• Title/Summary/Keyword: Occupational health nursing intervention

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Process Evaluation of a Mobile Weight Loss Intervention for Truck Drivers

  • Wipfli, Brad;Hanson, Ginger;Anger, Kent;Elliot, Diane L.;Bodner, Todd;Stevens, Victor;Olson, Ryan
    • Safety and Health at Work
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    • v.10 no.1
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    • pp.95-102
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    • 2019
  • Background: In a cluster-randomized trial, the Safety and Health Involvement For Truck drivers intervention produced statistically significant and medically meaningful weight loss at 6 months (-3.31 kg between-group difference). The current manuscript evaluates the relative impact of intervention components on study outcomes among participants in the intervention condition who reported for a post-intervention health assessment (n = 134) to encourage the adoption of effective tactics and inform future replications, tailoring, and enhancements. Methods: The Safety and Health Involvement For Truck drivers intervention was implemented in a Web-based computer and smartphone-accessible format and included a group weight loss competition and body weight and behavioral self-monitoring with feedback, computer-based training, and motivational interviewing. Indices were calculated to reflect engagement patterns for these components, and generalized linear models quantified predictive relationships between participation in intervention components and outcomes. Results: Participants who completed the full program-defined dose of the intervention had significantly greater weight loss than those who did not. Behavioral self-monitoring, computer-based training, and health coaching were significant predictors of dietary changes, whereas behavioral and body weight self-monitoring was the only significant predictor of changes in physical activity. Behavioral and body weight self-monitoring was the strongest predictor of weight loss. Conclusion: Web-based self-monitoring of body weight and health behaviors was a particularly impactful tactic in our mobile health intervention. Findings advance the science of behavior change in mobile health intervention delivery and inform the development of health programs for dispersed populations.

A Study of Nurses' Resilience, Occupational Stress and Satisfaction (간호사의 탄력성과 직무 스트레스 및 직무만족도)

  • Kim, Bu-Nam;Oh, Hyun-Sook;Park, Yong-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.1
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    • pp.14-23
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    • 2011
  • Purpose: The purpose of this study is to examine the clinical nurses' resilience, occupational stress, and occupational satisfaction and to identify the correlations among them. Methods: Structured questionnaires were administered with total 75 questions for 433 nurses working at a university hospital in Jin-ju from July 19 to 30, 2010. Data from the completed questionnaires were analyzed with the SPSS/WIN program. Results: The resilience had a significant difference according to the age, marital status, religion, education level, annual income, motive of choosing the nursing science, clinical career, position, and workplace. Resilience had a negative correlation with occupational stress (r=-.405), and had a positive correlation with occupational satisfaction (r=.380). Occupational stress had a negative correlation with occupational satisfaction (r=-.637). Conclusion: The higher their resilience was, the lower their occupational stress and the higher the occupational satisfaction. It is recommended that intervention program be developed that can enhance personal resilience in nurse.

A Survey on Visiting Nurses' Management for Elders with Cognitive Impairment Living in a Community: Focused on Health Centers in a Metropolitan and Medium-sized Cities (방문간호사의 재가노인 인지기능장애 관리에 대한 실태조사: 광역시보건소와 중소도시보건소를 중심으로)

  • Lee, Chong Mi;Kim, Younkyoung;Park, Inhyae
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.4
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    • pp.197-207
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    • 2014
  • Purpose: The purpose of this study was to investigate the status and characteristics of visiting nurses' management for elders with cognitive impairment living in a community focused on health centers in a metropolitan city and five medium-sized cities. Methods: Data were collected from 47 visiting nurses working in a metropolitan city and 47 visiting nurses working in five medium-sized cities from November to December 2012. Results: There were no statistically significant differences in knowledge, attitudes, and nursing behaviors of cognitive impairment between two groups (F=2.13, p=.148; F=3.64, p=.060; F=0.28, p=.595). Among the elders referred to a physician in a metropolitan city by visiting nurses, 42.4% were diagnosed as mild cognitive impairment and 15.2% were diagnosed as severe dementia. The major intervention programs which visiting nurses currently applied for elders were medication and exercise intervention programs, and the intervention programs which they would want to apply in the future were playing, music and recall intervention programs. Conclusion: The cognitive impairment screening test can be done effectively by visiting nurses. This study also suggests to develop various kinds of intervention programs to improve cognitive function for elders living in a community.

