• The Korean Journal of Health Service Management
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• v.12 no.4
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• pp.139-154
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• 2018

Objectives: The aim of this study was to examine factors influencing health-related quality of life of waged workers. Methods: This study used data from the Seventh Korea National Health and Nutrition Examination Survey. Data were analyzed with the $x^2-test$, t-test, ANOVA, and multiple regression. Results: The significant predictors of health-related quality of life were depression, subjective health status, age, activity limitation, education, worker status, monthly income, drinking, smoking, physical injury, stress, and moderate physical activity. Conclusions: Personal health characteristics, psychological characteristics, socioeconomic characetrictics and working characetrictics affect health-related quality of life. Health-related quality of life is also affected by social structural problems such as socioeconomic factors and employment instabilitye. In addition to the development of health care programs to improve health-related quality of life of twaged workers, policy changes are needed to improve the social structure.

• Safety and Health at Work
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• v.7 no.2
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• pp.97-101
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• 2016

Background: Workplace violence (WPV) is becoming an issue that needs immediate attention in the United States, especially during this period as more states are adopting the "stand your ground laws to promote worker protection." This study was conducted to investigate how WPV has contributed to an unsafe environment for nurses and nursing assistants who work in long-term medical care facilities. Methods: A structure questionnaire was used to collect data for the study. Three facilities were sampled and 80 nurses and certified nursing assistants participated in the study. Ninety-two percent (n = 74) were female and 8% (n = 6) were male. Approximately 62% were black or African American, approximately 33% were Caucasians, and only 2% were from other ethnicities. Results: We found that 65% of the participants had experienced WPV while 41% believed that management shows little or no concern for their safety. Approximately 23% of respondents believed that reporting supervisor's WPV act is an unsafe action. In addition, 22% of those who reported that they have experienced WPV believed that the work environment is not safe to perform their duties. This significant difference in perception of workplace safety between those who had experienced WPV and those who had not was significant (t = 3.95, df = 158, p < 0.0001). Conclusion: WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.

• The Korean Journal of Health Service Management
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• v.6 no.3
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• pp.127-140
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• 2012

This study involved an investigation of perception of dental hygienists based on a self-reported survey of a sample of 230health care personnel working at long-term care hospitals located in Gyeonggi Province, Korea. The primary objective was to provide basic data for establishing various policies related to building up a positive image of dental hygienists as a profession. The results were as follows. 79.1% of the respondents recognized dental hygienists as a profession. Among the titles for a dental hygienist, "teacher" was the most common with 47.4% of all. Female respondents and respondents who were able to discern between dental hygienists and nursing assistants were more likely to perceive dental hygienists positively than male respondents and ones who were not, respectively. Among social perceptions of dental hygienists was there a negative finding, that is, there was no appropriate title to address dental hygienists. This negative finding indicates that there is a vital need to enhance the perception of who are dental hygienists as a professionals level at the individual as well as institutional level.

• Research in Community and Public Health Nursing
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• v.15 no.3
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• pp.397-407
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• 2004

Purpose: In Korea, as the number of hypertensive worker grows, identifying the level of health promoting life style practice and related factors in hypertensive workers is becoming more and more important. Method: The subjects of this study were 195 hypertensive male workers in Korea. The data was collected during 3 months ranging from August 2003 to October 2003. The data was analyzed by descriptive statistics. t-test, ANOVA. Pearson's correlation coefficient and stepwise multiple regression by SAS 8.1 program. Results: It was found that there were significant differences between age, religion, medication, perceived health status, perceived benefits, internal health locus of control, powerful other health locus of control and health promoting life style practice. The most significant factor affecting the health promoting life style practice was internal health locus of control. The combination of internal health locus of control, specific self-efficacy, powerful other health locus of control, general self-efficacy accounted for 51.0% of the health promoting life style practice. Conclusion: The level of health promoting life style practice was very low, so it is urgent to manage and care for hypertensive male workers continuously and systemically with occupational health nurses. Based on the above results, cognitive perceptual characteristics should be considered when developing health education programs for hypertensive workers.

• Korean Journal of Occupational Health Nursing
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• v.25 no.3
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• pp.216-226
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• 2016

Purpose: This study was to examine the influences of working conditions and health status on absence due to sickness in health and medical related workers. Methods: Data from the Third Korean Working Condition Survey was used. Study participants included 929 workers who have been working in the medical and healthcare fields. Descriptive analysis, independent t-test, ${\chi}^2$ test, Fisher's exact test and logistic regression analyses were performed using SPSS 21.0 statistical program. Results: Absence due to sickness was found in 7.8% of health and medical related workers. Absence due to sickness differed significantly depending on monthly income, company size, work-related musculoskeletal risk factors, job control, physical health problems and subjective health status would be important factors affecting absence. Conclusion: This study provides evidences that predictors of absence due to sickness in workers of medical and healthcare fields are identified. Therefore, we need the active support for health care service promotion and prevention for predictors of absence due to sickness.

• Korean Journal of Adult Nursing
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• v.26 no.3
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• pp.362-371
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• 2014

Purpose: The purpose of this study was to identify Compassion Fatigue (CF), Somatization, and Silencing Response (SR) among nurses and understand intermediate effects between the variables. Methods: The sample of 240 nurses who were working three shifts in medical and surgical wards, and emergency room were recruited in three hospitals with over 700 beds. A structured questionnaire was used which included CF, Somatization and SR scales. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: There were statistically significant differences in CF, Somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations between those study variables. The result also indicated that burnout (${\beta}$=.81, p<.001) which is a part of Secondary Traumatic Stress and Somatization (${\beta}$=.79, p<.001) have the role of partial mediator in the relationship between Secondary Traumatic Stress and Silencing response. Conclusion: The results of study show that an intermediary role by Burnout and Somatization in Silencing response of nurses is important for effective human resource management in hospital nursing staffs. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute to the quality of care by those care providers and counselors.

