• 한국직업건강간호학회지
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• 제10권1호
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• pp.110-119
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• 2001

This study was performed to review applying the case management to the occupational health nursing as a cost-effective way for injured workers. The case management for injured workers is a comprehensive management system, which is composed of planning and implementing in cooperation with employee, employee' family, medical service provider team, employer and case manager, to provide high quality health services to employee and their family. The case management process for injured workers is similar to the nursing process. It thus appears that the occupational health nurse is best personnel to perform the role of case manager for injured workers in workplace. As a case manager in workplace. the occupational health nurse would be expected to get both knowledge and experiences, to get trusted from the employee and employer, and to expand professional domain in changing health care environment.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.56-61
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• 2000

This study was done in an attempt to reveal those factors interfering with the observation study. Three trained research assistants collected data by observing the two occupational health nurses working in the small scale enterprises on the 3rd and 10th of February, 1999. The first observation was performed on the 3rd of February without observation guidance. Guidance was given during the second observation on the 10th of February. These data were compared between reporters in nursing services of 'Workplace visiting', 'Health counselling' and 'Blood pressure checking' according to nursing time and frequency. These areas were chosen because these activities were regarded as clearly identifiable by observers in contrast to the other performances. The data showed inconsistency between reporters. However, they were reduced when reporters observed nurses with guidance, although there were still minor differences between data in time and frequency. Discussions were carried out to find possible reasons for these differences. The causes were mainly attributed to the difficulty in workplace conditions to observe, the work specificity of nurses visiting each workplace and the delicate situation between nurses and observers when reporters were travelling in the nurse's car. Therefore, the results suggest that the observation method applied to the nursing service research at small-scale enterprises should be more concerned about the selection of appropriate workplace and operational definition of nursing activity in order to more precisely measure nurses' attitudes.

• 한국간호교육학회지
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• 제6권1호
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• pp.92-102
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• 2000

Social trends influence the need for inclusion of basic concepts of occupational health into generic nursing education. Several techniques have been used to incorporate occupational health into baccalaureate programme. These include clinical preceptorships in employee health services, lectures on occupational health issues into community health nursing courses and the integration of occupational health concepts throughout the nursing curriculum and organize an independent course of occupational health nursing for two semester hours. The purpose of this study was to examine the impact of this course to the role orientation of nursing students. In March 1998, pre-test was conducted with all 39 students. Post- test for the subjects and the survey for the other comparison group were conducted after the course in May. Structured questionnaires were distributed which were composed of 42 items related to the role of occupational health nurse and each item was measured on a scale of 1 to 5. Results are as follows: 1) The paired t-test supported the hypothesis that role orientation of students was improved through the occupational health nursing course (t=-3.93, p=.000), 2) As the result of t-test between the subject and the comparison group, the mean score of the role orientation in the case of subject was significantly higher than that of the comparison group(t=13.3449, p=.0005). The enlargement of occupational health nursing course must be a facilitating factor to the improvement of the role orientation of baccalaureate students. It is needed to measure occupational health nursing competence of them in the future.

• 한국직업건강간호학회지
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• 제17권1호
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• pp.96-105
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• 2008

Purpose: The purpose of this study was to analyze alcohol drinking cessation programs to promote health status for workers on worksites. Method: Data were collected from the excellent 10 cases which were selected from "competition of health promotion programs on worksites" from 1999 to 2007 held by Korean Occupational Safety and Health Agency. Result: There were three main alcohol drinking cessation programs on worksites: health education, individual health services to change life style, and formation of supportive environments. Health education and individual health services were intervened in nine worksites. Building supportive environments for alcohol drinking cessation were implemented in 10 worksites. The most popular indicators for program evaluation were health diagnosis and percentage of alcohol drinkers. Problems to implement alcohol drinking cessation programs were low voluntary participation of labors, difficulty of applying programs to labors that had a shift duty, and complexity to evaluate the effectiveness of alcohol cessation programs due to deficits of standard instruments. Conclusion: These findings suggest that many worksites did not have alcohol drinking cessation programs and also these programs were not implemented effectively. Thus, employers, professionals and policy makers of occupational health should develop and support effective alcohol drinking cessation programs for l workers on worksites.

