• Safety and Health at Work
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• 제6권4호
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• pp.353-356
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• 2015

Background: In 2012, the Alaska Section of Epidemiology investigated personnel potentially exposed to a Brucella suis isolate as it transited through three laboratories. Methods: We summarize the first implementation of the United States Centers for Disease Control and Prevention 2013 revised recommendations for monitoring such exposures: (1) risk classification; (2) antimicrobial postexposure prophylaxis; (3) serologic monitoring; and (4) symptom surveillance. Results: Over 30 people were assessed for exposure and subsequently monitored for development of illness. No cases of laboratory-associated brucellosis occurred. Changes were made to gaps in laboratory biosafety practices that had been identified in the investigation. Conclusion: Achieving full compliance for the precise schedule of serologic monitoring was challenging and resource intensive for the laboratory performing testing. More refined exposure assessments could inform decision making for follow-up to maximize likelihood of detecting persons at risk while not overtaxing resources.

• 재활치료과학
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• 제10권1호
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• pp.63-75
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• 2021

목적 : 본 연구는 보건소에 근무하는 작업치료사들의 지역사회 재활 및 보건서비스 제공에 관한 업무 경험에 대한 이해를 통해 향후 건강한 지역사회를 만들기 위해 보건소 작업치료사들의 역할 및 업무들을 알아보고자 하였다. 연구방법 : Giorgi의 현상학적 연구방법론을 적용하여, 지역사회 내 근무하는 보건소 작업치료사 6명에게 심층 인터뷰를 진행하였다. 사전 동의를 통해 대화 내용은 녹음되었고, 녹음된 자료는 패턴화된 반응이나 주제를 분석하고자 Colaizzi의 주제 분석법(Thematic analysis) 7단계에 따라 분석하였다. 결과 : 분석 결과, 4개의 범주와 16개의 주제, 24개의 하위요인을 도출하였다. 보건소 내 작업치료사가 주로 행하는 업무 영역 및 역할은 대상자 평가, 방문재활치료, 치매관리사업, 지역사회 연계사업으로 나타났다. 그 외 작업치료사가 느끼는 건강한 지역사회를 만들기 위해 향후 보건소에서 필요한 중재는 사례관리 및 프로그램 매니지먼트, 다양한 보상적 접근방법 적용, 건강한 생활습관을 위한 중재로 나타났다. 보건소 근무 시 작업치료사들이 경험하는 어려움으로는 작업치료사의 인력 부족, 고용 불안정으로 인한 사기저하, 실적 위주의 행정 정책으로 인한 업무의 부담감, 전문인력 간 소통의 부족으로 나타나는 업무 효율성 저하가 나타났다. 반면에 보건소에서 근무하는 작업치료사들이 느끼는 보람으로는 치료의 자율성 보장을 가장 큰 장점으로 응답하였다. 보건소 작업치료사의 역량 강화를 위해 필요한 교육으로는 보건행정, 보건소 실습으로 나타났다. 결론 : 본 연구결과는 현재 보건소 및 치매 안심 센터의 필수인력으로 자리 잡은 작업치료사들의 향후 업무 범위 및 역할과 관련된 가이드라인과 지역사회 공공서비스 내 역량 있는 작업치료사를 양성하기 위한 교육의 기초자료로 활용될 수 있을 것이다.

• 대한인간공학회지
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• 제26권3호
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• pp.1-9
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• 2007

The purpose of this study was going to research relation of job stress and society psychologic stress according to general characteristic, work characteristic, health characteristic and personality characteristic for the occupational therapist in the working domestic rehabilitation therapy with hospital and welfare center occupational therapist. The research was 91 of withdrawal questionnaire among 102 occupational therapist from 1. November 2005 to 31. December 2005. In the result of analysis the given question for the ninety one occupational therapist showed just normal group 25% 23 person, potential stress group 47% 43 person, and the rest 28% 25 person high risk group. The result shows significance different in general characteristic of job stress about age, final scholarship and marriage. Job stress was included income, working time, office form and working position etc. Health special job stress was significance different according to sleep time. So we have to know a fact of job stress of occupational therapist and prevent of loss of business services. And we have to endeavoring removals factor of stress and good office culture fixation.

