• 융합정보논문지
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• 제11권8호
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• pp.185-193
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• 2021

본 연구의 목적은 비의료직 병원 종사자의 감정노동과 신체증상 및 불면증 간의 관계에서 우울의 매개효과를 검증하여, 이들의 감정노동과 건강문제에서 위험을 예방하는 것이다. 이를 위하여 상급종합병원 비의료직 종사자 533명에게 한국형 감정노동 평가척도, 신체증상 질문지, 불면증 심각도 질문지, 우울 질문지를 실시하였다. 수집된 자료는 SPSS 25.0 프로그램으로 분석하였다. 주요한 결과는 다음과 같다. 1. 감정노동 하위요인 중에서 감정 부조화가 우울, 신체증상, 불면증 모두에 유의한 영향을 미쳤다. 다른 하위요인들은 영향이 없거나 그 영향력이 상대적으로 작았다. 2. 감정부조화와 신체증상 간의 관계에서 우울의 부분매개효과가 나타났다. 3. 감정부조화와 불면증 간의 관계에서 우울의 완전매개효과가 나타났다. 이러한 결과를 기초로, 비의료직 병원 종사자의 감정노동 및 건강문제에 감정부조화와 우울을 다률 필요성을 제언한다.

• 한국산업보건학회지
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• 제27권3호
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• pp.238-244
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• 2017

Objectives: The major objective of this study was to investigate the prevalence of and risk factors for latent tuberculosis infection (LTBI) among employees at a workers' compensation hospital. Methods: Among the 394 employees at Incheon Hospital, 362 were enrolled in the study. An interferon-gamma release assay(IGRA) for diagnosis of LTBI was performed using QuantiFERON$^{(R)}$ TB Gold In-Tube(QFT-IT). Risk factors for LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 32.0%(116/362). The non-medical departments have a significantly high prevalence compared to medical departments(39.7% vs 23.2%). In multivariate logistic regression analysis, experience working in the pneumoconiosis hospital(OR, 3.6; 95% CI, 1.3-10.3) was associated with development of LTBI. Conclusions: Korean guidelines for the management of tuberculosis recommend annual regular health examinations for TB and LTBI for health care workers(HCWs). Considering the high prevalence of and risk factors for LTBI among non-HCWs, it suggests a need for annual regular health examinations for TB and LTBI for all employees at workers' compensation hospitals, including pneumoconiosis hospitals.

• 한국산업보건학회지
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• 제31권4호
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• pp.451-460
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• 2021

Objectives: The purpose of this study is to examine occupational risk factors that affect the mental health (depression, anxiety, anger, insomnia, self-esteem, trauma) of hospital facility workers. Methods: A survey was conducted from November 17, 2020 to December 1, 2020 for 700 non-medical workers (Temporary and contract workers: cleaning, security, information, office workers, etc.) working at a general hospital in Seoul. Results: As a result of the study, the risk of musculoskeletal disorders was found to have a significant effect on depression, anxiety, insomnia, and trauma. Noise had a significant effect on depression and anger, dust hazard had an effect on depression and self-esteem, and high temperature had a significant effect on anxiety and insomnia. Conclusions: Based on these results, it is necessary to examine the influence of occupational risk factors to improve the mental health of non-medical hospital facility workers.

• 융합정보논문지
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• 제12권2호
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• pp.163-173
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• 2022

본 연구 목적은 비의료직 병원 근로자들의 구강건강 관련 삶의 질에 미치는 위험요인을 탐색하고자 한다. 연구 방법은 수도권 소재의 일부 대학병원 근로자 608명을 대상으로 2021년 4월 20일 ~ 7월 30일까지 설문조사를 실시하였다. 연구 도구로는 근로손실, 구강건강 상태, 구강건강 관련 삶의 질 문항을 조사하였다. 분석방법은 독립 표본 t-test, one-way ANOVA test, 위계적 회귀분석을 시행하였다. 외생변수 통제 결과 성별(β=0.108), 전신질환(β=0.136), 구강건강수준(β=0.201), 구강건강 상태(β=0.463)는 구강건강 삶의 질에 영향을 미치는 것으로 나타났다. 비의료직 병원 근로자를 위한 정기적인 구강보건교육이 활성화된다면 구강건강 및 근로 증진에 큰 기여를 할 수 있을 것이다.

