• Journal of Korean Critical Care Nursing
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• v.15 no.3
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• pp.12-22
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• 2022

Purpose : This study aimed to examine the relationships of burnout and compassion competency with job satisfaction among nurses working in the intensive care units and emergency rooms. Methods : A correlational survey was conducted from August 1 to August 14, 2018 and involved in 102 nurses working at four university hospitals for more than 1 year. A structured questionnaire was used to measure burnout, compassion competency, and job satisfaction, and data were analyzed using hierarchical multiple regression and mediation effect analysis. Results : The mean scores of burnout, compassion competency, and job satisfaction were 2.58, 4.35, and 2.95, respectively. Burnout and compassion competency along with working night shifts and a wish to transfer explained 35.3% of variance in job satisfaction. Compassion competency showed a small but significant mediating effect in the relationship between burnout and job satisfaction (indirect effect -.0446, 95% CI -.1133, -.0075). Conclusion : Burnout and compassion competency were the significant influencing factors of job satisfaction among nurses working in intensive care units and emergency rooms. Since compassion competency showed a significant mediating effect, further studies should focus on intervention strategies for compassion competency to improve job satisfaction in this population.

• Sleep Medicine and Psychophysiology
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• v.15 no.2
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• pp.82-86
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• 2008

Objectives: Obstructive sleep apnea syndrome (OSAS) not only causes respiratory disturbances during sleep but also decreases the quality of nocturnal sleep through sleep fragmentation and sleep structure change. We aimed at comparing the changes in sleep fragmentation and structure between baseline (diagnostic) nocturnal polysomnography (NPSG) and nCPAP (nasal continuous positive airway pressure) titration trial. Methods: One hundred and three patients with a baseline night of respiratory disturbance index (RDI) of 5 or greater and reduced RDI score during nCPAP titration night were retrospectively selected for the study. Sleep fragementation and sleep structure between baseline NPSG and the NPSG during nCPAP titration were compared. Sleep fragmentation index (SFI) was defined as the total number of awakenings and shifts to stage 1 sleep divided by the total sleep time in hour. SFI and other polysomnographic parameters were statistically compared between the two nights. Results: SFI during baseline NPSG and nCPAP titration nights were $29.0{\pm}13.8$ and $15.2{\pm}8.8$, respectively, indicating a significant SFI decrease during nCPAP titration (t=9.7, p<0.01). SFI showed significant negative correlations with sleep efficiency (r=-0.60, p<0.01) and total sleep time (r=-0.45, p<0.01) and a positive correlation with RDI (r=0.28, p<0.01). Conclusion: Use of nCPAP, even during the titration, significantly decreases sleep fragmentation and improves sleep structure in OSAS patients. We suggest that SFI may be utilized as a measure of assessing OSAS severity and nCPAP efficacy.

• Journal of Ecology and Environment
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• v.30 no.2
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• pp.187-193
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• 2007

Higher plants can be categorized as C3, C4 or CAM according to their photosynthetic pathways, and some succulent plants are known to shift their patterns of photosynthesis from C3 to CAM in response to environmental stresses such as salt treatment or water deficiency. To investigate fundamental photosynthetic patterns and the induction of pattern shifts (C3, CAM, C3-CAM etc.) as a result of environmental stresses, we measured the water content, diurnal changes in pH, net $CO_2$ exchange, transpiration rate, total ionic contents, and osmolality of Kalancoe daigremontiana, Sedum kamschaticum and Sedum sarmentosum which belong to Crassulaceae known as representative CAM plant, after 10 days of drought treatment. S. kamschaticum and S. sarmentosum did not show a significant difference in diurnal pH variation in the treatment and control conditions. However, the pH of drought-treated Kalancoe was low at night and high in the daytime, with a pH value between 4 and 5. Typical CAM plants display a net $CO_2$ exchange that increases at night and decreases in the daytime. Kalancoe displayed the predicted pattern. However, S. kamschaticum and S. sarmentosum showed a photosynthetic pattern more typical of C3 plants, and did not show changes in photosynthetic pattern under drought stress. Kalancoe also showed a transpiration rate typical for CAM pho-tosynthesis, whereas the transpiration rates of S. kamschaticum and S. sarmentosum were in the typical range for C3 photosynthesis. Kalancoe had high total ionic contents during the night, which decreased somewhat during the daytime, whereas S. kamschaticum and S. sarmentosum displayed the opposite pattern. This result is similar to the diurnal patterns of changes in pH in the three plant species, which suggests a relationship between pH and ionic contents. S. sarmentosum showed lower osmolality under drought stress than in the control condition, whereas the osmolality of Kalancoe and S. kamschaticum did not differ between conditions. S. sarmentosum may have maintained internal water content by lowering its osmolality and raising its total ionic contents. In conclusion, Kalancoe displayed the characteristic responses of a typical CAM plant, whereas S. kamschaticum and S. sarmentosum displayed aspects of the C3 photosynthetic pattern under drought conditions. These results suggest that S. kamschaticum and S. sarmentosum (Crassulacea) in Korea overcome drought stress by increasing solute and ionic contents internally rather than changing their photosynthetic pattern from C3 to CAM under drought stress.