• 한국보건간호학회지
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• 제16권2호
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• pp.445-453
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• 2002

Purpose: This study has been designed to evaluate occupational health services on workers with hypertension Method: Study participants were 108 workers having a diagnosed hypertension. The instrument used for this study was the questionnaire developed by Cho(1998). Analysis of the data was done with SPSS Win 10.0 for descriptive statistics, Correlation coefficient. Results: 1. The mean score of process domain was $3.77\pm.43$ The score of process domains were usefulness of health management$(3.98\pm.49)$, education or counselling$(3.87\pm.53)$, follow up in medical examination$(3.79\pm.58)$, usefulness of providing materials$(3.53\pm.62)$, perception of medical examination $(3.37\pm.80)$ 2. The mean score of outcome domain was $3.47 \pm.44$ The score of outcome domains were obstructiveness of social life$(3.90\pm.78)$, habits of living $(3.41\pm.76)$, blood pressure change $(3.25\pm.81)$, perception of seriousness$(3.02\pm.88)$. 3. Blood pressure change was significant correlated with education or counselling(r=.31) and usefulness of providing materials(r=.28).

• 한국직업건강간호학회지
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• 제30권4호
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• pp.232-242
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• 2021

Purpose: This study investigated the occupational status and job stress of visiting nurses during the COVID-19 pandemic. Methods: Participants were 151 visiting nurses working in the public health services in Seoul and Gyeonggi-do. The study was conducted using a structured online questionnaire. Results: The average age of the visiting nurses was 49.5 years. A occupational period was 38.4% of the participants had worked for a period of 6-10 years and 34.5% of them had worked for a period of 11 years or more. In terms of employment type, 74.8% had permanent contracts and 13.9% had fixed terms. 93.4% of nurses were working on COVID-19-related work; and 57.6% of them were working more than 50% of their work. Each visiting nurse provided health services for a total of 436.4 cases on average and the per day count was 14.3 cases. The service was provided through home visits or phone consultations. The results of the job stress were relationship conflict (60.92±20.72), job demand (59.05±14.10), job autonomy (57.83±14.63), job instability (45.25±27.37), organizational system (44.97±17.21), workplace culture (42.71±18.00), and inadequate compensation (35.29±18.14). There was a significant difference in job stress according to the proportion of COVID-19 work was 'workplace culture' (p=.023), Job autonomy (p=.053) and Inappropriate compensation(p=.054). Conclusion: In order to provide a stable working environment for visiting nurses and effective public visiting health services during unexpected circumstances, such as the COVID-19 pandemic, it is necessary to promote progressive policies and systemic improvements.

• 한국직업건강간호학회지
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• 제11권2호
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• pp.132-149
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• 2002

Purpose: This study was conducted to provide the fadamental information to prepare better Occupational Health Program for SSI based on the evaluation of the experience of nurse who were working in the Government-funded subsidized occupational health program for SSI. Method: The focus group method was used. Data was collected using focus group interviews and analyzed in the framework of the Grounded theory method as mapped by Strauss and Corbin(1990). The subjects were 14 nurses. Result: We identified 60 concepts, 30sub-categories and 6 categories(Table 1). Categories were Various services, Difficulties in implement Services, Successful strategies, Program Evaluation, Alternative Plans and Adaptation to new field. Conclusion: Nurses evaluated the effect of this program that autonomous health management ability has not changed although the possibility for the small scale industries to start the health management arose by acknowledging the importance of the health management of the workplace. In spite of many difficulties in implement services, nurses provided various health services using successful strategies. They suggest that various programs such as a model set-up suitable for the quality of workplaces and a role model set-up of the occupational health nurse for SSI as well as various efforts for the activated this program were needed. Nurses had a hard time in unfamiliar field when they began this program and overcame this difficulties with various strategies.

• 한국보건간호학회지
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• 제9권2호
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• pp.1-16
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• 1995

This study was conducted to propose a model for nursing performance in group occupational health service. To achieve such a goal, the writer choose and analysed two kinds of journals which were thought to be the most suitable for that purpose and authoritative on community health nursing: The Journal of Korean Community Nursing and the Journal of Korean Academic Society of Industrial Nursing. The total number of the articles analysed in this study was 16 and in the analysis of them the writer was specially concerned with the following questions: 1) Have there been any different performances in occupational health management between staying nurses and visiting ones? 2) What are the levels of knowledge, attitude, and practice of workers and how can we, on the basis of them, develop the program that workers are able to participate positively in ? the obtained conclusions are as follows. 1) Different performances are revealed between staying nurses and visiting ones: Common symptom management frequently appeared in staying nurses. Counseling, health education and follow-up care after medical examination were more frequently revealed in visiting nurses. 2) As for the lovel of knowledge, attitude, and practice of occupational health, workers have average one respectively. The major factors influencing the level of KAP of workers were area, age, sex and status. Counseling, health education, follow-up care after medical examination, and health promotion should be reinforced as core programs in group occupational health services. And for the part of visiting nurses, it is necessary to put more emphasis on efficiency training using the method of nursing process.

