• 한국융합학회논문지
• /
• 제12권5호
• /
• pp.337-344
• /
• 2021

COVID-19로 인한 장기적인 사회적 거리두기와 격리가 성인의 작업수행영역에 미치는 영향을 확인하기 위해 2020년 11월부터 2020년 12월까지 2개월 동안 전국에 분포한 20대부터 60대의 성인을 대상으로 작업치료 실행체계를 기반으로한 설문지를 구성하여 조사하였다. 설문에 응답한 대상자는 총 270명이었고 조사방법은 온라인 설문조사로 하였다. 분석결과 작업수행영역의 9개영역 45가지 항목중 33가지(75%) 항목에서 COVID-19 전후로 작업수행도와 만족도 모두 유의한 차이가 있었다. 연령대별 수행도와 만족도는 건강관리, 사회참여, 여가, 일영역에서 모든 연령대가 유의한 변화가 있었다. 특히 20대는 사회참여영역의 수행도와 여가영역의 만족도에서 가장 큰 변화를 보였으며, 30대에서 60대에서는 여가영역의 수행도와 만족도에서 모두 가장 큰 변화를 보였다. 이러한 변화와 더불어 설문대상자들은 COVID-19 이전보다 낮아진 작업수행도와 만족도가 스스로 문제라고 인식했고 개선의지가 있는 것을 확인하였다. COVID-19는 아직 대유행하고 있으므로 장기적인 사회적 거리두기와 격리로 변화된 작업수행영역별, 연령별 차이를 개선하기 위한 각 영역별 전문가의 개입과 후속연구가 필요하다.

• 한국직업건강간호학회지
• /
• 제7권2호
• /
• pp.186-199
• /
• 1998

Necessity for the guidebook of occupational health nursing practice has been perceived by our OH research members since the health management of small scale enterprises(SSE) was controlled by law. Mean-while, developing the OH manual, our team found that the work situation of occupational health nursing(OHN) services should be prior to the construction of the OHN manual. This procedure was regarded as helpful for producing the OH manual which is fitting to the Korean nursing circumstances. Thus, this study was planned and carried out. The study aimed to find out current situation of work performance on occupational health nursing practice perceived by nurses working for health management of SSE. Questionnaire was distributed to the OH nurses working in the 55 group occupational health service(GOHS) agencies throughout the Korea from January to March in 1997. Ninety-seven nurses of the 31 GOHS agencies responded. Descriptive statistics was used in the SAS programme. Four nurses participated to select nursing area investigated in the study. Those area were 'document', 'job orientation', 'OH reference', 'nursing theory', 'group health education', 'health examination', 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion' and 'communication'. Results can be summarized as follow : Types of document were mentioned diversely depending on the GOHS agencies. Job orientation was seen to be performed by nurses in 56% among the 75.3% nurses responded. Sixty five percents of nurses agreed to apply nursing theories into the OH with lack of knowledge on them. Health screening and health education were responded as commonly provided nursing activities with various nursing obstacles as well as indicated in the area of 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion'.

• 지역사회간호학회지
• /
• 제6권1호
• /
• pp.34-54
• /
• 1995

Occupational health services in Korea have been operated as dual types: one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative. health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area: 154 places (39.4%) managed by designated. health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation due to the characterstics of each variable and analyzed for impacting factors with relation to the using multiple regression analysis using SPSS PC program, especially using t -test method in order to compare each type of health care management. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. The common sickness management is the most accomplished item in health care area of occupational health care services, while the preventive care and control for the workers who have serious health problems are insufficient in workers health care area. 3. An insufficient accomplishment of overall health education has been shown because it is difficult to perform health education due to almost no chance of the direct introduction at workplaces. Therefore a strong support system for making and supplying the media is necessary in order to activate indirect health education by means of media. 4. Because health care managers and the agencies managers where take the workplaces for this study are almost nurses who have been comparatively high work site rounding rate about an environmental management at the workplaces, that non-profession can also do it, the activities about the professional area not enough. Therefore, an appropriate referral system should be established in order to complement professional area. 5. Two factors which have an effect on the coverage rate of occupational health care services are : one is those from the workplaces such as type of services, the number of workers, the number of harzadous factors and safety & health committee, the other from health care organization about whether there is its own manager or not.

• 한국직업건강간호학회지
• /
• 제20권1호
• /
• pp.83-92
• /
• 2011

Purpose: This is a descriptive study that provides basic material to improve occupational health nurses' work conditions and industrial performance status. Methods: The 955 nurses who participated in the training program to understand the purpose of this study from January 2009 to December 2010 conducted by the Korean Association of Occupational Health Nurses agreed to be subjects for the study. The questionnaire included the general characteristics, work conditions and performance of occupational health management. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis. Results: Occupational health management performance of the subjects averaged 3.11 points and detailed area by health management 3.64 points, environment management 2.91 points and occupational management 2.77 points. Health management performance of those factors affecting the duration of occupational health nurse (${\beta}$=.199), type of industry (${\beta}$=.126), average annual income (${\beta}$=-.277) to 11.4% (F=3.175, p<.001) were found to be a significant determinant. Conclusion: Occupational health nurses are the core workforce of occupational health through the prevention of occupational disease and industrial accidents. Findings of this study can be an important resource to increase appropriate occupational health nurses' work conditions and performance of occupational health management.