• 한국의료질향상학회지
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• 제17권1호
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• pp.89-105
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• 2011

Background : The purpose of study in to grasp the level of perception of hospital workers on the patient safety culture, consider the difference in perception of patients safety culture according to medical service and finally find out a way to establish patient safety culture in hospital. Methods : As for the data, the analysis on frequency, t-test, ANOVA and tukey test were carried out by using SPSS 12.0. Result : The results of comparison among the positive response ratios on the patients culture of hospital workers showed that the subjects had perceived the teamwork within units most positively(74.1%), and perceived most negatively on the non-punitive response to error(16.2%)and the staffing(26.2%). 68.6% of subjects answered that the medical error were mostly of always reported. when daytime working hours are longer, perception of patient safety culture ranked low. In general, departments for direct medical service than departments for indirect medical service assessed patient safety culture high. Conclusion : Organizational learning and teamwork within units, communication openness, active support of hospital management for patient safety, and cooperation across the units would be crucial to promote the overall perceptions of patients safety of hospital workers and the level of patients safety in the units and to improve the quality of the event reporting system.

• 디지털융복합연구
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• 제17권10호
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• pp.293-300
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• 2019

본 연구는 대학병원 비정규직의 이직의도에 미치는 영향을 분석하였다. 설문대상은 전국 7개 대학병원에 근무하는 비정규직 292명을 대상으로 2017년 12월 1일부터 12월 31일까지 실시하였다. 분석방법은 일반적 특성에 따른 이직의도 분석을 위해 ANOVA, t-검정을 하였으며, 이직의도에 미치는 영향 분석을 위해 다중회귀분석을 하였다. 연구의 주요 결과는, 환경불공정성, 고용불안정성, 차별경험은 이직의도에 유의한 양(+)의 영향력을 보였고, 직무만족과 나이, 고용형태는 유의한 음(-)의 영향력이 있었다. 특히 갈수록 경쟁이 치열해지는 의료시장에서 병원의 많은 부분을 차지하고 있는 비정규직에 대한 차별이 높고, 이직의도가 높은 것은 장기적으로 병원경영과 양질의 의료서비스 제공에 부정적 영향을 미칠 수 있다. 정부는 적극적으로 비정규직을 위한 정책을 수립과 지원이 필요하고, 병원들은 비정규직을 위한 복지, 임금, 근무환경 등에서 실질적인 변화가 필요하다.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.12.1-12.12
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• 2023

Background: The purpose of this study is to investigate the relationship between job stress and impaired fasting glycemia (IFG) of male workers in a manufacturing industry. Methods: Data were collected from 5,886 male workers in a manufacturing industry who participated in the medical examination from June 19 to August 14, 2020 through self-reported questionnaires. The general characteristics of the subjects, shift work, high blood pressure, dyslipidemia, and job stress were included. Job stress was measured using the Korean Occupational Stress Scale (KOSS) consisting of 8 items and 43 questions. Multivariable logistic regression analysis was used to investigate the IFG association with job stress. Results: Among the various factors that can cause job stress, only high job demand was associated with a risk of IFG (odds ratio, 1.43; 95% confidence interval, 1.13-1.82) especially in non-shift worker. For all other factors, no statistically significant results were obtained. Conclusions: In this study of male workers engaged in the Korean steel manufacturing industry, the 'job demand' item among job stress of non-shift worker was related to IFG.

• 한국산업보건학회지
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• 제19권4호
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• pp.412-422
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• 2009

