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Measurement of Temporal Job Stress for Hospital Nurses using Salivary Alpha-Amylase (타액-알파아밀라제를 이용한 병원간호사의 직무스트레스 측정)

  • Seo, Sang-Hyeok;Kwak, Seung-Hyun;Kim, Hyung-Sik;Sim, Hee-Sook;Kang, Jin-Kyu;Min, Byung-Chan
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.2
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    • pp.82-87
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    • 2016
  • As contemporary society has become more complicated, specialized, and segmented, people are experiencing more diverse types of stress. In particular, while several factors associated with job stress have been examined among nurses, who belong to a professional group, the existing research has made no quantitative assessments of stress that reflect temporal differences in individuals. Therefore, the aim of this study is to understand the effects of job stress on alpha-amylase with regard to the working hours of nurses, to assess the variations in jobs stress over time, and provide basic data to improve the quality of nursing services. Ninety nurses working in three shifts in general, emergency, and intensive care wards of a university hospital in D City participated in this study. Salivary alpha-amylase (SAA) was extracted and analyzed at two-hour intervals from 07:00 to 15:00 from nurses on the day shift and from 23:00 to 07:00 from those working the night shift. The SAA level was highest between 23:00 and 01:00 for nurses in general wards ($mean{\pm}S.D.\;39.00{\pm}14.88$) and between 11:00 and 13:00 for those in both intensive care units and emergency wards ($mean{\pm}S.D.\;67.50{\pm}62.93$ and $mean{\pm}S.D.\;39.67{\pm}35.96$, respectively). The characteristic variation in SAA was significant between 23:00 and 01:00 (p < 0.01) and for those in their fifties or older (p < 0.01). The activation ratio of alpha-amylase, a stress reactant, showed an increase when the sympathetic nervous system was activated by mental stress; in addition, job stress was manifested with the effect of awakening at different time segments and at different ages among the nurses. With the aim of raising the level of service based on the nurses maintaining their mental health, it is necessary to focus sharply on the time segment for critical control and to conduct repetitive studies to determine the divisions of eustress critical values as well as to expand the population.

The Effect of Job Satisfaction of Casino Security Employees on Organizational Commitment and Turnover Intention (카지노 시큐리티 종사원의 직무만족이 조직몰입 및 이직의도에 미치는 영향)

  • Lee, Seok-Man;Lee, Ju-Lak
    • Korean Security Journal
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    • no.53
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    • pp.161-184
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    • 2017
  • In general, security employees are more vulnerable to the risk of various incidents and accidents due to the specificity of their work, and they are less exposed to job satisfaction due to irregular working hours such as night shifts and physical labor. There is a concern that conflicts over turnover will be intensified. Therefore, companies should pay attention to job satisfaction, organizational commitment and turnover intention through effective human resource management of security employees who have influence on company's profit creation, so that companies should strive for competitiveness and development. The purpose of this study is to investigate the effect of casino security employee's job satisfaction on organizational commitment and turnover intentions in a questionnaire survey of security employees at Grand Korea Leisure Corporation. Frequency analysis, factor analysis, reliability analysis and multiple regression analysis were performed using SPSS 24.0. As a result of this study, it can be concluded that the higher the job satisfaction of the public enterprise security workers, the higher the organizational commitment and the lower the turnover intention. Therefore, if the company has competitiveness through effective human resource management that affects the wage satisfaction, promotion satisfaction, boss satisfaction and turnover intention affecting the organizational commitment, This study can be applied in the sense that it is possible to give.

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Nurses' Perception of Flexible Working and Its Operational Guideline (간호사의 시간선택제 근무에 대한 인식과 근무방안)

  • Kim, Miyoung;Kim, Eunjung;Choi, Sujin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.664-675
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    • 2016
  • The purpose of the study was to explore the nurses' perception of flexible working and present an operational guideline for implementation. The data were collected from a survey of 532 nurses conducted from 10 February to 24 February, 2015, using simple random sampling. SPSS 21.0 was used to analyze the data. This study found that the demanding for shorter hour shifts was highest ($M=3.89{\pm}0.87$) and 242 participants (46.2%) intended to apply the shift, followed by a fixed night shift, fixed weekend shift, and 12 hour shift. The common reasons identified were the poor environment of shift work and the challenges of child care. The increased time for personal development, relaxation activity to improve the quality of life and child care was highlighted and work-life balance was noted as a positive impact of flexible working. The negative impacts of flexible working were being likely to become temporary workers. These results can help establish uniform working conditions of nurses in the future by providing a standardized operational guideline as a precondition for reasonable compensation and working environment according to a flexible working pattern.

