• Health Policy and Management
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• v.18 no.4
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• pp.111-124
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• 2008

New ways of work-shift and learning programs, which were based on the concept of 'performance improvement through people', have been introduced to healthcare organizations. I analyzed the performance of the changes and the performance differences. Data were collected through interview and survey. I discussed that modification of management practices which were developed in manufacturing organizations is important for successful implementation in healthcare organizations.

• Proceedings of the Korean Society of Machine Tool Engineers Conference
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• 1998.03a
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• pp.148-153
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• 1998

In order to control thermal deformation of machine origin of machine tools due to internal and external heat sources, the real-time compensation system has been developed. First, GMDH models were constructed to estimate thermal deformation of machine origin for a vertical machining center through the measurement of deformation data and temperature data of specific points on the machine tool. Thermocouples and gap sensors are used respectively for measurement. These models are nonlinear equations with high-order polynomials and implemented in a multilayered perceptron type network structure. Secondly, work origin shift method were developed by implementing digital I/O interface board between CNC controller and IBM-PC. The work origin shift method is to shift the work origin by the compensation amounts which is calculated by pre-established GMDH model. From the experimental result, thermal deformation of machine origin was reduced to below $\pm$5${\mu}{\textrm}{m}$.

• Journal of Preventive Medicine and Public Health
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• v.25 no.4 s.40
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• pp.374-385
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• 1992

Some circadian rhythms can become disorgnized due to rotating shift work. This lack of organization, termed desynchronization, can produce a group of symptoms such as insomnia, GI disturbance and fatigue among many rotating shift workers. The magnitude of these symptoms are influenced by personal and environmental factors and the patterns of shift work. This study was carried out to investigate the subjective symptoms related to rotational schedules of shift work after personal and environmental factors adjusted. 182 male workers in rapidly rotating shift system and 86 male workers in weekly rotating shift system were conducted the questionnaire on personal factors and subjective sleep, GI and fatigue symptoms. Major findings obtained from this study are as follows: 1. The symptoms of 'feeling tired at work' and 'being irritable' were more frequent in weekly rotating shift workers (P<0.05), and the mean of symptom score was significantly higher in weekly rotating shift workers(P<0.01). 2. According to 6 hours of sleeping which is a definite elevation point of fatigue, there was not a significant difference between two groups in sleeping hours. Among workers in rapidly rotating shift system, the mean of symptom score was significatly higher in workers of less than 6 hours of sleeping(P<0.05), but it was not different among weekly rotating shift workers. 3. The symptoms of GI disturbance were more frequent in weekly rotating shift workers but statistically not significant. 4. The positive rate of mental and physical fatigue symptoms were significantly higher in weekly rotating shift workers(P<0.01) and mental and physical fatigue symptoms were more frequent in them (P<0.01). 5. After the effect of the factors that were significantly different between two groups by $X^2-test$ were controlled, the mean score of sleep disturbance was significantly higher in weekly rotating shift workers (P<0.01) and mental physical fatigue symptoms were more frequent in them (P<0.01). Based on these study results, subjective symptoms were more common in the weekly rotating shift workers. In future, medical examination and laboratory test will be also administered to evaluate a more accurate health outcomes and the review of current shift schedules will be required.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.385-392
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• 2014

Workshift is a method of organization of working time in which workers succeed one another at the workplace. The shift work system enables round-the-clock activities required for meeting technological needs and productive and economic demands. This study tries to find the practical implications by investigating the workshift systems which are successfully applied in two representative Korean companies, Yuhan-Kimberly and POSCO. Case study method is applied in oder to analyze the special feature of shift work systems in two companies. It is concluded that the shift system(2-4system) has positively enhanced firm's capability including workers' satisfaction and commitment, product quality, and productivity. Specifically, the shiftwork system applied in the companies has significantly influenced on the workers' work-life balance.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.30 no.2
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• pp.58-66
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• 2007

This study is evaluation of shift-workers' sleep and social life related to hospital workers' performance and health. We researched shiftworkers' sleep, sleeping quality and social relations using a questionnaire method to shiftworkplace scattered Daejeon and Chungnam province. The results of shiftworkers' sleep are differ from habitual sleep. Social participations of shiftworkerse are interfered partially because of shiftwork. In preference, shiftworker preferred health to others because of physical load of shiftworks. Through result of this study about sleep and social life style, we hope to derive reduction methods of shift work fatigue and education for improvement of employers, for example an physiological and psychological accordance method, an health problem solving method and an social accordance method, etc.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.5
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• pp.519-529
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• 2015

Purpose: This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system. Methods: This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs. Results: Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system. Conclusion: The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

• Journal of the Korea Convergence Society
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• v.12 no.7
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• pp.295-304
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• 2021

This study is a secondary data analysis to investigate the nursing tasks performance, appropriate performer, and job satisfaction in the general wards with sift work. We found that nurses performed direct (45%) and indirect nursing (55%). The workload per shift was 37.2% in the day, 35.6% in the evening, and 27.2% at night. The tasks performed after handover were 'direct nursing (34.5%)' and 'documentation and notification (25.8%)'. Nurses responded that there were some tasks that could be delegated to nursing assistants or had ambiguous boundaries with other medical personnel. There was a significant correlation between compliance to the job description of the night shift and job satisfaction (rs=.43, p=.01). These results imply that it is necessary to establish strategies that will enhance work efficiency based on job analysis by shift work, reduce handover time using EMR system, stmart devices, and clarify appropriate performers.

• Journal of muscle and joint health
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• v.25 no.3
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• pp.196-204
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• 2018

Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.

• Women's Health Nursing
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• v.24 no.3
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• pp.252-264
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• 2018

Purpose: To understand the essentials of rearing conflict experience by three shift nurses in advanced general hospitals. Methods: The design was a qualitative research of phenomenology. Participants were 7 shift nurses working in advanced general hospitals who were rearing young children. Data were collected individually through in-depth interview on their life experiences. Data were analyzed by Colaizzi's phenomenological methodology. Results: Eighteen themes were drawn from 256 meaningful experiences and these themes were integrated to six theme clusters. The most influencing themes were 'Regret that I cannot satisfy even the slightest wish', 'Fail to care for kids', and 'Mutual feeling to care giver between appreciation and inconvenience'. Other themes were as follows: 'Body and mind are broken', 'The need for a three-shift system to support nurses who are rearing children', 'Doing my best for work and child rearing'. Conclusion: The nature of three-shift nurses working in advanced hospital and caring kids is explained as 'lives with conflict' between work and home. This study suggests it is necessary to establish a 24-hour care center for 3-shift nurses to keep working while rearing their children.

• Journal of Biosystems Engineering
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• v.19 no.4
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• pp.291-300
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• 1994

It is desired to operate tractor engines at or near maximum torque much of the time in field operation to increase fuel efficiency. To do this it is necessary to reduce engine speed and to shift gears to higher ratios as frequently as possible. Because of load variations in most drawbar work and inconvenience in gear shift, however, gear-type transmission are usually set in one ratio at unnecessarily high engine speeds, and engine-torque variations are used to compensate for changes in drawbar load. As a result, the most of time the tractor is not operated efficiently in terms of fuel consumption and work output. The objective of this study was to develop an automatic control system which is able to operate a tractor equipped with gear transmission under the optimal condition in terms of fuel efficiency with automatic governor setting and gear shift. An indoor experimental test set which can be used to simulate tractor operation, control engine speed and transmission ratio was developed in the previous paper. In this paper, the performance of the optimal operation system is reported. Through a series of tests, it was found that the automatic control system for optimal operation of tractors with gear transmission had a satisfactory performance.