• 한국직업건강간호학회지
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• 제7권1호
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• pp.97-114
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• 1998

The occupational health services for the minor enterprises are poor comparing with that of large enterprises in Korea. In 1997, Korean government announced officially the law on joint employment system of occupational health practitioners to solve the problems. This study is to develop the model on the joint employment system of occupational nurse practitioners for minor enterprises in Korea based on the opinions of occupational health nurses (OH Ns). The data were collected by questionnares from October to November in 1997. The number of subjects was 210 occupational health nurses who had participated the mandatory nursing education program provided by the Korean Occupational Health Nurses Association(KOHNA). The response rate was 47.1%. The contents of questionnaires were general characteristics, occupational & job characteristics of OHNs, and the views on the joint employment system. The SAS-PC program was used for the statistical analysis. The results were as followed, (1) The proper number of industies was 3 and the appropriate number of workers was 448 for one joint employed occupational nurse practitioner (J EONP). (2) 44.7% of the OHNs wanted that the Ministry of Labor monitored the way and content of contraction b/w JEONP and minor emterprises, 82.6% of the OHNs wanted that KOHNA managed the employment informations. (3) The OHNs of occupational health agencies showed more positive attitude than the OHNs of private industries on the joint employment system. (4) 88.3% of the OHNs wanted the education training for JEONP. Especially in occupational hygiene and safety control. (5) The OHNs expected the role expansion of Occupational Health Nursing by JEONP system. At the same time they worried the adverse effects. For the successful execution of this system, it is necessary the cooperation among the Ministry of Labor, KOHNA, the minor enterprises, and the OHNs.

• 한국직업건강간호학회지
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• 제6권2호
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• pp.144-155
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• 1997

In December 1990, Occupational Safety and Health Law was amended to reinforce employer's responsibilities on employees' health and safety. Among the amended law it was important to expand the role of an occupational health nurse to the role of an occupational health manager. An occupational health manager should take charge of coordinating periodic health examination and environmental hazard evaluation, providing primary care, monitoring employees' health status, giving the workplace walk-through, selecting safe protection equipment, providing health information, counseling and health education, independently. This position of occupational health nurse is equivalent to the role of doctors or occupational hygienists. In 1991, government made a master plan to prevent occupational disease and injury. Under the plan, Korea Industrial Nursing Association (KINA) was established in 1994 with the purpose of improving health services and upgrading career opportunities for members. Therefore, this study was designed to analyze the transition of occupational health nursing education with the changes of law and policy in Korea between 1991 and 1996. In details, it was to analyze the rate of school providing occupational health nursing practice based lecture, lecture hours, lecture contents in undergraduate curriculum, program contents of graduate school, kinds of continuing education, etc. For this purpose, we conducted survey two times. In February 1991, baseline study was conducted with all nursing programs in Korea (19 BSN programs and 43 nursing departments of junior college). From April to May in 1996, the second survey was conducted with all nursing programs (38 BSN programs and 69 junior colleges). The first response rate was 66.1% and the second was 40.6%. Structured questionnaires were mailed to the deans or the community health nursing faculties. In the case of graduate school, telephone survey was conducted with 10 school of public health or environmental health area. Data from the yearbook of Industrial Safety Training Institute (ISTI), the history of Korea Industrial Health Association, and the journals of KINA were also included in the analysis. As the results, we found that there were remarkable improvement in undergraduate and graduate programs, obligatory as well as voluntary continuing education in terms of occupational health nursing expertise between 1991 and 1996. 1) The number of school providing occupational health nursing practice-based lecture was increased with the rate from 7.3% to 25.6%. The rate of school giving over 15 class-hours was increased from 33.3% to 46.6%. 2) Content areas were composed of introduction of occupational health, occupational epidemiology, industrial hygiene, occupational disease and injury, law and policy, health education, concept of occupational health nursing, role of occupational health nurse, occupational health nursing process, etc. Of content areas, occupational health nursing process was more emphasized with the increased rate from 43.9% to 88.4%. 3) In the case of graduate school, occupational health programs were increased from 4 to 10. One of them has developed occupational health nursing program as an independent course since 1991. 4) The law increased educational hours from 28 hours to 36 hours for introductory course at the time of appointment, and from 14 hours to 24 hours every 2 years for continuing education. Course contents were Occupational safety and health law, introduction of occupational health, health education methodology, planning and evaluation, periodic health exam, occupational disease care, primary care, emergency care, management, industrial environment evaluation, etc. In 1996, Korea Industrial Nursing Association has begun to provide continuing education after Industrial Safety Training Institute. 5) Various educational programs in voluntary base were developed such as monthly seminar, CE articles, annual academic symposium, etc. It was shown that changes of law and policy led rapid growth of occupational health nursing education in various levels. From this trend, it is expected that occupational health nurse expertise be continuously to be enhanced in Korea. Legal and political supports should proceed for the development of occupational health nursing in early stage.