• 한국직업건강간호학회지
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• 제10권1호
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• pp.74-92
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• 2001

This study was carried out to investigate the types of health documents for nurses, the content of informations in the documents, and writing behaviors of occupational health nurses. Health documents were collected from 7 nurses who were working in 7 group occupational health agencies (GOHA) located at Seoul and Inchon area in Korea. The collected health documents written in January to June 1999 were analyzed, and revealed the following results. 1) The occupational health nurses were using 9 to 18 different types of health documents. The contents of the documents were considered quite similar to each other with slightly different headings and items to record. Among different types of health documents. Health Management Card for Workplace', Nursing performance sheet and Workplace environmental checklist were in common among nurses and were used for content analysis. 2) The 'Health Management Card for Workplace' was the only formal sheet of small-scale-enterprises (SSE) for health management, in which health and safety related information was recorded. The information on nursing services were recorded on the Nursing performance sheet, which has slightly different names on each type with similar contents. The Workplace environment checklist was for the information on general work environment management and mainly status of workplace hygiene. This checklist is to be used by or with nurses among the 3 types health professional team such as doctor, hygienist, and nurse, but it seemed not being used frequently by nurses. 3) Analysis on recording tendencies of nurses revealed that the writing styles of occupational health nurses were associated with 'memo' using a few number of words and short sentences. The amount of information by this kind of recording style was considered not enough for health management situation. The possible reasons for nurses to use this writing style might be insufficient time for recording and improper designed format of health documents. Because nurses working in SSE spend more time on the roads to visit workplaces, nurses may not found enough time for recording properly within their working time. In addition, the health records were designed to focus on the frequency of nurse's performance in certain types of work rather than on the method they used to deal with health problems. In conclusion, this study suggests that some steps are necessary to develop health documents and recording system which is appropriate to occupational health nurses. The educational need for nurses on appropriate recording behavior is also recommended.

• Safety and Health at Work
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• 제15권1호
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• pp.80-86
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• 2024

Background: The Work Ability Index (WAI) is an instrument that measures work ability. The wide dispersion of the WAI internationally has led to its adaptation for use in different countries. This study aimed to evaluate the psychometric properties of the Spanish version of the WAI. Methods: A methodological design was used over an opportunistic sample of 233 workers in the aeronautical industry in Spain. Reliability was evaluated through internal consistency. Factorial validity, known groups, and convergent validity were tested. Results: The Cronbach's alpha and item-total correlation indicated an adequate internal consistency. The confirmatory factor analysis, performed to evaluate the factorial validity, found adequate fit indices for a two-factor solution with a high correlation between the factors. Factor 1, "Subjectively estimated work ability and resources", was composed of 3 subscales and factor 2, "Ill-health-related", of 2 subscales. Subscales 4 and 6 had loading in both factors. Workers under 45 years of age obtained higher significant scores than older ones. Convergent validity was also evidenced since WAI was highly correlated with self-assessment of health status. Conclusions: The Spanish version of the WAI has shown evidence of reliability and validity in this study, supporting its use in individual and collective health surveillance by occupational health professionals. The factorial solution that was found has previously been reported in another international context. However, further research is needed to resolve the discrepancies detected in the role of some subscales between other national and international studies.

• 한국학교ㆍ지역보건교육학회지
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• 제12권2호
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• pp.113-127
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• 2011

Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

• 대한지역사회작업치료학회지
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• 제5권2호
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• pp.23-30
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• 2015

목적 : 일본의 원격의료현황을 살펴보고, 이에 대한 지역사회작업치료의 역할에 대해 논한다. 연구방법 : 본 연구에서는 원격진료현황에 대한 자료를 수집하고 분석하였다. 원격진료에 대한 정의와 형태에 대해 조사하였고, 일본에서 원격진료가 등장하게 된 배경에 대해 분석하였다. 이를 통해 지역사회 작업치료의 역할에 대해 논하였다. 결과 : 일본의 저출산 고령화로 인한 의료비의 증가로 보다 효율적인 의료서비스의 제공형태로 원격진료가 등장하였다. 또한 의사수 부족과 도시와 농촌간의 진료편차 및 진료기기와 통신수단의 발달로 인해 등장하였다. 한국의 경우 일본의 이러한 추세를 따라가고 있으며, 이에 따라 원격의료에 대한 수요가 있다. 결론 : 원격진료와 관련하여 지역사회중심재활에서 작업치료는 보건의료전문가로써 환자에게 작업치료를 수행할 수 있을 것으로 예상되는 바 이에 대한 교육시스템 개편이 필요하다.