Relationships between Occupational Stress, Burnout and Job Satisfaction of Physician Assistants (전담간호사의 직무스트레스, 소진 및 직무만족도의 관계)

  • Jang, Tea Un;Choi, Eun Joung
    • Journal of Korean Public Health Nursing
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    • v.30 no.1
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    • pp.122-135
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    • 2016
  • Purpose: The aim of this study was to examine relationships between occupational stress, burnout and job satisfaction of PAs(Physician Assistant). Methods: This study was a descriptive study, and 136 PAs were recruited from hospitals in B metropolitan city. The study was approved by KUIRB, and data were collected from September to October, 2013. Results: A strong positive correlation was observed between occupational stress and burnout (r=.715, p<.001). Strong negative correlations were observed between occupational stress and job satisfaction (r=-.761, p<.001), and between burnout and job satisfaction (r=-.624, p<.001). Conclusion: An intervention program should be developed for PAs to reduce occupational stress and burnout in the health care environment.

Depression and Health Promoting Behavior Depending on the Climacteric Symptoms of Middle-aged Male Workers (중년 직장 남성의 갱년기 증상에 따른 우울과 건강증진행위)

  • Heo, Myoung Lyun;Im, Sook Bin
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.3
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    • pp.239-246
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    • 2012
  • Purpose: This study is the narrative investigating research to comprehend the climacteric symptoms, depression and health promoting behavior of the male workers and to develop the nursing intervention. Methods: The research was done from August to September 2011, and the subjects were the middle-aged males between 40 and 64 working in capital cities of Chungcheongnamdo. Among the 220 questionnaires, 189 were retrieved and used for the analysis. The data analysis was done by $x^2$-test, and t-test using the SPSS/WIN 19.0 program. Results: The 70.9% of the subjects showed male climacterium and among them, those in their 40s showed high rate to the change in the body and emotions whereas those in their 50s showed high rate to the sexual function-related symptoms. Also, having the climacteric symptoms showed significant changes in depression and health promoting behavior. Conclusion: To promote health of the middle-aged male workers and the nursing intervention for those who show depression, verifying whether these males have climacteric symptoms is necessary.

Influential Factors on the Work Impairment of International Medical Tourism Coordinators (국제의료관광코디네이터의 직무손실에 영향을 미치는 요인)

  • Park, Li Jeong;Yoo, Yang-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.3
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    • pp.89-98
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    • 2023
  • Purpose: This study proposes preventive strategies for factors affecting the work impairment of international medical tourism coordinators. Methods: Data for this study were collected via an online questionnaire survey involving 296 international medical tourism coordinators in South Korea, considering the impact coronavirus disease 2019. The survey was conducted from 25th April 2022 to 22nd July 2022 and data were analyzed SPSS/WINdows software version 22, including statistical, reliability, factor and regression analyses. Results: This study focused on occupational stress, health problems and job efficacy among international medical tourism coordinators in medical tourism research. The main objective was to examine the factors that influenced their work impairment. Conclusion: This study emphasizes the importance of factors such as occupational stress, health problems and job efficacy in influencing work impairment among international medical tourism coordinators. The identified factors account for 30% of explanation power. An intervention program tailored to the characteristics of domestic and international medical tourism coordinators is recommended.

The Factors Affecting the Health-related Quality of Life of Manufacturing Industry Workers: Focusing on Sub-contractual Workers of Ulsan's Vehicle Industry (제조업 근로자의 건강 관련 삶의 질 영향 요인: 울산 지역 자동차 하청업체 제조업 근로자를 중심으로)

  • Kim, Jee Won;Kim, Yeon Ok
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.2
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    • pp.94-103
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    • 2019
  • Purpose: This study aimed to investigate variables affecting health-related quality of life of manufacturing industry workers. Methods: We used data from 200 survey questionnaires collected from a vehicle manufacture factory located in Ulsan metropolitan area. The participants were manufacturing workers. The data were analyzed using t-test, one-way analysis of variance, and $Scheff{\acute{e}}^{\prime}s$ test to identify differences among variables. Pearson's correlation coefficient and stepwise multiple regression were used to identify variables that affected health-related quality of life. Results: The findings revealed that occupational stress and quality of sleep were statistically significant variables of the physical component score with an explanatory power of 42.2%. Occupational stress, depression, and religion were statistically significant variables of the mental component score with an explanatory power of 43.3%. Conclusion: Continuous monitoring and appropriate intervention for occupational stress, quality of sleep, and depression are needed to improve manufacturing workers' health-related quality of life.