The Effect of Job Embeddednedd and Burnout on Presenteeism among Nursing in Long-term Care Hospital (요양병원 간호사의 직무착근도와 소진이 프리젠티즘에 미치는 영향령)

  • Lee, So-Young;Kang, Hye-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.704-710
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    • 2019
  • This study is a descriptive study to investigate the relationship between embeddedness, burnout and presenteeism of nursing in long-term care hospital. Data collection was conducted from May 01, 2018 to May 31, 2018. 209 nursing in long-term care hospital in this study. The collected data were analyzed using SPSS Win 21.0 program. The embeddedness of the subjects was $2.91{\pm}.473$ points out of 5, burnout was $2.86{\pm}.480$ points out of 5 and presenteeism was $2.95{\pm}.449$ points out of 5. The embeddedness was related to burnout(r= -466, p<.001), presenteeism(r=.152, p<.005), there was a significant positive correlation. Burnout(${\beta}=.244$, p<.001), embeddedness(${\beta}=.183$, p=.016), experiences of turnover(${\beta}=-.251$, p=.003), night shifts(${\beta}=-.187$, p=.006), and number of turnover(${\beta}=-.037$, p<.001) had a significant effect on presenteeism(F=5.227, p<.001). The explanatory power of these variables was 33%.

A Study on the Job Activities of the Emergency Nurses (응급실 근무 간호사의 업무분석)

  • 김광주;이향련;김귀분
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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A Study on Job Stress and Eating Behavior and Habits of Dental Hygienists (치과위생사의 직무스트레스와 식행동 및 식습관에 관한 연구)

  • Koong, Hwa-Soo;Kim, Seong-Min
    • Journal of dental hygiene science
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    • v.12 no.5
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    • pp.525-534
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    • 2012
  • Study the effect of stress factors and increases in stress at work on the changes in eating behavior and habits and the influence of these changes on the health of dental hygienists. Use the responses of 273 dental hygienists who work in or around the Seoul area after surveying them by post or face to face. The biggest reason for skipping breakfast was having no time (60.4%) and the most desired change in eating habits was over eating (33.0%) while 51.6% responded that they over ate or binge ate due to stress. The largest stress factor was work load 39.6% and subjects responded that after stress the amount of food consumed increased very much for 12.1%, very for 49.8%, indicating increased food consumption than usual. The group with the most job stress had a high level of self stress awareness (p<0.001), nervousness (p<0.01), back pains (p<0.001), optical fatigue (p<0.01), headache (p<0.01) and indigestion (p<0.01). The higher the job stress, the poorer the eating behavior was (p<0.01) and job stress was high for dental hygienists working in dental clinics with less than three dental hygienists (p<0.05). Low eating behavior scores could be seen in groups that took 4 night shifts per week (p<0.05). Job stress scores for high for groups with no break time during work (p<0.001) and these groups showed low eating behavior scores (p<0.01). Furthermore, if high levels of self stress awareness was present, job stress was very high (p<0.001) and eating behavior scores were the lowest (p<0.05). Job stress of dental hygienists impede the eating behavior and habits therefore has a negative influence on their health. There is a need for more efforts to solve this problem and thus maintain the health of dental hygienists.

A Study on Risk Factor Identification by Specialty Construction Industry Sector through Construction Accident Cases : Focused on the Insurance Data of Specialty Construction Worker (건설재해사례 분석에 의한 전문건설업종별 위험요인 탐색 : 전문건설업 근로자 공제자료를 중심으로)

  • Lee, Young Jai;Kang, Seong Kyung;Yu, Hwan
    • Journal of Korea Society of Industrial Information Systems
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    • v.24 no.1
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    • pp.45-63
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    • 2019
  • The number of domestic construction company is expanding every year while the construction workers' exposure to disaster risk is increasing due to technological advancements and popularity of high-rise buildings. In particular, the industry faces greater fatalities and severe large scale accidents because of construction industry characteristics including influx of foreign workers with different language and culture, large number of aged workers, outsourcing, high place work, heavy machine construction. The construction industry is labor-intensive, which is to be completed under given timeline and consists of unique working environment with a lot of night shifts. In addition, when a fixed construction budget is not secured, there is less investment in safety management resulting in poor risk management at the construction site. Taking account that the construction industry has higher accident risk rate and fatality rate, risky and unique working environment, and various labor pool from foreign to aged workers, preemptive safety management through risk factor identification is a mandatory requirement for the construction industry and site. The study analyzes about 8,500 cases of construction accidents that occurred over the past 10 years and identified risk factor by construction industry sector to secure a systematic insight for risk management. Based on interrelation analysis between accident types, work types, original cause materials and assailing materials, there is correlation between each analysis factor and work industry. Especially for work types, there is great correlation between work tasks and industry type. For reinforced concrete and earthwork are among the most frequent types of accidents, and they are not only high in frequency of accidents, but also have a high risk in categories of occurrence.