• 대한감각통합치료학회지
• /
• 제16권3호
• /
• pp.23-33
• /
• 2018

목적 : 본 연구는 국내 아동 작업치료사들이 사용하고 있는 평가도구를 영역별로 구체화하여, 평가도구의 사용 동향을 파악하고자 하였다. 연구방법 : 본 연구는 아동 작업치료사를 대상으로 평가도구 사용에 대한 설문을 실시하였다. 평가도구의 하위영역은 작업수행, 일상생활활동, 교육, 놀이, 감각-지각, 운동 및 실행, 인지, 사회적 상호작용 기술, 발달, 이학적 검사로 구성하였다. 설문에 응답한 105명의 자료를 대상으로 기술통계 및 빈도분석을 사용하여 분석하였다. 결과 : 본 연구 결과는 초기 평가 시 소요되는 시간은 30~60분(41.9%)이 가장 많았으며, 재평가 주기는 3~6개월(41.0%)로 가장 많이 실시하는 것으로 나타났다. 영역 별 평가도구를 살펴보면, 작업 수행은 Canadian Occupation Performance Measure(55.2%)을, 일상생활활동은 Wee Functional Independence Measure(57.1%)을, 교육은 School Function Assessment(2.5%)를, 놀이 평가도구는 Revised Knox Preschool Play Scale(28.6%)을, 감각-지각은 Developmental Test of Visual Perception(94.3%)을, 운동 및 실행 평가도구는 Bruininks-Oseretsky Test of Motor Proficiency-2(42.9%)를, 인지 평가도구는 Lowenstein Occupational Therapy Cognitive Assessment(11.4%)를, 사회적 상호작용 기술은 Evaluation of Social Interaction(6.1%)을, 발달은 Denver Developmental Screening Test-II(92.4%)를, 이학적 검사는 임상관찰(89.5%)을 주로 사용하는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 아동작업치료사들이 사용하고 있는 평가도구를 영역별로 구체적으로 파악할 수 있었으며, 이를 통해 추후 평가 교육 및 개발을 위한 기초적인 근거자료가 될 것으로 기대된다.

• 한국직업건강간호학회지
• /
• 제22권2호
• /
• pp.159-170
• /
• 2013

Purpose: To provide the data of health manager education program in order to improve the quality of work-sites health management with qualification based job analysis of health managers (Occupational Health Nursing, Industrial Hygienist, Environmental Engineer). Methods: A descriptive research on 132 health managers using IPA and SPSS/WIN. Results: The overall average of importance of health management job was 8.0 (10 being the maximum score). Nurses had significantly higher score in the level of importance per areas and health management jobs. The overall average of performance of health management job was 6.7 (10 being the maximum score). Nurses had higher score in the area of health management. IPA matrix distributions per health management job area showed the correlations in qualification backgrounds and all of 3 main areas. Conclusion: There was difference in the level of importance and performance on health management jobs based on the qualification backgrounds of health managers. To improve the health of workers, an integrated health management must be provided. And to provide this, it is necessary to offer the additional education to health managers with an institutional complementary plan.

• 한국엔터테인먼트산업학회논문지
• /
• 제14권7호
• /
• pp.599-608
• /
• 2020

본 연구는 지역사회 노인의 헬스케어를 위한 치매안심센터에서 작업치료사 역할 수행도 및 만족도를 조사하고, 중요도 순위에 따른 작업치료사의 업무를 확인하여 역할 정립에 필요한 기초자료를 제공하고자 실시하였다. 본 연구는 호남지역·광주광역시 치매안심센터 작업치료사를 대상으로 메일 및 우편을 통해 설문조사를 실시하였다. 설문 문항은 일반적 특성 및 치매안심센터 현황(8문항), 치매안심센터 사업영역 및 업무 내용(45문항)에 대한 수행도와 만족도, 중요하다고 생각하는 업무(주관식 1문항), 총 54개의 문항으로 구성하였다. 치매안심센터 작업치료사들은 대상자를 위한 프로그램을 제공하는 '치매예방 관리사업'을 주로 수행하고 있었고, 만족도도 가장 높은 것으로 나타났다. '치매선별검사'는 수행도, 만족도가 높고 고유의 역할임에도 불구하고 치매안심센터 작업치료사의 역할로는 배정되지 않아 역할의 미흡함을 나타내었다. '행정업무 및 지역사회 역량강화'는 수행도와 만족도가 낮게 나타났지만, 치매안심센터의 운영과 대상자 관리를 위해서는 필수적인 업무이기에 수행도를 높일 수 있는 방안이 마련되어야 한다. 작업치료사에게 중요하다고 생각되는 사업범주 또한 작업치료사가 수행해야 하는 업무와 일치하여, 치매안심센터 작업치료사들이 고유의 역할을 인식하고 있음을 확인하였다. 따라서 치매안심센터 작업치료사의 역할 정립을 위해서는 사업에 대한 수행도, 만족도, 중요도를 기반으로 한 운영지침의 개정이 필요하며, 수행도 및 만족도가 미흡한 업무를 향상시킬 수 있는 교육과정의 개발 및 프로그램의 운영이 필요하다고 사료된다.