• Korean Journal of Occupational Health Nursing
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• v.4
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• pp.5-29
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• 1995

Occupational health services in Korea have been operated as dual types : one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job performance shape and efficiency, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area ; 154 places (39.4%) managed by designated health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares that have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation and B/C ratio using SPSS PC program. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. Most of the expense for environmental control of all health care services expenditures shows that there is almost no fundamental improvement because more expenses are needed for procuring personal protective equipment and measuring work environment instead of environmental improvement. 3. It is investigated how much the cost of occupational health care services needs per worker, and calculated how much the cost needs per service hour per worker. The results from this show that the cost of occupational health services at workplaces with their own managers used less than the cost of health care agencies, eventually the former gives better services with less cost than the latter. 4. Benefit/Cost ratio is also produced by total benefit/total cost. The result from the above way reads 4.57 as a whole, while their own manager having workplaces reads 4.82 and the agencies do l.56. Even if their own manager performing workplaces spent more cost, this system produces more benefit than the agencies management. 5. The B/C ratio for medical organization such as local clinic, health care center and pharmacy shows more than or equal to at the workplaces controlled by the agencies. It is inferred that benefit would be much less than the cost used, with so being inefficient. 6. It is assumed that the efficiency ratio of health education is equal to reduction rate of workers medical organization visit. Estimated reduction rate 5%, 10%, 15%, show that the efficiency ratio of health education have an effect on producing benefits. It is estimated that more benefit can be produced if more qualitative education will be provided for enhancing health care efficiency. 7. Results of this study cannot be generalized because there are large scale of deviation in case of workplaces with less than 300 full time workers, but B/C ratio reads 2.69 as a whole and 3.25 at workplaces with their own health care manager are higher than 1.63 at the workplaces manged by the agencies. Finally, all the benefit concerning health care services could not be quantified, measured and shown on the value of money. This is a reason that a considerable part of benefits are so underestimated. This is also thought that measurement tools should be developed for measuring benefits of health care services with a comprehensive quantification. in the future. It is also expected that efficiency of occupational health care services should be investigated using cost-effectiveness analysis.

• Journal of the Korea Society of Computer and Information
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• v.28 no.1
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• pp.103-110
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• 2023

The purpose of this study is to improve the operation and working environment of welfare centers through this study on emotional labor of Certified Nursing Assistants at home welfare centers for the elderly. For the study, 138 Certified Nursing Assistants belonging to the Home elderly welfare center in K-si and J-do were studied. For statistical analysis, Cronbach's α, t-test, ANOVA, Pearson correlation analysis, and multiple regression analysis were performed using SPSS/WIN 17.0. First, as a result of the study, the difference in emotional labor among Certified Nursing Assistants at home-based senior welfare centers was higher in the degree of emotional labor in the order of dementia education, work experience, employment type, education level, and age. Second, the degree of burnout of the survey subjects was highest in the order of work experience, dementia education, employment type, and age. Finally, work stress and emotional labor were found to have a significant positive effect on work burnout. In conclusion, it is necessary to study Certified Nursing Assistants' cases of systematic emotional control experience to prevent work burnout, dementia education, work feedback on how to cope with services, and work conditions improvement measures to relieve work stress.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.285-293
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• 2017

This study examined the causal relationship among job stress, fatigue, and job satisfaction, which affect the turnover intention of elderly nursing home care workers. Data were collected from Sep.15 to Sep. 30, 2014. Structured self-administered questionnaires were delivered and collected without the respondents' personal information. The subjects were 232 female care workers working in nursing homes in D city. The data were analyzed using the SPSSWIN 21.0 and AMOS 21.0 programs. Covariance structure analysis was performed to estimate the causal relationship between the variables affecting the turnover intention of care workers. The results of the analysis were as follows. The variables included in this study were fatigue, which comprised 4.9% of job stress. Job satisfaction explained 54.6% of job stress and fatigue. The turnover intention was 46.2% due to job stress, fatigue, and job satisfaction. In other words, job stress, fatigue, and job satisfaction had a direct or indirect effect on the turnover intention of care workers. In conclusion, job stress, fatigue, and job satisfaction affect the turnover intention. Therefore, a policy to improve the work environment and working conditions is needed to reduce the turnover intention of care workers, and fulfill their duties in a stable life time workplace.

• Journal of Korean Academy of Nursing
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• v.41 no.4
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• pp.568-579
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• 2011

Purpose: The purpose of the study was to understand and describe the hospital workers' experience related to the hospital evaluation program implemented in Korea between 2004 and 2009. Methods: During 2010, data were collected using focus group interviews. Four focus group interviews were held with a total of 28 hospital workers participating. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: Nine themes emerged from the analysis: 1) Positive change in the necessity of the evaluation; 2) Improvement in the hospital system, facilities, and human resources; 3) Unity through cooperation among departments; 4) Nursing work overload; 5) Lack of physicians' awareness and responsibilities; 6) Unfair and unrealistic evaluation items; 7) Lack of credibility of the outcome; 8) Shifting responsibility for negative outcomes to the workers; 9) Lack of pragmatic utility. Conclusion: The results of the study demonstrate that the hospital evaluation program played a key role in improving some work environments and communication among departments. At the same time, they show various negative themes resulting from the context of very authoritarian hospital systems and a connection-oriented society in Korea.