• 대한간호학회지
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• 제45권6호
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• pp.879-889
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• 2015

Purpose: The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM). Methods: A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses. Results: The goodness-of-fit statistics of the final modified hypothetical model are as follows: ${\chi}^2=586.03$, ${\chi}^2/df=4.19$, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life. Conclusion: The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8234-8242
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• 2015

본 연구는 장애인생활시설 종사자의 조직 환경, 직무 환경 및 클라이언트와의 관계성과 소진의 관련성을 분석하여 사회복지사에게 보다 질 높은 업무환경 서비스를 제공할 수 있는 방안을 모색하는데 목적을 두고 광주 전남지역에 소재한 장애인생활시설에 근무하고 있는 종사자 252명을 대상으로 하였고, 주요 결과는 다음과 같다. 조직 환경, 직무 환경, 클라이언트와의 관계성을 독립변수로 설정하여 소진에 독립적으로 영향을 미치는 요인을 알아보기 위하여 회귀분석을 실시한 결과 조직 환경(${\beta}$=-.200, p=.001)과 직무 환경(${\beta}$=-.460, p<.001)은 유의미한 독립적인 요인이었고 설명력은 31.0%였다. 그러나 클라이언트와의 관계성(${\beta}$=-.059, p=0.258)은 소진에 유의미한 요인은 아니었다. 결론적으로 종사자들은 항상 자긍심을 가지고 적극적으로 활동하여 자신감을 갖도록 하여야 하고, 시설은 조직 환경 및 직무 환경의 개선이 필요하다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2003년도 추계학술대회 논문집 전기기기 및 에너지변환시스템부문
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• pp.92-94
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• 2003

The autotransformer currently used on the electric railway system is made of class A insulation material and uses the paper insulation method. As a power converter supplying power to the trolley wire, the autotransformer is one of critical equipment in the railway system. In the autotransformer, load irregularly changes and overload often occurs. These cause overheating of the autotransformer and facilitate deterioration of the autotransformer resulting in burnout accidents due to insulation breakdown. Also, the current autotransformer has poor insolation and short-circuit strength which often badly affect the service life of the transformer, and needs to improve its quality urgently. To overcome one of existing shortcomings of the mold transformer, manufacturers use epoxy resins that have superior flame retardancy to get rid of fro and explosion possibilities during accidents. Currently, new mold transformers are used in indoor distribution facilities with fire-fighting equipments. Coils molded in epoxy resins do not have their insulation performance compromised by humidity, dust, etc enabling easy inspection and maintenance. Comparing to the oil immersed transformer, the mold transformer does not have any concern about environmental pollutions by oil leak or replacement Therefore, to reduce breakdowns and improve reliability of the autotransformer, it is necessary to develop a new mold autotransformer with low loss suitable for our environment to suppress breakdowns of the autotransformer and improve the reliability. This study is about development of a low-loss mold autotransformer necessitated by reasons mentioned earlier.

• Journal of Preventive Medicine and Public Health
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• 제51권3호
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• pp.154-162
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• 2018

Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

• 대한불안의학회지
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• 제13권2호
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• pp.93-99
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• 2017

Objective : This study aimed to evaluate the association of exhaustion, ADHD, self-esteem, impulsivity, suicidal tendencies and quality of life as well as depression and anxiety in fire officers in Korea. Methods : This study was undertaken for the first time in Korea, from September 2016 to December 2016. A set of questionnaires was provided to a total of 113 fire officers and 284 other participants as a comparison group. All subjects were evaluated using the Beck's Depression Inventory, Beck's Anxiety Inventory, Malach Burnout Inventory, Korean Adult Attention Deficit Hyperactivity Disorder Scales, Rosenberg's Self-esteem Inventory, Baratt's Impulsivity Scale, Beck's Scale of Suicide Ideation, and Quality of Life Scale. Furthermore, the odds ratio of depression, anxiety, exhaustion, ADHD, self-esteem, impulsivity, suicidal tendency and quality of life were evaluated the fire officer group and control group were compared through logistic regression analysis. Result : The results of this study indicated that the fire officers were more likely to show depression, anxiety, exhaustion, ADHD, low self-esteem and higher impulsivity. Also, the association between the fire officer group and depression, ADHD and impulsivity was confirmed through logistic regression analysis. Conclusion : Timely and effective evaluation and treatment of impulsivity, as well as depression is required for fire officers.

• 한국IT서비스학회지
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• 제17권2호
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• pp.1-16
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• 2018

Large corporations have the work and roles of employees clearly defined in accordance with their established internal structure whereas small and mid-sized firms may lack an official job specification or a written job description, causing ambiguity in the role of employees. In IT service companies, especially, there is a relatively large number of tasks requiring one person to play multiple roles and they are often highly dependent on few key players. In this reality where about 80% of the job seekers end up in SMEs, it is therefore necessary to look into how the turnover factors such as job strain and occupational burnout caused by the role ambiguity from extra work affect the turnover intentions of small and medium sized IT service firm employees. The outcome of this study is as follows. First, the relationship between job strain and turnover intention has been examined to find that a weak inverted U shaped relationship exists between role overload, which is a subset of job strain, and turnover intention. Second, the hypothesis based on the competing values framework has been tested that the fitness with organizational leadership and culture would moderate the relationship between job strain and turnover intention and it has been confirmed that the degree of relationship between role conflict and role ambiguity, the subsets of job strain, and turnover intention has changed. In conclusion, in order to discourage turnover intention, it is necessary to increase the fitness with the organization and leadership or generate a sufficient level of strain in case of an organization with low fitness.

