• 보건행정학회지
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• 제18권4호
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• pp.111-124
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• 2008

New ways of work-shift and learning programs, which were based on the concept of 'performance improvement through people', have been introduced to healthcare organizations. I analyzed the performance of the changes and the performance differences. Data were collected through interview and survey. I discussed that modification of management practices which were developed in manufacturing organizations is important for successful implementation in healthcare organizations.

• 한국공작기계학회:학술대회논문집
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• 한국공작기계학회 1998년도 춘계학술대회 논문집
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• pp.148-153
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• 1998

In order to control thermal deformation of machine origin of machine tools due to internal and external heat sources, the real-time compensation system has been developed. First, GMDH models were constructed to estimate thermal deformation of machine origin for a vertical machining center through the measurement of deformation data and temperature data of specific points on the machine tool. Thermocouples and gap sensors are used respectively for measurement. These models are nonlinear equations with high-order polynomials and implemented in a multilayered perceptron type network structure. Secondly, work origin shift method were developed by implementing digital I/O interface board between CNC controller and IBM-PC. The work origin shift method is to shift the work origin by the compensation amounts which is calculated by pre-established GMDH model. From the experimental result, thermal deformation of machine origin was reduced to below $\pm$5${\mu}{\textrm}{m}$.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.374-385
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• 1992

교대근무자들이 호소하는 생체리듬의 부조화로 인한 일련의 증상들은 개인특성, 작업환경, 교대형태의 영향을 많이 받는다. 따라서 본 연구에서는 개인특성과 작업환경의 영향을 고려하여 교대주기에 따른 근로자들의 자각증상의 차이를 보고자, 작업환경이 같고 교대주기에 있어 2일, 7일인 두 회사의 3교대근로자 182명과 86명을 대상으로 개인 특성 및 자각증상을 설문조사하였다. 결과를 요약하면 다음과 같다. 1. 수면장해증상 6문항 중 '근무 중 피로감을 느낀다', '예민하다'의 두 항목에서 7일주기의 교대근무자에서 증상호소의 빈도가 통계적으로 유의하게 높았으며(P<0.05), 점수화하여 두 군간의 평균을 비교한 결과 7일주기인 군에서 증상점수가 높았다(P<0.01). 2. 1일 평균 6시간의 수면을 기준으로 할 때, 수면시간에 있어서는 두 군간에 유의한 차이가 없었으며, 2일주기인 군에서는 수면시간이 증가함에 따라 장해증상에 현저히 줄었으나 (P<0.05), 7일주기인 군에서는 수면시간에 따른 장해증상의 차이가 없었다. 3. 소화기장해증상 10문항에서는, 7일주기인 군에서 '자주 그렇다'고 호소하는 빈도가 높았으나 통계적인 유의성은 없었으며, 점수화하여 두 군간의 평균을 비교한 결과 역시 7일 주기인 군이 평균점수가 높았으나 통계적으로 유의한 차이는 아니었다. 4. 피로자각증상은 육체적, 정신적 피로 호소율이 7일주기의 교대근무자들에게 현저히 높았으며(P<0.01), 신경감각적 피로 역시 유의한 차이가 있었다(P<0.05). 5. 공분산분석 (ANCOVA)을 통해 개인특성의 영향을 고려한 결과, 교대주기에 파라 수면장해 증상, 육체적, 정신적 피로에 통계적으로 유의한 차이를 보였다(P<0.01). 이상의 결과를 종합해 볼때, 2일주기의 교대근무자들보다 7일주기 교대근무자들이 피로와 수면장해증상 호소가 더 많았다. 따라서 향후 자각증상 뿐 아니라 객관적인 검사를 병행하여 현재 가장 많이 시행되고 있는 7일주기의 교대제에 대한 검토가 필요할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제14권3호
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• pp.385-392
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• 2014

우리나라는 장시간 근로가 일반화 되어 있으며, 이러한 관행에 대응하여 근로시간 단축이 사회적 관심대상이 되었다. 장시간 노동은 교대제라는 매개를 통해서 이루어지고 있으며, 교대제와 연계된 장시간 노동은 기업의 지속적인 수요를 맞추기 위한 목적으로 활용된다. 본 연구는 1998년부터 4조2교대제를 도입한 유한킴벌리와 2011년 4조2교대제를 도입한 POSCO의 사례를 심층적으로 분석하여 실천적인 시사점 발견을 목적으로 하였다. 특히 4조2교대제를 도입한 두 기업의 사례를 통해 제도 도입의 동기, 과정 및 이로 인한 기업의 관리방식 변화 양상을 구체적으로 분석하여 타 기업에 공통적으로 적용 가능한 시사점을 제공코자 노력하였다. 본 연구는 주요 목적을 달성하기 위해 사례연구방법을 적용하였으며, 문헌연구와 현장방문조사를 병행하여 적용하였다. 유한킴벌리와 POSCO의 4조2교대는 단계적 추진, 시범운영을 통한 도입, 최종도입까지 장시간 소요, 직원 대의기구의 적극적인 역할 등 제도적용의 공통점이 존재하였다.

