• 제목/요약/키워드: occupational health strategy

검색결과 136건 처리시간 0.028초

병원종사자의 직업성 스트레스에 관한 연구 - 서울시내 500병상 이상 병원종사자를 중심으로 - (Occupational Stress of Hospital Workers)

  • 이우천
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.1-33
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    • 1998
  • The purpose of this thesis is to study theoretical access to the methods that have been used for the research of occupational stress, thereby providing management methods of occupational stress of hospital workers. With a stress model of hospital workers set up from the viewpoint of organization management, 929 sets of questionnaires were collected from intern doctors, resident doctors, nurses, nursing aides, pharmacists, medical technicians, workers in patient affairs(reception and medical insurance workers), administrators and clerks from the 8 hospitals in Seoul with more than 500 beds. Upon variance analysis, correlation analysis and regression analysis of the collected questionnaires, this work examined how differences in stress caused by specific occupations and formulated a method of stress management for the hospital workers. The results are as follows. 1) If some duties of the nurses suffering from role-overloaded stress are transferred to the nursing aides dissatisfied with insufficient role, the two grunting groups can be satisfied at the same time. It is also necessary to transfer some jobs of the overloaded workers in patient affairs to the administrators, or the other way around. To reduce stress of conflict and ambiguity of role caused by the obscure division of roles between the workers, the role of each occupation should be delineated and the clear division of roles should be translated into action strictly according to that delineated. 2) Stress of inefficiency of organization from which the student doctors suffer can be relieved by management of participation. If they have access to the process of decision-making in general hospital affairs and consequently their understanding and the autonomy of job performance are promoted, such stress will be reduced. 3) To cope with stress of career development from which nurses, medical technicians, administrators, workers in patient affairs suffer, it is necessary to establish whether they have a chance to revive their careers, whether there are any ways of remotivation for less contributive workers, and whether they encourage each other to develope their careers. If they are given a chance to develope their careers, such stress will be relieved. 4) Pharmacists, suffering from stresses of living and personal relations, have strong cohesive power among themselves and organize a well-integrated team; thereby reducing the stress of personal relations and increasing productivity. 5) For administrators and student doctors confined to lesser social supports and for nurses and workers in patient affairs whose recognition of stress and job satisfaction are affected by social supports, emotional and informational supports for job performance help alleviate an individual's mental, and physical stress. 6) In addition to the above-mentioned stress-management methods, if an organizational coping strategy is provided according to the types of stress from the general viewpoint of the whole group of hospital workers, it would be of great help to managing stress. For example, the redesign of jobs, the management of objective, the improvement of working environment, the formation of an autonomous working group and various working plans can be set up for those who suffer from stress related to inappropriate role, while career counseling and development of career process can be provided for those dissatisfied with career development. Participation in the process of decision-making and the restructuring of the organization are needed for those who suffer from stress of malfunctioning organization, whereas creation of a supportive organizational atmosphere is desired for those who feel stressed due to personal relations. As well, such organizational coping strategies. as the increase of welfare facilities, seminars and educational programs and provision of health-promotion facilities can be provided.

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건축물 유형에 따른 라돈 저감 효과 평가 (Evaluation for Effectiveness of Radon Mitigation on Dwellings and Public Buildings in Korea)

  • 이동현;류승훈;조정흠;서성철
    • 한국산업보건학회지
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    • 제24권4호
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    • pp.518-527
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    • 2014
  • Objectives: The adverse health effects attributed to exposure to radon have been well known over the world. However, the efforts for prevention and mitigation of radon have not been taken in Korea so far. The purpose of this study was to evaluate the effectiveness of mitigation methods applied for various types of houses and public buildings with high level of radon. Methods: Based on the results of "National Radon Survey" performed by the National Institute of Environmental Research(NIER) in 2010-2012, we selected 30 candidate buildings consisting of 20 houses and 10 public buildings with greater than $148Bq/m^3$ of radon level. We measured the concentration of radon in 30 buildings, using E-PERMs and RAD-7 during January to March of 2013. More than five E-PERMs and one RAD-7 per house were installed for seven days. Ten houses and five public buildings were finally chosen to be mitigated after mainly considering the level of radon and the location of buildings nationwide. Three mitigation methods such as Sealing, two types of Active Ventilation(window-shaped and wall-typed ventilations), and Active Soil Depressurization(ASD) were applied, and the concentrations of radon were measured before and after mitigation, respectively. To evaluate the effectiveness of mitigation methods, reduction rates of radon were calculated and Wilcoxon's signed-rank test was performed. Results: The mean concentration of 15 buildings just before radon mitigation was $297.8Bq/m^3$, and most of the buildings were located in Gangwon, Chungbuk, Chungnam, and Daegu areas(73.3%), and built in 1959-1998. The level of radon decreased from 48% to 90% and kept the below recommendation limit of $148Bq/m^3$ after installation of radon mitigation. Among mitigation methods applied, the reduction rate(58.7-90.4%) of radon attributed to ASD was the greatest than that of other methods, followed by Active Ventilation(48.4-78.4%) and Sealing(<22%). The effectiveness of radon reduction by window-shaped Active Ventilation(63.2-75.2%) was relatively better than that of wall-typed Active Ventilation(48.4-54.3%). Conclusions: The results of this study indicate that ASD could be more effective for radon mitigation. Moreover, our findings would be background information in future for making the strategy for radon mitigation nationwide, as well as for developing Korean-version of mitigation techniques according to types of dwellings in Korea.