• Journal of Popular Narrative
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• v.25 no.1
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• pp.393-425
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• 2019

This paper focuses on Alain Resnais's representative works (1955), (1959), and (1963), and analyzes how he implements a representation of memory though cinematic apparatus. These three films deal with horrific memories that seem impossible to reproduce aesthetically such as the Holocaust, the Hiroshima Atomic Bomb, World War II, and the war in Algeria. The reappearance of events that stripped humans of even their minimum dignity can naturally be associated with ethical issues. These events can never be reproduced because they cannot be explained in the human language. It is also impossible to reproduce in a way that doesn't invade other peoples' sufferings, nor displays the pain of others as spectacles. Alain Resnais was a director who realized that if factual representation was not possible from the beginning, truthfulness would have to be approached through cinematic form. Therefore, he tries to overcome these problems through cinematic forms. First, he shifts to action films to avoid the obscenity of documentary. shows the records of camps captured by German forces in the past, while shows the pain of others in a fictional form of representation. Next, he describes how the trauma affects the identity of the main character through a flashback in , but also shows a main character who is experiencing trauma without a flashback in Flashbacks have the effect of showing the effects of trauma on the main character, but at the same time they involve the obscenity of enjoying the suffering of others. Nonetheless, the absence of flashbacks highlights the impossibility of representation. This is because it is not silent in the impossibility of representation but is constantly approaching. The attitude that repeatedly circles around impossibility is an ethical form that maximizes the impossibility of representation. In conclusion, this is the ethics of representation that Alain Resnais showed in his films.

• Journal of the Korean Data and Information Science Society
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• v.27 no.3
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• pp.791-801
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• 2016

The purpose of this study is to examine factors affecting the intent of re-employment of inactive registered nurses. This study presents a secondary analysis of data collected in 'Nurse Turnover On-line Survey' by Korean Nurses Association and Korea Institute for Health and Social Affairs in 2014. The analysis shows that 70.9% of inactive RNs has an intent to return to practice, and most of them preferred 'flexible working options' (47.8%) or 'fixed day shifts' (43.3%) as a work pattern. Main reasons for resigning from their last job have been found to be 'high work intensity' (18.8%) and 'difficulties of night shifts' (16.7%). Inactive married RNs who have working histories in a general hospital or a long-term care hospital or have preferences for traditional shift works showed a stronger intent to return to practice than their reference group. Our study shows that, for inactive RNs to return to practice, it is recommendable to adopt various non-traditional working patterns, to make a staffing distribution considering the labor intensity and to develop education programs designed to increase RNs' professional satisfaction.

• Journal of Korean Academy of Nursing
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• v.2 no.1
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• pp.87-96
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• 1971

This Study was undertaken to evaluate the present health status and fatigue of the workers in T. Industrial Company in Pusan in Jan. 1971. The results were based on a question are from 354 working girls. The results of this study are as follows: 1. The largest portion of the workers, 20.2% of the questioned employees, were observed to lie at age 20. 2. Regarding their formal education, 76.0% of them had completed middle school. while only 7. 1% had graduated from high school, . 3. 63.0% receive 7-8 hrs. of sleep a day while 18.4% receive S-6 hrs. of sleep a day. 4. 36.4% spend leisure time reading: while 15.5% spend it resting and thinking. 5. 53.8% of them live in the company′s dormitory and 31.6% live at home. 6. Time spent in travel to work: 32.8% spent 40-49 min., 23.6% spent 10-29 min. 7. The shift times were reported as: 44.1% wonting from 8 A.M. to 4 P.M. and 33.9% working from 6. A.M. to 2. P.M. which is what they are doing now. 8. Regarding symptoms of fatigue: 1) Physical symptoms were: 48.3% complained of "feeling bean in the legs, ", and 39.3% complained of "general exhaustion. " 2) Psychological symptoms were: 37.6% said that "it is boring to talk"and 26.3% said" they had a desire to be alone". 3) Nitrogenic symptoms were 49.7% complained of "asthenopia"and 37.0% complained of"vertigo and "staggering legs". 9. When asked about the most fatiguing time during work, the following information was reported: 25.2% felt the first hour in the morning was most fatiguing while 22.9% felt the sixth hour in the evening, and 22.8% eelt the fifth hour at night was. 10. 38.4% complained of sleepiness at 3 A.M. and 35.0% at 4 A.M. during night work. 11. 38.1% found Sunday the most fatiguing work day and 20.% found Monday. 12. The results of the effects of their work on certain diseases: 51.1% showed those with anemia as most effected by work. 13. In their Response to the question, "do you eat breakfast\ulcorner"57.0%, the largest portion, answered, " none at all ": 36.3%, enough. 14. Regarding the accident rate relating to the length of time employed at the company 28.5% was the highest accident rate from 5year to 6 year. As a result of this study, it could be concluded that the employer should consider the following points: 1. employ according to the worker′s vocational aptitude. 2. adjust the shifts. 3. offer rest time and off days, and establish recreational facilities. In the end we can contribute to the promotion of the workers of the workers and to the prevention of accidents due to industrial fatigue.

