• Journal of The Korea Institute of Healthcare Architecture
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• 제21권1호
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• pp.27-36
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• 2015

Purpose : Ministry of Health & Welfare started to 'Comprehensive care ward' project for patient hospitalization in order to help the economic and medical By providing comprehensive care services through professional nursing staff since 2013. Many physical environments changes are expected by providing comprehensive care services. The purpose of this study is to investigate the comprehensive care services and identify the problems of the corresponding physical environment usage. Methods : Data were collected through research, field surveys, and expert interviews to analyze and investigate the physical environment of the 'Comprehensive care ward'. Results : Physical environments changes in accordance with the comprehensive care services provided in 'Comprehensive care ward' are being only partially achieved. It have to considered not only ward environmental improvement for nursing services provided directly to the patient, but Including nurses warehousing space, work space. Implications : Comprehensive care ward project is scheduled to be operational even some wards throughout the hospital since 2018. This study is basic research for architectural planning of the future ward with comprehensive care services in public hospital.

• Journal of Digital Convergence
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• 제14권4호
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• pp.285-294
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• 2016

The purpose of this research study is to analyze the influence on the necessity of establishment of eco-friendly hospital by evaluating hospital employees' awareness and their satisfaction level of working environment. Questionnaire investigation was conducted in April 2014 throughout five different medium-size hospitals in Seoul, Gyeonggi and Chungcheongbuk provinces. 213 sets of survey were used to conduct Frequency Analysis, T-test, Dispersion Analysis(ANOVA) and Structural Equation Modeling Analysis. The research concluded that employees with higher level of education, working position and longer term of working experience were more aware about Eco-friendly hospital. In addition, male, doctor, and employees with higher level of education and working position were more satisfied with their working environment. And male, employees with higher level of education and working position were more aware about necessity of establishment of eco-friendly hospital. According to the Structural Equation Modeling Analysis, the awareness of Eco-friendly hospital and the satisfaction level of working environment were the varying factors that influence the necessity of establishment of Eco-friendly hospital. Therefore, it is crucial for hospitals that are preparing for establishing Eco-friendly hospital to raise employees' level of understanding of Eco-friendly hospital and their working environment satisfaction level.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• 제24권2호
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• pp.182-192
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• 2014

Objectives: The aim of this study is to analyze the current status of possession of measurement and analytical instruments at work environment monitoring organizations and their relationships with human resources, including the number of professional engineers and evaluation scores resulting from evaluation programs in 2012. Materials: Data for measurement and analytical instruments were gathered by inspectors who had been assigned by the Korea Occupational Safety and Health Agency(KOSHA) and the Ministry of Employment and Labor(MoEL) during the evaluation program for 2012. Data for 11 monitoring instruments and nice pieces of analytical equipment were collected from 103 organizations. Additional data such as the type of service provides and the number of professional engineers employed were also recorded by the inspectors. Evaluation scores could be acquired from KOSHA. Results: Comprehensive Occupational Health Service Providers showed good operation quality, while University or Hospital Subsidiary and Work Environment Monitoring Organizations recorded relatively poor results. Evaluation scores correlated well with the possession of measurement instruments and human resources for each organization. High yields provided by professional engineers also showed statistically-associated contributions to evaluation scores and monitoring instrument possession. Compared with monitoring instruments, the amount of analytical equipment had little positive impact on organizations' competence. Conclusions: The evaluation results for domestic monitoring organizations revealed that human resources, possession of instruments, and the quality of employees were critical factors for operating the corporations. Each organization should give considerable effort to improving their ability to strengtheninternal quality, resulting in high-yield production for workers and employers by providing improved workplace monitoring services.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• 제16권2호
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• pp.131-144
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• 2006