• 한국시뮬레이션학회논문지
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• 제25권2호
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• pp.51-61
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• 2016

최근 응급의료 서비스의 환자 만족도에 대한 관심이 높아지고 있는 가운데 사물인터넷(IoT: Internet of Things)을 활용한 프로세스 개선에 많은 노력을 기울이고 있다. 본 연구는 IoT기술을 응급실 운영에 활용한 스마트 응급실의 핵심 기술을 살펴보고, 의사와 간호사의 의사결정을 지원하는 진료테스크 우선순위 결정 알고리즘을 제시한다. 제시한 알고리즘은 진료테스크 선정에 따른 책임소재, 환자 불평, 위급환자 진료 지연, 체류시간 길어짐 등의 의사결정 리스크를 최소화한다. 이를 통해 의료진의 감정 육체 소진(Burn-out)을 줄이고 친절과 배려가 있는 환자 진료 케어를 가능하게 하여 환자 만족도와 응급실 의료진의 근무 만족도를 높이고 나아가 간호사의 정체성 제고에 도움을 줄 수 있다. 가상의 응급실을 대상으로 시뮬레이션을 수행한 결과 환자 체류시간 측면에서도 우수한 성능을 보였다.

• 융합정보논문지
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• 제8권5호
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• pp.1-10
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• 2018

본 연구는 의료서비스종사자의 역할갈등에 관한 선행연구 결과를 체계적으로 수집, 분석하여 역할갈등 측정도구와 관련요인에 대한 분석을 실시하였다. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis)의 체계적 문헌고찰 가이드라인에 의거하여 수집된 문헌 중 최종 분석에 사용된 문헌은 33편이었다. 김문실과 박상연의 도구를 사용한 문헌은 14편, Rizzio, house와 Lirtzaman의 도구를 사용한 문헌은 12편, 이은희 등의 도구를 사용한 문헌은 3편이었다. 33편의 문헌 중 5편의 문헌에서 질적 연구방법이 사용되었다. 문헌 분석 결과 역할갈등이 높을수록 직무만족과 재직의도, 조직몰입은 낮아지고, 소진과 직무스트레스, 이직의도는 증가하였다. 본 연구에서는 역할갈등과 다양한 변인 간의 상관관계 및 영향요인에 국한되어 분석하였기에 향후 본 연구 연구결과를 기초로 하여 의료서비스종사자의 역할갈등에 대한 대처방안 및 중재방안에 관한 연구가 활발히 진행되길 기대한다.

• 대한간호학회지
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• 제47권1호
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• pp.98-109
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• 2017

Purpose: This aim of this phenomenological study was to describe and understand the experience of spiritual conflict in hospice nurses by identifying the meanings and structures of the experience. Methods: Participants were 12 nurses working for one year or more at hospice units of general hospitals in a metropolitan city and experiencing of spiritual conflict as hospice nurses. Over six months data were collected using individual in-depth interviews and analyzed with the method suggested by Colaizzi. Results: The experience of spiritual conflict in participants was organized into three categories, six theme-clusters, and 13 themes. The participants felt existential anxiety on death and a fear of death which is out of human control and skepticism for real facts of human beings facing death. They also experienced agitation of fundamental beliefs about life with agitation of the philosophy of life guiding themselves and mental distress due to fundamental questions that are difficult to answer. Also they had distress about poor spiritual care with guilty feelings from neglecting patients' spiritual needs and difficulties in spiritual care due to lack of practical competencies. Conclusion: Findings indicate the experience of spiritual conflict in hospice nurses is mainly associated with frequent experience of death in hospice patients. The experience of spiritual conflict consisted of existential anxiety, agitation of fundamental beliefs and distress over poor spiritual care. So, programs to help relieve anxiety, agitation and distress are necessary to prevent spiritual conflict and then spiritual burnout in hospice nurses.

• 간호행정학회지
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• 제23권1호
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• pp.101-110
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• 2017

Purpose: This study aimed to identify research trends in the Journal of Korean Academy of Nursing Administration from 2013 to 2015. Methods: For this study, 171 articles were analyzed. Research designs, participants, research settings, sampling, and data analyses methods were reviewed using established analysis criteria. Keyword centrality and clusters were generated by keyword network analysis. Results: Most of studies used quantitative methods (82.5%), and sampling mainly focused on nurses (68.8%). The most commonly used data analyses methods were t-test, ANOVA, correlation, and regression. The most central keywords were turnover and empowerment. Network analysis generated four network groups: 1) burnout; 2) turnover; 3) happiness; and 4) nursing professionalism. Conclusion: The results of this study identify current trends and interests in Korean nursing administration research. The findings from this study suggest that future studies include a variety of research methods and maintain appropriate research ethics.