• 한국문헌정보학회지
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• 제46권1호
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• pp.55-76
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• 2012

어느 국가를 불문하고 모든 공공도서관은 시설, 장서, 예산을 필요로 하지만 그 성공의 여부는 지역사회에 최고 수준의 서비스를 제공하는 직원에 의해 결정된다. 그러므로 공공도서관은 적정수의 상근직원을 확보해야 한다. 이러한 노동력을 보증하기 위하여 본 연구는 국내 공공도서관의 직원배치에 관한 법적 및 권장기준의 법리적 정당성, 논리적 타당성, 현실적 적합성과 유용성을 분석하고, 직원배치를 위한 결정변수로서의 건물면적과 장서, 법적 봉사대상인구의 구간, 기본인력 배치수준, 봉사대상인구를 감안한 증원인력을 중심으로 직원기준의 개선안을 제시하였다.

• 간호행정학회지
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• 제22권3호
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• pp.209-219
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• 2016

Purpose: To analyze the proportion of medical institutions meeting the legal standard for nurse staffing. Methods: Data collected from 29,282 institutions between 1996 and 2013 were analyzed. Nurse staffing was measured as daily patient census per registered nurse (RN). The standard for general hospitals, hospitals, and clinics is 2.5 or less, and that for long-term care hospitals is 6.0 or less of the daily patient census per RN. Clinics may substitute nursing assistants for RNs by 50% or 100% depending on their daily inpatient census; long-term care hospitals may substitute nursing assistants for RNs by two thirds of the required number of RNs. Results: The proportion of general hospitals, hospitals, clinics, and long-term care hospitals meeting the standards was 63%, 19%, 63%, and 94%, respectively, in 2013. While general hospitals had an increase in the proportion during the 1996-2013 period, small changes were found in hospitals and clinics. In 2013, nurses were estimated to care for 16 (interquartile range: 12~24) patients per shift in general hospitals. Three quarters of clinics had no RNs in 2013. Conclusion: Many medical institutions did not meet the legally mandated minimum staffing level. The government must implement policy actions for all medical institutions to meet the legal standards.

• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.380-389
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• 2013

급성기 병원의 간호사 배치수준은 환자안전 및 성과에 영향을 미치며, 간호사 배치기준의 법제화는 환자안전에 필요한 최소 인원을 보장하는 중요한 수단이 될 수 있다. 우리나라는 의료법에 간호사 정원기준을 제시하고 있으나, 환자안전 보장 및 간호의 질 향상을 위해서 다음의 몇 가지 사항에 대한 개선이 필요하다. 첫째 1962년 제정된 현행 의료법의 간호사 정원기준은 보건의료환경 변화에 따라 적정성에 대한 재검토가 필요하다. 둘째 의료법의 간호사 정원은 의료기관이 준수하여야할 최소 인원으로 모든 의료기관이 준수하도록 관리되어야 한다. 셋째, 간호사 배치기준은 환자의 이해를 돕고, 관리가 용이하도록 근무조당 입원환자수 대 간호사 수를 기준으로 하도록 한다. 넷째, 병원 간호단위별 근무조별 간호인력 배치정보를 공개하여야 한다.

• 한국문헌정보학회지
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• 제51권4호
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• pp.183-201
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• 2017

현행 공공도서관 사서 배치기준에 대해 공공도서관 현장의 실정과 그간의 광범위한 사회발전을 제대로 반영하지 못하고 있다는 비판이 있다. 이에 본 연구에서는 먼저 (1) 현행 법정 공공도서관 사서배치기준 대비 사서배치 현황을 국가도서관통계를 토대로 분석했고, (2) 현행법상 사서배치기준의 핵심 요소들의 도출 근거를 국내외 관련 문헌을 검토하면서 그 타당성을 분석하였으며, (3) 공공도서관 인력배치 현황데이터를 토대로 주요 배치기준별로 사서충원율을 산출하는 시뮬레이션 분석을 수행하여 그 결과를 비교분석하였다. 분석 결과, 2016년말 현재 전국 989개 공립 공공도서관의 1관당 평균 사서수는 4.3명이며, 법정 충원율은 18.2%에 불과했다. 법정 최소 기본 배치인력 3명에 미달하는 도서관이 40%를 넘었다. 연면적과 장서수로 사서수를 산출하는 현행 법적 기준은 봉사구간에 제시된 최소 연면적을 초과할 경우 과도한 수의 필요인력을 산출하여 고질적인 법적 기준 미달의 원인이 되고 있었다. 현행 법적 기준을 국제도서관연맹(IFLA) 및 한국도서관협회의 권장기준과 비교한 결과, 가장 낮은 사서충원율을 기록했다. 향후 사서배치기준은 필요이상의 복잡한 배치기준 대신, 해외에서 보편적으로 사용하는 봉사대상인구로 개정하고, 기본 인력 3인을 배치한 후, 증원기준으로 개별 도서관과 지자체의 상황을 반영해 2-3단계의 서비스 목표 수준별로 등급화하여 사서수를 배치하는 방안을 제안하였다.