For the purpose of preparing the fundamental data on working environment of small scale manufacturing industries and preventing the occupational diseases of workers in these industries, authors surveyed the status of working environment to several chemical substances and physical agents by types of industry and types of process in the small scale manufacturing industries with less than five workers in Gimhae including 235 workplaces, 14 types of industry and 25 types of process from January 2002 to December 2004. This measurement method was work environment measurement method (established in Ministry of Labor, Korea), analytical methods (2nd Ed.) of Occupational Safety and Health Administration (OSHA) and manual of analytical methods (4th Ed.) of National Institute for Occupational Safety and Health (NIOSH) and collected data was analyzed by using SPSS 10.0 for windows, the results were as follows: 1. Noise generated in 14 types of industry and 22 types of process. an actual level of mean exposure (90.7 dB(A)) exceeded threshold limit values (TLVs) in manufacture of other transport equipment. An actual level of mean exposure (90.2dB) exceeded TLVs in the process of wire-drawing and 90.4dB in the process of wire-stranding. 2. Dusts of type I, II, III were generated in 9 types of industry and 8 types of process. Its mean concentration did not exceed TLVs. 3. Heavy metals (Pb, Mn, Cr, Ni) were generated in 7 types of industry and 7 types of process. Its mean concentration did not exceed TLVs. 4. 16 kinds of organic solvents were generated in 11 types of industry and 6 types of process. Its mean concentration did not exceed TLVs. As the above results, chemical substances and physical agents were generated in the several different types of industry and process of the manufacturing industry with less than five workers, and only mean level of noise was exceeded TLVs. In case of exceeding threshold limit values, improvement of work environment is actively needed, and work environment management should be performed continuously for prevention of an occupational diseases and work related diseases.

• Korean Journal of Occupational Health Nursing
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• 제31권4호
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• pp.147-156
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• 2022

Purpose: This study aimed to compare and analyze the job stress of nurses with and without in COVID-19-related work. Methods: A structured self-reported questionnaire survey was conducted to assess job stress. The extent of job stress was compared between nurses with COVID-19 (COVID-19 group) and those without such experience (non-COVID-19 group). Multiple regression analysis was performed to identify the factors influencing job stress. Results: Job stress was higher in the COVID-19 group compared to the non-COVID-19 group (t=2.54, p=.12). In sub-categorical comparison, stress driven by a taxing work environment, relationship conflict, and work schedule was higher in the COVID-19 group than the non-COVID-19 group. Multiple regression analysis revealed the job stress was higher among nurses with COVID-19-related work experience than that of non-experienced nurses. The factors affecting job stress of nurses with COVID-19-related work experience included emergency room work, providing nursing assistant for COVID-patients, and caring for these patients. Conclusion: Since COVID-19-related work experience is a major factor that affects nurses' job stress, it is imperative to provide various support measures for nursing assistants such as providing a break from working in an environment with high risk of infection, adjusting work schedules, resolving conflicts between personnel, and securing support.

• Quality Improvement in Health Care
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• 제5권2호
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• pp.324-334
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• 1998

Background : Strategic planning is an organizationwide or systemwide, ongoing look into the future usually of 2~3 years, based on objective analysis of the current environment and trends, but it can incorporate both short-term and long-term goals. The strategic planning process includes external analysis, internal analysis, issue analysis, development of mission, vision and values, and lastly development of organizational goals and objectives. As a part of the strategic quality planning process, certain service lines, important organizationwide functions, or key processes supporting these functions can be prioritized to expedite and roll out certain strategic goals. This is called strategic quality initiatives. Methods : We organized a quality improvement team, a subgroup of 21st century vision planning corps of our medical center, and pursued QI activities for improvement of healthcare environment, particularly in the admission setting. We developed a strategic quality initiative based on the results of patient satisfaction surveys, and carried out functions of self-directed work team. Results : The strategic goal was to be the benchmark for peer group hospitals in Korea for providing cost-effective best-practice. The QI team included 3 medical doctors, 1 nurse, 1 social worker, and 1 QI consultant as well as many operational members to support services and quality initiatives met every Tuesday for 18 weeks. Outcome objectives were to improve patient satisfaction score. The issues included in the objectives were comfort, temperature, noise, cleanliness of the admission wards, quality and education of patient meals, matters regarding the admission process, and an appurtenant facility such as restaurant or convenience store. Every issue was discussed and recommendations, conclusions and opportunities were implemented. Conclusions : By developing a strategic quality initiative as a part of the strategic quality planning process, and pursuing a self-directed work team, certain sen/ice lines, important organizationwide functions, or key processes supporting these functions can be improved effectively within a short period. Strategic quality initiatives serve to support, or roll out, certain strategic goals that are relevant to performance improvement and development of specific measurable outcome objectives, and associated performance measure for each initiative. Each strategic quality initiative should include a statement of intent outcome objectives, and performance measures. We will come back with follow up of the strategic quality initiative, for improvement of healthcare environment, and results of patient satisfaction re-survey.