• Journal of Korean Academy of Nursing
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• v.54 no.2
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• pp.237-249
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• 2024

Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

• Journal of Korean Academy of Nursing Administration
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• v.22 no.5
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• pp.531-539
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• 2016

Purpose: This study was done to investigate new graduate nurses' perceptions of nursing professionalism, job involvement and turnover intention and to identify factors influencing turnover intention in new graduate nurses. Methods: Participants were 179 new graduate nurses working in general hospitals and small and medium-sized hospitals in Gyungnam province. Data were collected from August 10 to September 16, 2015 through a survey with self-report questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and multiple regression analysis. Results: Mean scores were; for nursing professionalism, $3.62{\pm}0.73$, for job commitment, $3.22{\pm}0.89$. and for turnover intention, $3.25{\pm}0.95$. There were significant correlations between nursing professionalism and job involvement (r=.47, p<.001), nursing professionalism and turnover intention (r=-.36, p<.001), job involvement and turnover intention (r=-.46, p<.001). For turnover intention of new graduates 25.1% of the variance was explained by nursing professionalism (${\beta}=-.16$, p=.034), job involvement (${\beta}=-.36$, p<.001), and frequency of night shifts (${\beta}=.03$, p=.022). Conclusions: Findings indicate that nursing professionalism and job involvement of new graduate nurses had significant influence on their turnover intention. Therefore, to reduce turnover intention of new graduate nurses, it is necessary to enhance their nursing professionalism and job involvement with organizational supports.

• Journal of Environmental Science International
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• v.26 no.9
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• pp.1013-1021
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• 2017

Exposure to Diesel Particulate Matter (DPM) potentially causes adverse health effects (e.g. respiratory symptoms, lung cancer). Due to a lack of data on Elemental Carbon (EC) exposure levels in underground copper ore mining (unlike other underground mining industries such as non-metallic and coal mining), this case study aims to provide individual miners' EC exposure levels, and information on their work practices including use of personal protective equipment. EC measurement was carried out during different work activities (i.e. drilling, driving a loader, plant fitting, plant operation, driving a Specialized Mining Vehicle (SMV)) as per NIOSH Method 5040. The copper miners were working 10 h/day and 5 days/week. This study found that the most significant exposures to EC were reported from driving a loader (range $0.02-0.42mg/m^3$). Even though there were control systems (i.e. water tanks and DPM filters) on the diesel vehicles, around 49.5% of the results were over the adjusted recommendable exposure limit ($0.078mg/m^3$). This was probably due to: (1) driver's frequently getting in and out of the diesel vehicles and opening the windows of the diesel vehicles, and (2) inappropriate maintenance of the diesel vehicles and the DPM control systems. The use of the P2 type respirator provided was less than 19.2%. However, there was no significant difference between the day shift results and the night shift results. In order to prevent or minimize exposure to EC in the copper ore mine, it is recommended that the miners are educated in the need to wear the appropriate respirator provided during their work shifts, and to maintain the diesel engine and emission control systems on a regular basis. Consideration should be given to a specific examination of the diesel vehicles' air-conditioning filters and the air ventilation system to control excessive airborne contaminants in the underground copper mine.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.27 no.3
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• pp.221-230
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• 2017

Objectives: This study was conducted to investigate general characteristics, job characteristics, characteristics of hospitals, and hospital coordinators, and to investigate the factors affecting the job satisfaction of medical workers. Methods: The data was collected through a self-reported questionnaire among 435 workers in plastic surgery and dermatology clinics in metropolitan city G. We investigated general characteristics, job-related characteristics, characteristics of medical institutions and hospital coordinators, job performance of hospital coordinators, and job satisfaction of medical workers. T-tests, ANOVA, correlation, and multiple regression analyses were conducted to investigate the factors related with job satisfaction. Results: The job satisfaction of the medical workers and the perceived job performance of hospital coordinators were $3.55{\pm}0.40$ and $3.74{\pm}0.43$, respectively. In multiple regression analysis, drinking frequency, number of night shifts, number of work days, and hospital coordinator introduction years were associated with the job satisfaction of medical workers. The more the overall job performance of hospital coordinators increased, the higher was job satisfaction(B=0.458, p<0.001). In detail, the more job roles(B=0.218, p<0.001), core competency(B=0.145, p=0.005), and leadership(B=0.099, p=0.037) increased, the higher was the job satisfaction of medical workers. Conclusions: The job satisfaction of the medical institution workers was associated with the perceived job performance of the hospital coordinator. In order to increase the job satisfaction of medical institution workers, a hospital coordinator with specialized job performance will be able to improve job satisfaction by carrying out efficient work in the medical institution.