• 한국직업건강간호학회지
• /
• 제6권2호
• /
• pp.156-167
• /
• 1997

In Korea, based on the Revised Law of Occupational Safety and Health a new entity of institution was set up in 1990 to provide occupational health services to SSE in which three sorts of personnel as a team have to be involved. These institutions, in charge of scores to hundreds of workplace area-wide, have been providing occupational health services without payment from employers or employees, and government reimburses through the Occupational Injury Prevention Insurance since 1993. As a service provider, a team is composed of doctors, nurses and industrial hygienists. Undergraduate and postgraduate educations for the SSE occupational health are not specified and the question on the performance of the personnel has been raised. This study was designed to analyze the facilitating factors of and barriers to the performance and its improvement of these personnel. In 1997, the survey was conducted with all 58 institutions. Structured questionnaires were mailed to 200 personnel who were providing the occupational health service for SSE. The response rate was 51.7% for doctors, 58.6% for nurses, and 60.3% for industrial hygienist, respectively. Results are as follows : 1) There is a guideline for occupational service mandated by the government. Under the guideline, the minimum frequency of visiting workplace is assured with six times of doctors, 17 times for nurse and industrial hygienist in a year. There are one doctor for every 200 factories, one nurse and one hygienist for every 100 factories. 2) All respondents have basic qualification for occupational health service. About 16.7%. of doctors are certified in industrial medicine or preventive medicine, and 64.7% of industrial hygienists had first grade certification. Totally 66.7% of personnel have been involved in occupational health for more than one year. 3) As a support system for the performance improvement, 66.3% respond that they have been provided with educational materials, advice related to industrial environment and guidance of MSDS from Korea Industrial Safety Corporation. Most respondents indicate the lack of concern of employers and employees as a main barrier to the improvement of the service. Also they are in the need of the training opportunity more focused on SSE. The Governments policy for SSE is a principal facilitating factor. Training program focused on SSE situation, manpower, technical support, etc. are areas to be improved to have a better occupational health service for SSE in Korea.

• Safety and Health at Work
• /
• 제6권3호
• /
• pp.200-205
• /
• 2015

Background: Construction activity has made considerable breakthroughs in the past two decades on the back of increases in development activities, government policies, and public demand. At the same time, occupational health and safety issues have become a major concern to construction organizations. The unsatisfactory safety performance of the construction industry has always been highlighted since the safety management system is neglected area and not implemented systematically in Indian construction organizations. Due to a lack of enforcement of the applicable legislation, most of the construction organizations are forced to opt for the implementation of Occupational Health Safety Assessment Series (OHSAS) 18001 to improve safety performance. Methods: In order to better understand factors influencing the implementation of OHSAS 18001, an interpretive structural modeling approach has been applied and the factors have been classified using matrice d'impacts croises-multiplication $appliqu{\acute{e}}$ a un classement (MICMAC) analysis. The study proposes the underlying theoretical framework to identify factors and to help management of Indian construction organizations to understand the interaction among factors influencing in implementation of OHSAS 18001. Results: Safety culture, continual improvement, morale of employees, and safety training have been identified as dependent variables. Safety performance, sustainable construction, and conducive working environment have been identified as linkage variables. Management commitment and safety policy have been identified as the driver variables. Conclusion: Management commitment has the maximum driving power and the most influential factor is safety policy, which states clearly the commitment of top management towards occupational safety and health.

• 한국산업보건학회지
• /
• 제10권2호
• /
• pp.150-164
• /
• 2000

This study was conducted at occupational health laboratories in Seoul and Gyunggi district area from December, 1999 to January, 2000. The main purpose of this study was to survey the actual condition of safety and health by questionnaire and checklist and to assess the performance of fume hoods and the airborne exposures to chemicals in the laboratories. The chemicals in the cabinet were not classified by hazardous properties and the compressed gases were not stored safely. The prevalences of laboratories having first aid kits, fire extinguishers, and safety showers were found to be 18%, 55%, and 9%, respectively. Most laboratory workers were not educated for safety and health. Also, there was no performance evaluation for hazards and risks. The fume hoods in laboratories had not been annually inspected by checklist and the face velocity had been checked more than one time in the previous year for only 18% of them. Five percent of fume hoods had the face velocity more than 4.0 m/sec and 17% had no capture performance. Detected organic solvents were methylenechloride, acetone, ethylbenzene, isopropanol, xylene, methylisobutylketone, trichloroethylene, and toluene. The concentrations of organic solvents were much less than the occupational exposure limits proposed by the Ministry of Labor in Korea. This study showed that the actual condition of safety and health was not appropriate for laboratory workers. It is recommended that laboratory workers should be educated for the treatment and storage of hazardous chemicals and compressed gases to improve the working environment of the occupational safety and health laboratories.