어린이활동공간에서의 바이오에어로졸 포집 전략 (A Suggested Air Sampling Strategy for Bioaerosols in Daycare Center Settings)

  • 조정흠;박준식;김성연;권명희;김기연;최정학;서성철
    • 한국산업보건학회지
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    • 제26권3호
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    • pp.324-333
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    • 2016
  • Objectives: We aimed to compare the sampling performance of different flow-based impactor samplers for collecting fungal spores and bacteria and to explore the association of the level of bioaerosols with activity patterns of occupants in daycare center settings. Methods: For comparison of sampling performance, two different flow-based samplers (greater than 100 L/min or not) were selected; a low flow-based sampler (one-stage Andersen sampler) and two high flow-based samplers (DUO SAS SUPER 360 sampler, BUCK bio-culture sampler). We collected airborne mold and bacteria in 30 daycare centers with various levels of contaminated air. Three repeat samplings per each sampler were performed. Mold and bacteria were grown for 96 hours at $25{\pm}1^{\circ}C$ and 48 hours at $35{\pm}1^{\circ}C$, respectively. The Andersen and SAS samplers were used for investigating the association between the level of bioaerosols and the activity patterns of occupants in daycares. Particular matters 10($PM_{10}$), temperature, and relative humidity were monitored as well. Samplings were carried out with one-hour interval from 9 to 5 O'clock. For statistical comparisons, Kruskal-Wallis test, Wilcoxon's signed rank test, and multiple regression analysis were carried out. Results: The airborne level of molds by the low flow-based sampler were significantly higher than that of high flow-based samplers (indoor, P=0.037; outdoor, P=0.041). However, no statistical difference was observed in the airborne level of bacteria by each sampler. Also the level of bioaerosols varied by the time, particularly with different activity patterns in daycare centers. The higher level of mold and bacteria were observed in play time in indoor. Similarly, the concentrations of $PM_{10}$ were significantly associated with the level of bioaerosols (P<0.05). Conclusions: Our findings indicate that the flow rate of sampler, rather than total air volume, could be able to affect the results of sampling. Also, the level of airborne mold and bacteria vary behavior patterns of occupants in indoor of daycare settings. Therefore, different samplers with other flow rate may be selected for mold or bacteria sampling, and activity patterns should be considered for bioaerosol sampling as well.

일부 재해성 요부손상 환자의 심리적 특성 (Psychometric Charateristics of Occupational Low Back Pain Patients)

  • 하미나;조수헌;권호장;한상환;주영수;박남종
    • Journal of Preventive Medicine and Public Health
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    • 제28권3호
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    • pp.715-725
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    • 1995
  • 산업재해성 요부손상 환자의 심리적 증상은 산업재해성 비요추 환자에 비하여 신체화 증상, 우울, 공포증, 정신증의 항목에서 통계학적으로 유의하게 높은 점수를 나타냈고, 직업과 관련없이 발생되어 의료보험으로 치료를 받는 비산업재해성 요부손상 환자에 비하여 신체화 증상, 우울, 불안, 편집증, 정신증의 항목에서 통계학적으로 유의하게 높은 점수를 나타냈다. 산업재해성 요부손상 환자의 심리적 증상은 휴직 기간과, 작업복귀 여부, 그리고 이 둘의 교호 작용이 유의한 설명력을 가지는데, 휴직 기간이 길수록 또 현재 작업에 복귀하고 있지 않았을 경우에 심리적 증상은 더 높은 점수를 나타내었다. 산업재해성 요부손상 환자에서 사회심리적 증상은 질병의 발생과 그것의 만성화에 따라 심화되며, 조기 작업복귀를 포함한 다차원적이고 포괄적인 재활 치료가 산업재해성 요부손상 환자의 관리에 성공적일 수 있을 것으로 생각된다.