• Korean Journal of Digital Imaging in Medicine
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• 제5권1호
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• pp.138-149
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• 2002

During the period from may to June 2000, a questionnaire study was carried out on 65 male radiological technologist who had been engaged at VDT work, to find out correlation their symptoms to VDT syndrome factors, work environment and condition. The results were as follows : 1. The mean age was 41.0 years, the mean relay working time was 3.75 hours and the mean duration of using computer monitor was 5.9 years, the satisfactory of working was 44.6% the others 55.4%, among these, 3.1% had symptoms before using the VDT and the others had not. 2. The prevalence of symptoms was the highest on wholebody tired, followed by eye, neck, low back, in decreased order and the lowest was fatique of wrist. 3. There was not significant correlation of symptoms to age, but significant to working time, working duration. 4. There was not significant correlation of symptoms to satisfactory. 5. Working desk, monitor, illuminations, temperature, and noise were significantly related to symptoms. 6. There was significant relation of symptoms to CT, MRI workers.

• Korea Journal of Hospital Management
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• 제24권2호
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• pp.1-11
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• 2019

Purpose: The purpose of this study is to identify relationship between work unstability and personal medical expenditure ratio focusing on wage workers' contract period. Method: This study analyzed 2015 yearly data beta version of Korea Health Panel, co-managed by Korea Institute for Health and Social Affairs and National Insurance Corporation for data analysis. When executing linear regression, Household income was applied with equivalized income, and the proportion of personal medical expenditure was naturally logged to perform linear regression and the demographic and socioeconomic factors were taken into account. The demographic and socio-economic factors were also considered. Findings: As a result of reviewing the used factors, it was found that the more unstable work status, the higher personal medical expenditure ratio. This result corresponds to 'The Theory of Fundamental Causes' by Link & Phelan. Conclusion : It indicates that policy efforts should be made to improve the working environment and health level of socially unstable workers.

• Journal of Korean Physical Therapy Science
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• 제7권2호
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• pp.503-512
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• 2000

This study was carried out to find out factors affecting on organizational commitment of hospital physical therapists in Korea. The sample used in this study consisted of 135 physical therapists who were working in hospitals located in Seoul. The data for analysis were collected by questionnaire survey. The major statistical methods used for the analysis were factor analysis and multiple regression analysis. The dependent variable of the study was organizational commitment (responsibility of organization and propensity to stay), and the independent variables were general characteristic of respondents and components of job satisfaction - "task", "organizational operation system", "opportunity of development", "interpersonal relationship" - of hospital physical therapists. Important factors affecting the responsibility of organizational commitment were religion, work period, task satisfaction, opportunity of development. And propensity to stay was significantly affected by religion, work period, and four components of job satisfaction. In considering above findings, for improving factors affecting on organizational commitment of physical therapists, hospitals need to develop strategies for enhancing job satisfaction by providing the adequate job environment.

• Korean Journal of Occupational Health Nursing
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• 제29권1호
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• pp.8-19
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• 2020

Purpose: To identify the importance and performance levels of health management duties, work-related and general attributes of health managers in medical institutions and analyze their impact on the performance of managing health-care related tasks. Methods: This research identified the performance levels of 150 health managers who have been executing industrial health-related duties for more than six months as nurses in medical institutions with more than 30 hospital beds. The variables which affect their performances were then analyzed. Results: The average importance of health care duties was 8.1 out of 10 and 5.5 for performance levels. Multi-regression analysis on the variables affecting performance levels of health managers in medical institutions showed that health managers exhibit higher numbers under the following conditions: over 300 full-time employees, more than 1 year but less than 3 years of experience, positions above section chief level, affiliation to the safety and health department, and high perception of duty importance. Conclusion: Improved cognizance of health manager importance should occur initially; then, health-care center setup, assigning of exclusive occupational health managers, and organizational efforts to improve the working environment in tandem with the provision of educational training programs to improve work quality are necessary.