This study was conducted to assess exposure to musculoskeletal disorder(MSD) risk factors in hospital personnel who performed non-routinized work tasks. A tool ("PATH-KOSHA" version) was newly revised from PATH(Posture, Activity, Tools and Handling) method and uploaded into a personal digital assistant(PDA). The version was used, on a basis of direct-observation, to collect PATH data at the 2 hospital settings in different regions. Job analysis was performed to get various information (e.g., work and rest time, task type) as well. The data collected were visually checked for data cleaning and stored for future data analysis. A total of 1,992 PATH observations were made for 37 hospital workers. Exposure levels varied across 18 items of the MSD risk factors. The highest percent time spent on non-neutral postures was 53% for wrist deviation, followed by 47%(pinch grip), 35%(trunk posture), 23%(neck posture), and 20%(shoulder/arm posture). The highest percent time spent among hand activity level(HAL) variables was 55% for HAL-cat2 (HAL: 3.3 - <6.7). The percent time of items with respect to both loads with more than 5kg and contact stress was less than 4%. Vibration was not exposed in the study workers. Different aspects were discussed for findings. The study results showed that wrist deviation was highest in percent time spent on awkward posture while HAL-cat2 was highest in hand repetition. The study suggests that distal upper extremity posture and HAL should be primarily addressed and controlled in non-routinized work including the hospital settings.

• 한국병원경영학회지
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• 제12권3호
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• pp.120-144
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• 2007

In 1997, in the course of overcoming economic crisis caused by the shortage of foreign currency there was a significant phenomenon, the irregularization of human labour resources. There was no exception in hospital, either. Most hospitals put a lot of thought to solve the problem about irregular workers. Between employee and employer the problem of irregular workers has been raised as a main topic of all. The objectives of this study were to inspect the actual state of irregular workers and to understand the positive effect of protecting irregular workers, recently established and revised, on the human resources management of hospitals. After enacting irregular labours protection acts there were many opinions that the labour rules of hospitals would be changed.(56.7%). The plan to solve irregular worker's wage issues would he carried out step by step, but some hospitals have not examined the plan yet,(81.9%). Many hospitals had a plan that irregular worker's wage would be actualized in two or three years.(78.3%) The method, to solve the problem of irregular workers arc as follows: 1) the introduction of functional wage system, 2) the convert from automatic rising wage system to annual wage system, 3) the incentive grade system according to management result, 4) lower functional group wage system, 5) non-term contract wage system. From the point of the opening medical market and securing competitive power of hospitals, it is prospected that irregular works would be increased also in future. So to manage irregular workers effectively would be essential in maintain hospital's competitive power and improve medical service. The result, of this study were a, follow: (1) In hospital, the ratio of irregular workers in hospitals was lower than that of all irregular workers in Korea. (2) In hospital, the wage level of irregular workers was higher than that of irregular workers in Korea. (3) In hospital, the social insurance application ratio of irregular workers was higher than that of all workers in Korea. (4) In hospital, there seems to be no appropriate and active measures to improve labour condition of irregular workers, yet. (5) In many hospitals, the policy of irregular workers would be expected to revised for the law standards. In this study the actual conditions and problems of irregular workers were proposed and it was expected to contribute decisions-making in hospital management, especially when using human resources.

• Journal of Korean Biological Nursing Science
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• 제23권4호
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• pp.318-329
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• 2021

Purpose: This study was conducted to identify factors affecting COVID-19 vaccination and associated side effects among health care workers in a small and medium-sized hospital. Methods: In May 2021, 301 workers out of a total of 670 working in a small and medium-sized hospital in Gyeonggi-do, were surveyed. The small and medium-sized hospital treats patients with COVID-19. Health care workers across different medical institutions responded with self-reported internet questionnaires. Factors influencing COVID-19 vaccination were analyzed via logistic regression. Results: Out of 301 subjects, 89.0% showed an intention to inoculate, and 85.7% were vaccinated against COVID-19. The most frequent reason for vaccination was responsibility as a medical worker. The fear of adverse reactions was the most frequent reason for non-vaccination. Adverse reactions after inoculation occurred in 70.9% of cases, and 30.6% were referred for treatment of adverse reactions. The factors ultimately influencing COVID-19 vaccination were vaccination intention, previous side effects from other vaccinations, occupation, and age. Conclusion: In order to improve the effectiveness of COVID-19 vaccination, a systematic approach is required to determine the risk factors associated with the young age of the administrative staff/personnel, subjects with a history of side effects associated with other vaccines, and health care workers who do not intend to be vaccinated. It is important to develop strategies to improve immunization. In addition, accurate and essential information regarding the side effects of vaccination is needed, along with appropriate education and publicity.