• 대한간호학회지
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• 제26권2호
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• pp.399-412
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• 1996

Even though Korean medical law stipulates that number of patients attended by a nurse is 2.5 for hospitalization and 30 for ambulatory care, the number of patients cared by a nurse per day is much greater than the standard prescribed by the medical law. Current nursing productivity of nurses is not desirable unless the quality of care considered. Moreover. nursing manpower staffing based on neither current nurses' productivity nor standard of medical law cannot respond properly to dynamic situation of the medical services. As for the nurse scheduling, the critical problem of it in the hospital is determining the day-to-day shift assignments for each nurse for the specified period in a way that satisfies the given requirements of the hospital. Nurse scheduling, however, involves many factors and requirements, manual scheduling requires much time and effort to produce an adequate schedule. Under these backgrounds, the necessity of more efficient management of nursing manpower occupying 1/3 of total hospital workers has been recognized by many nursing administrators. This study was performed to develop a system computerizing nurse staffing and scheduling based on the patient classification. As a preliminary step for the system development, nursing workload in a secondary hospital was measured from Sep. to Oct. 1994. On the grounds of this result, computerization of nurse staffing and scheduling was proceeded with three options. First one is based on the current medical law. Second one is based on the assigned number of nursing staff. And the last is based on the request by patient classification. Computer languages used in this study were MS Visual Basic 3.0 for the staffing and Access 2.0 for the scheduling, respectively. Prospective users may operate this system easily because icons and mouse are used for easier graphic user interface and reducing the need for typing efforts. This system can help nurse administrators manage nursing manpower efficiently and nurses develop quick and easy schedule generation and allow more time for the patient care.

• Journal of Nutrition and Health
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• 제31권3호
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• pp.354-362
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• 1998

The purposes of this study were to develop standardized indices of staffing needs in each school, foodservice system through work sampling methodology . Conventional school foodservices were classified into 5 groups depending on size of meals served. Commissary school foodservices were also classified into 5 groups by cluster analysis using number of meals served, number of satellite schools, and time for transportation of food. Work measurement through work sampling methodology was conducted in 15 conventional and 21 commissary foodservices during 3 consecutive days from September to October in 1995. Statistical data analysis was completed using the SAS programs for descriptive analysis, cluster analysis, and simple linear regression. The results were as follows : Average points of leveling factors of conventional and commissary foodservices were 1.066 and 1.061 , respectively. Mean labor hours per work force was 328 minutes and 366 minutes in conventional and commissary foodservice , respectively. Standardized work time was calculated using leveling factor, ILO allowance rate (175) , and observational work time. The model for standardized indices of staffing needs was developed based on simple linear regression in each school foodservice system. In conventional school foodservice systems(for 100-1,900 meals per day) standardized staffing needs=3.2497 +0.005267$\times$number of meals served (F=273.1, R-square 0.9750, p<0.001). In commissary school foodservice systems (for 200-1,600 meals per day ) Standardized staffing needs=3.393384 +0.0063$\times$number of meals served (F=30.78, R-square 0.6580, p<0.001).

• 임상간호연구
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• 제29권3호
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• pp.312-326
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• 2023

Purpose: This study attempted to analyze the staffing level and critical care nursing fees of intensive care units at tertiary and general hospitals and to provide a professional judgment-based recommendation on staffing level and critical care nursing fee schedules. Methods: Staffing grades and critical care nursing fee schedules for the first quarter of 2017~2020 and the fourth quarter of 2020~2022 were analyzed. A survey was conducted on nursing managers and nurses about the current and appropriate staffing levels. A total of 77 nurse managers and 708 nurses working in Intensive Care Unit(ICU)s at tertiary and general hospitals participated in the study. Results: Grade 1 staffing increased from 25.6% in 2017 to 92.1% in 2022 at tertiary hospitals and from 0.8% in 2017 to 28.4% in 2022 at general hospitals. The current staffing ratios of tertiary and general hospitals were 1:2.21 and 1:2.77, respectively. The appropriate staffing ratio according to nurse managers and nurses was 1:1.00 in patients with more than a ventilator application and 1:2.00 in patients without any ventilator application in tertiary hospitals, and it was 1:1.25 in patients with more than a ventilator application and 1:2.00 in patients without any ventilator application in general hospitals, respectively. Conclusion: The appropriate staffing level was suggested from 1:1.0 to 1:2.0. The new nursing fee schedules were suggested from 1:1.0 (Grade 1) to 1:3.0 (Grade 5) and recommended to be paid based on the staffing grade, minimum number of nurses, and standard annual working days. It is expected to increase staffing levels and provide a better nursing work environment.

• 중환자간호학회지
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• 제14권2호
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• pp.1-11
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• 2021

Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients' nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN). Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients' WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients' nursing care needs were calculated. Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48. Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients' nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.

• 한국도서관정보학회지
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• 제42권1호
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• pp.73-95
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• 2011

공공도서관시스템의 성공과 실패는 인적 자원의 효과적인 관리에 달려 있다. 그것은 공공도서관의 직원이 운영과 서비스 제공에 가장 중요한 자원이라는 것을 의미한다. 그러므로 공공도서관이 지역사회에 최선의 서비스를 제공하기 위해서는 정보자원을 효과적으로 이용하고 지역사회의 요구를 충족시키기 위한 우수한 직원을 확보할 필요가 있다. 이 연구는 국제기구, 주요 선진국, 한국의 공공도서관 직원기준과 지침을 비교 분석하는데 목적이 있다. 그리고 연구결과로 도출된 시사점은 후속연구인 최적 배치기준 제시의 중요한 이론적 배경과 논리적 근거로 활용될 것이다.

• 한국도서관정보학회지
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• 제42권2호
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• pp.5-28
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• 2011

대학도서관의 궁극적인 사명은 대학의 교육, 연구, 사회봉사를 지원하기 위한 다양한 정보서비스를 제공하는데 있다. 이러한 사명을 성취하려면 대학도서관의 운영지침, 평가도구로 활용될 수 있는 최적의 기준을 개발하고 적시에 개정해야 한다. 이에 본 연구는 주요 국가(미국, 캐나다, 영국, 일본, 대만)의 대학도서관기준이 함축하는 동향과 특징을 개관 비교하고, 국내의 법적 및 권장기준에 내재된 문제점과 한계를 분석하여 장서, 직원, 시설 중심의 개정안을 제시하였다.