The Effect of Occupational Health Service for the Aged Workers in Small Workplaces (소규모 사업장 보건관리프로그램이 고령근로자의 건강수준에 미치는 효과)

  • Kim, Eun-Mi;Yun, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.1
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    • pp.78-87
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of occupational health service(OHS) for the aged workers in small workplace. Method: A single group of pretest-posttest design was used. 608 aged workers of 253 small workplace who had one out of 4 risk factors were randomly selected. The OHS consisted of education, medical checkup, and counseling. Also information was provided by a visiting nurse 4-5 times every 4-5 weeks from March to November, 2009. The data were collected by interview, self report, and monitored by a nurse. Results: The OHS led to significant reduction of the mean systolic and diastolic blood pressures of 6.46mmHg and 5.22mmHg, each respectively. The mean total cholesterol, glucose, and BMI were also reduced significantly by 6.35mg/dL, 5.91mg/dL, and 0.31kg/$m^2$. And stages of health behavioral change were moved from 1,2,3 stages to 4,5 stages significantly. Conclusion: The OHS showed an effective intervention to improve the aged workers' health in the small workplaces. Therefore, The OHS by visiting a nurse can be a good strategy to extend to small & medium-sized companies having no in-site health manager.

The Relation Between the Occupational Stress and Fatigue Level of Neonatal Nurses (신생아실 간호사의 직무 스트레스와 피로도와의 관계)

  • Park, Eun-A;Park, Jeong-Eon
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.261-269
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    • 2011
  • Purpose: The purpose of this study was to investigate occupational stress and fatigue level of neonatal nurses and to assess relationship between the two of them. Methods: Subjects were 109 neonatal nurses working at 2 university hospitals and 9 women's hospitals in D city, and the data were analyzed using descriptive statistics and binary logistic regression analysis by the SPSS/WIN 15.0. Results: The mean score of nurses' occupational stress level was 3.22, and the highest was 'night shift' among the 7 subcategories, and fatigue level was 62.0, and the highest was physical fatigue in configuration field. In logistic regression analyses, 'heavy workload' and 'inadequate physical environment' led to most occupational stress. Conclusion: In addition to significantly higher levels of occupational stress of neonatal nurses, the cumulative fatigue also resulted in decreased quality of nursing, job satisfaction and nursing productivity; therefore, appropriate number of nurses and improvement of work environment is necessary. Furthermore, to reduce the occupational stress and fatigue, we should try to develop adequate clinical guidelines and intervention strategies and apply them in neonatal care unit.

Integrated Literature Review of Infection Control of Nursing Care Workers in Long-term Care Facilities (장기요양시설에 근무하는 요양보호사의 감염관리에 관한 통합적 문헌고찰)

  • Lee, Mi Hyang;Kim, Dooree
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.3
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    • pp.192-201
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    • 2020
  • Purpose: This study aims to conduct an integrated literature review of infection control studies conducted by nursing care workers in long-term care facilities in Korea. Methods: Through the domestic search engines RISS and KISS, seven articles were selected by searching for theses and academic journals published in Korea from 2008 to January 2020. Results: In total, six research studies and one intervention study out of seven studies were analyzed. Measurement tools for examining the knowledge and performance of infection-related care workers consisted of skin infection, aspiration pneumonia, urinary tract infection, and hand hygiene. Factors affecting nursing care workers' infection management performance were infection management knowledge, education level, health status, and importance awareness. Conclusion: This study showed it is necessary to develop a tool that can accurately measure nursing care workers' infection management knowledge and performance. In addition, it is necessary to develop an intervention program for nursing care workers' infection control.