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뇌성마비 아동의 감각통합 중재 연구에 대한 체계적 고찰과 메타분석 (A Systematic Review and Meta-analysis of Sensory Integration Intervention Studies in Children with Cerebral Palsy)

  • 김은주;최유임
    • 디지털융복합연구
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    • 제11권4호
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    • pp.383-389
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    • 2013
  • 이 연구는 뇌성마비아동을 대상으로 감각통합중재를 실시한 연구에 대한 체계적 고찰과 메타분석을 통해 근거기반실제를 위한 자료를 제시하는 것이었다. 이를 위해 분석대상 논문을 선정한 후 집단실험설계 연구에 대해서는 메타분석을 통해 효과크기를 알아보았다. 분석대상 연구는 총 24편으로, 사례연구 7편, 단일대상연구 3편, 집단실험설계 연구 14편(무작위 임상실험설계 5편, 두 집단 비무작위연구 3편, 단일집단 비무작위연구 6편). 메타분석을 통해 실험연구의 전체 효과를 알아본 결과 0.272의 중간크기로 나타났다. 종속변수는 소근육 운동발달이, 출판여부는 출판된 논문이, 연구 설계는 두 집단 비무작위연구에서 효과크기가 가장 크게 나타났다. 또한 유아가 아동보다, 감각통합중재 프로그램은 기간이 8주, 횟수는 주5회, 시간은 90분에서 효과크기가 가장 크게 나타났다. 뇌성마비아동을 대상으로 한 감각통합중재는 중간 정도의 효과가 있는 것으로 나타났으나, 감각통합의 효과를 알아보기 위해서는 연구물의 축적이 좀 더 이루어져야 할 것으로 생각된다.

Workplace influenza vaccination in private hospital setting: a cost-benefit analysis

  • Mohd. Ab. Hadi Tohiar;Safurah Jaafar;Azimatun Noor Aizuddin;Tan Kok Leong;Azrin Syahida Abdul Rahim
    • Annals of Occupational and Environmental Medicine
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    • 제34권
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    • pp.3.1-3.12
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    • 2022
  • Background: Influenza illness causes several disruptions to the workforce. The absenteeism that often ensues has economic implications for employers. This study aimed to estimate the cost-benefit of influenza vaccination in a healthcare setting from the employer's perspective. Methods: A cross-sectional questionnaire survey was conducted in a private hospital in 2018-2019 comparing voluntary vaccinated with non-vaccinated employees with influenza vaccine. The analyses were made based on self-reporting on absenteeism and presenteeism from Influenza-like illnesses (ILIs). The costs incurred, both direct and indirect costs, were included in the study. A cost-benefit analysis was performed by measuring the cost of the vaccination program. The costs of absenteeism and reduced productivity were calculated using 3 hypothesised levels of effectiveness in the following percentage of productivity of 30%, 50%, and 70%. The costs were also calculated based on four scenarios: with and without operating income and with and without replacement. The benefits of the influenza vaccination from the employer's perspective were analysed. The benefit to cost ratio was determined. Results: A total of four hundred and twenty-one respondents participated. The influenza vaccination rate was 63.0%. The rate of ILI of 38.1% was significantly lower among vaccinated. The ILI-related absenteeism reported was also significantly lower amongst vaccinated employees at 30% compared to 70% non-vaccinated. Employers could save up to USD 18.95 per vaccinated employee when only labour cost was included or 54.0% of cost savings. The cost-saving rose to USD 155.56 when the operating income per employee was also included. The benefit to cost ratio confirmed that the net cost-benefit gained from the vaccination was more than the net cost of vaccination. Conclusions: Influenza vaccination for working adults was cost-saving and cost-beneficial when translated into financial investments for the employer. A workplace vaccination demonstrates a significant cost-benefit strategy to be applied in any institutional setting.

물리치료사의 임파워먼트와 직무만족, 조직몰입과의 관계 (Relationships Between Empowerment, Job Satisfaction, and Organizational Commitment Among Physical Therapists)

  • 심재훈;김윤신;윤태형
    • 한국전문물리치료학회지
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    • 제15권3호
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    • pp.70-79
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    • 2008
  • The aim of the study was to analyze the relationship between empowerment, job satisfaction, and organizational commitment among physical therapists. Currently, healthcare is changing very rapidly with developments in science and technology. In response to these rapid and uncontrollable changes, organizational members are often empowered. Through the empowerment process, feelings of powerlessness and frustration can be reduced and factors promoting work performance, such as job satisfaction and organizational commitment could be enhanced. One said this term popularly, there was a lack of study. There have been few studies on physical therapy administration. Data was collected from 352 therapists from many hospitals from February 1 to February 28, 2008, and analysis of variance, Pearson's correlation, etc., were performed. The results were as follows: Of all the characteristics of empowered subjects, gender (p<.05) and age were observed to be significantly different (p<.01). Educational background, working pattern, marriage status, and the period of duty were observed to be different among empowered therapists (p<.001). The degree of empowerment as perceived by therapists was 58.72. Empowerment was correlated with job satisfaction and organizational commitment (p<.01). The study on empowerment was significant from the aspect of strategies to increase work performance. To elucidate the optimal strategy to effectuate empowerment in clinical practice, we studied various aspects of empowerment. Further studies on the relationship between empowerment and organizational commitment are warranted.

