauma case, and that social support is essential to reduce the job stress, which can later be used as a basis for further studies.

• 한국안전학회지
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• 제32권4호
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• pp.89-99
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• 2017

The purpose of this study is to analyze safety and health managers' perceptual maps on the effective educational contents and its methods of workplace safety and health education. Self-administered survey was successfully conducted to 582 workers who were 339 in manufacturing, 68 in construction, and 175 in service & others by industry classification. Survey sites were recruited based on business size, incidence of occupational accident, and compliance of workplace safety and health education regulation. Questionnaire included personal factors, workplace factors, and needs of safety and health education at work. Male workers were 85.3% and more than 50% were in their 30s and had university education. Overall needs of educational contents and its methods were greater in manufacturing and services than construction. Two dimensional properties of effective educational contents perceived were 'knowledge structure' which divided to safety and health, and 'behavior outcomes' which divided to indirect and direct. Two dimensional properties of educational methods were 'class activity' which divided to experience-based and verbal-based and 'class participation' which divided to passive and active. Effective educational contents and its methods perceived by safety and health managers commonly included the characteristics of direct, case-based, and participation.