• 산업경영시스템학회지
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• 제30권2호
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• pp.58-66
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• 2007

This study is evaluation of shift-workers' sleep and social life related to hospital workers' performance and health. We researched shiftworkers' sleep, sleeping quality and social relations using a questionnaire method to shiftworkplace scattered Daejeon and Chungnam province. The results of shiftworkers' sleep are differ from habitual sleep. Social participations of shiftworkerse are interfered partially because of shiftwork. In preference, shiftworker preferred health to others because of physical load of shiftworks. Through result of this study about sleep and social life style, we hope to derive reduction methods of shift work fatigue and education for improvement of employers, for example an physiological and psychological accordance method, an health problem solving method and an social accordance method, etc.

• 간호행정학회지
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• 제21권5호
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• pp.519-529
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• 2015

Purpose: This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system. Methods: This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs. Results: Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system. Conclusion: The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

• 한국융합학회논문지
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• 제12권7호
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• pp.295-304
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• 2021

본 연구는 일반병동에 근무하는 교대근무 간호사의 간호업무 수행실태와 직무만족도를 확인하기 위한 2차 자료 분석 연구이다. 연구 결과, 전체 간호 업무 중 대상자가 수행한 직접간호는 45%, 간접간호는 55%를 차지하였다. 교대 근무별로 주간에 수행한 업무량은 전체 업무량의 37.2%였고 인계 후 수행한 업무는 '직접간호(34.5%)'와 '기록과 보고(25.8%)'였다. 대상자들은 본인이 수행한 업무 중 일부분에 대해 간호보조 인력에게 위임 가능하거나, 타 의료인과 경계가 모호한 업무가 있다고 응답하였다. 야간근무의 직무이행도와 직무만족도 간의 유의한 상관관계(rs=.43, p=.01)가있었다. 이러한 결과는 교대근무별 직무분석에 근거한 업무효율성 제고 및 EMR적용, 스마트 기기 등을 활용한 인계시간 감소 전략, 업무 수행주체를 명확히 하는 방안이 필요함을 시사한다.

• 근관절건강학회지
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• 제25권3호
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• pp.196-204
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• 2018

Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.

• 여성건강간호학회지
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• 제24권3호
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• pp.252-264
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• 2018

Purpose: To understand the essentials of rearing conflict experience by three shift nurses in advanced general hospitals. Methods: The design was a qualitative research of phenomenology. Participants were 7 shift nurses working in advanced general hospitals who were rearing young children. Data were collected individually through in-depth interview on their life experiences. Data were analyzed by Colaizzi's phenomenological methodology. Results: Eighteen themes were drawn from 256 meaningful experiences and these themes were integrated to six theme clusters. The most influencing themes were 'Regret that I cannot satisfy even the slightest wish', 'Fail to care for kids', and 'Mutual feeling to care giver between appreciation and inconvenience'. Other themes were as follows: 'Body and mind are broken', 'The need for a three-shift system to support nurses who are rearing children', 'Doing my best for work and child rearing'. Conclusion: The nature of three-shift nurses working in advanced hospital and caring kids is explained as 'lives with conflict' between work and home. This study suggests it is necessary to establish a 24-hour care center for 3-shift nurses to keep working while rearing their children.

• Journal of Biosystems Engineering
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• 제19권4호
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• pp.291-300
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• 1994

It is desired to operate tractor engines at or near maximum torque much of the time in field operation to increase fuel efficiency. To do this it is necessary to reduce engine speed and to shift gears to higher ratios as frequently as possible. Because of load variations in most drawbar work and inconvenience in gear shift, however, gear-type transmission are usually set in one ratio at unnecessarily high engine speeds, and engine-torque variations are used to compensate for changes in drawbar load. As a result, the most of time the tractor is not operated efficiently in terms of fuel consumption and work output. The objective of this study was to develop an automatic control system which is able to operate a tractor equipped with gear transmission under the optimal condition in terms of fuel efficiency with automatic governor setting and gear shift. An indoor experimental test set which can be used to simulate tractor operation, control engine speed and transmission ratio was developed in the previous paper. In this paper, the performance of the optimal operation system is reported. Through a series of tests, it was found that the automatic control system for optimal operation of tractors with gear transmission had a satisfactory performance.