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가축분 퇴비의 중금속 함량 및 화학적 형태별 특성 (Heavy Metals Contents and Chemical Characteristics in Compost from Animal Manures)

  • 고한종;김기연
    • 한국산업보건학회지
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    • 제26권2호
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    • pp.170-177
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    • 2016
  • Objectives: This study was conducted to evaluate the total heavy metals contents and chemical forms in the animal manure compost. Materials and methods: A total of 109 compost samples were collected throughout the country and classified into three groups in accordance with the raw materials; pig manure, poultry manure and mixed(pig+poultry+cattle) manure. The compost samples were analyzed for total metal content and sequential chemical extraction to estimate the quantities of metals. Results: Concentrations of Zn and Cu in several compost samples were higher than the maximum acceptable limits by the Korea Compost Quality Standards. Concentrations of Zn, Cu, and Cd in compost samples were 257~5,102, 68~1,243, and 0.02~2.54 mg/kg respectively, while Cr, Ni, As, and Pb were < 20 mg/kg. The concentrations of heavy metals in pig manure compost were higher than those of both the poultry and the mixed manure compost. The predominant forms for extracted metals were Cr, Ni, Zn, As, and Pb, residual; Cu, organic; and Cd, carbonate. Conclusions: Results indicate that the Zn and Cu contents in compost were higher than other heavy metals and the heavy metal contents were greater in pig manure compost followed by mixed and poultry manure compost. To prevent the accumulation of heavy metals in soil where animal manure compost is applied, strategy for reducing heavy metal concentrations in animal manure and compost must be considered.

운수창고 및 통신업에서의 재해율 예측과 무재해시간 추정에 관한 연구 (A Study on the Accident Rate Forecasting and Estimated Zero Accident Time in the Transportation, Storage, and Telecommunication Divisions)

  • 강영식;김태구
    • 한국안전학회지
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    • 제25권6호
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    • pp.47-52
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    • 2010
  • Many industrial accidents have occurred over the years in the manufacturing and construction industries in Korea. However, as the service industry has increased continuously, the share of the accident rate in the service industry was 39.07% in 2009, while the manufacturing industry share was 33.73%. The service industry share overtook the manufacturing industry share for the first time. Therefore, this research considers prevention of industrial accidents in the service industry as well as manufacturing and construction industries. This paper describes a procedure and a method to estimate efficient accident rate forecasting and estimated zero accident time in the service industry in order to prevent industrial accidents in the transportation, storage, and telecommunication divisions. This paper proposes a model using an analytical function for the sake of very efficient accident rate forecasting. Accordingly, this paper has develops a program for accident rate forecasting, zero accident time estimating, and calculation of achievement probability through MFC (Microsoft Foundation Class) software Visual Studio 2008 in the transportation, storage, and telecommunication divisions. In results of this paper, ARIMA (Auto Regressive Integrating Moving Average) is regarded as a very efficient forecasting model for the transportation, storage, and telecommunication division. In testing this model, value minimizing the Sum of Square Errors (SSE) was calculated as 0.2532. Finally the results of this paper are sure to help establish easy accident rate forecasting and strategy or method of zero accident time in the service industry for prevention of industrial accidents.

소방공무원의 스트레스 및 우울의 위험 요인 : 개인 및 직무요인을 중심으로 (Risk Factors for Stress and Depression in Firefighters : Comparison of Individual and Job Related Factors)

  • 이나빈;이정현;김지애;전경선;심민영
    • 대한불안의학회지
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    • 제15권1호
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    • pp.35-44
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    • 2019
  • Objective : The aim of this study was to investigate the individual and job related factors as risk factors for mental health of firefighters. Methods : The data of 202 fire-fighters was analyzed by using a multinomial logistic regression analysis. All participants completed self-reported questionnaires including demographics (sex, age, work duration), the Childhood Trauma Questionnaire, the Ways of Coping Checklist, the Colleague related traumatic events, the Korean occupational stress scale, the Korean Perceived Stress Scale-10, and the Beck Depression Inventory. Participants were divided into three groups according to the level of stress and depressive symptom scores: Low Stress-Low Depression (LS-LD), High Stress-Low Depression (HS-LD), and High Stress-High Depression (HS-HD). Results : A job related factor-organizational injustice-was a significant factor related to HS-LD, while individual factors such as active coping level and childhood trauma experience and a job related factor-difficult physical environment-were significantly associated with HS-HD. Conclusion : These results imply the need to take both individual and environmental approaches into account when managing the stress and depression of firefighters. More specifically, psycho-education to facilitate active coping strategy and adaptive emotional regulation at the individual level and the improvement of physical work environment of firefighters should be supported.