• Safety and Health at Work
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• 제12권1호
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• pp.96-101
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• 2021

Background: Many studies have reported noticeable increases in the proportion of employees working either relatively short or relatively long hours. Such trends have been accompanied by an increasing concern regarding work hour mismatches defined as a discrepancy between actual and preferred work hours. The aim of this study was to investigate association between work hour mismatch and depression. Methods: Data regarding work hour mismatches for 47,551 adults were extracted from the 2017 Korean Working Conditions Survey. The World Health Organization-Five Well-Being Index was used to measure depression. Multiple logistic regression analyses were performed to examine the association between work hour mismatch and depression. Results: Men and women workers with work hour mismatch were more likely to have depression [underemployed males: odds ratio (OR) = 1.30, 95% confidence interval (CI) = 1.14-1.49, overemployed males: OR = 1.28, 95% CI = 1.18-1.40; underemployed females: OR = 1.37, 95% CI = 1.20-1.56, overemployed females: OR = 1.12, 95% CI = 1.02-1.23]. Underemployed workers, workers who worked more than 52 hours per week, and workers with a high income level, all had higher ORs for depression. The greater the discrepancy between actual and preferred work hours, the higher OR for depression among both underemployed and overemployed workers. Conclusions: A difference between actual and preferred work hours was associated with depression. Underemployed workers had a higher risk of depression than that of overemployed workers. As a work hour mismatch negatively affected workers' mental health, it is important to reduce work hours mismatches as well as shorten the absolute number of work hours.

• 지역사회간호학회지
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• 제4권2호
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• pp.91-99
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• 1993

This research is undertaken for the purpose of providing basic data to improve the occupational health service for future. 415 workers of 46 firms in Seoul are included in this data points. Results from this analyzing are the following. 1) The level of knowledge, attitude and practice of workers on the occupational health is moderate. 2) The cognition of necessity about special health examination gains the highest point(3.94), but the understanding of the occupational health educational program gains the lowest point (.85) in the knowledge region. 3) In the attitude region, the highest point is marked by the workers' prudence of expending time on medical examination(3.45). The lowest one by the workers' feeling of satisfaction of the follow-up service after medical examination(1.79). 4) The workers' participation in medical examination is the most active(3.15), and that in occupational health education in the least active(.86) in the practical region.

• Safety and Health at Work
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• 제13권1호
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• pp.93-98
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• 2022

Background: Despite a growing number of investigations exploring the health problems in precarious workers, there is still a paucity of studies investigating workplace violence in workers with multi-party employment arrangements (WMPEAs). This study was aimed at comparing the prevalence of workplace violence between non-WMPEA and WMPEA. Methods: The 5th Korean Working Conditions Survey data were used. The study subjects were employees aged 20-74, with 26,239 non-WMPEA and 1,556 WMPEA. WMPEA included temporary agency workers and workers providing outsourced services. Workplace violence including verbal abuse, unwanted sexual attention, threats, and humiliating behaviors were used as outcome variables. The odds ratios of risk of workplace violence were calculated using multiple logistic regression. Results: The age-standardized prevalence of workplace violence was significantly higher among WMPEA. After adjusting for all covariates, the risk of workplace violence among WMPEA was still significant (OR 1.80, 95% CI 1.5-2.2) compared with non-WMPEA. The odds ratio of workplace violence among female WMPEA was 1.99 (95% CI 1.53-2.59), which is higher than that of male WMPEA (OR 1.52, 95% CI 1.18-1.96). Conclusion: We found that WMPEA were exposed to higher risk of workplace violence. Discrimination against WMPEA in the working environment and management policy need to be corrected. It is also necessary to identify the risk factors of workplace violence in WMPEA and to make efforts to prevent violence.