• 디지털융복합연구
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• 제14권7호
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• pp.185-191
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• 2016

최근 의료 서비스는 IT 기술의 발달과 함께 다양한 서비스를 제공하고 있다. 그러나, 의료 정보가 유 무선을 통해 송 수신될 때 제3자가 악용할 수 있는 문제점이 존재한다. 본 논문에서는 환자의 동의없이 제3자가 환자의 의료정보를 불법적으로 이용할 수 없도록 그룹 인덱스 정보를 이용한 환자 의료 정보 관리 기법을 제안한다. 제안 기법은 의료진이 계층적으로 환자의료 정보에 접근할 수 있도록 접근 레벨을 그룹으로 관리할 수 있도록 각 계층에 인덱스 정보를 생성하여 접근 정보와 함께 사용한다. 제안 기법은 의료진이 환자 질병 분석 및 처방에 소요되는 시간을 최소화하여 환자의 의료 만족도를 높이는데 목적이 있다. 또한, 제안 기법은 환자의료정보의 접근 권한에 따른 의료진의 업무부담을 최소화하여 업무 효율성을 향상시키는데 또 다른 목적이 있다.

• 한국경영과학회지
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• 제40권2호
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• pp.63-77
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• 2015

The territorial air that our sovereignty is being applied to is divided into several zones and areas. In order to use and manage them effectively, these zones and areas have laws, regulations and rules. The number of airspaces (MOA : Military Operation Area) and Ranges that are used in the military are limited and many airbases are being used for training. Currently the central department manages some, and the rest are independent airbases. Therefore, efficient allocation is not performed and the result occurs where airspaces and ranges are allocated unnecessarily. This is increasing the workload of staff leading to unnecessary re-work. To slove problem, this study proposed models for allocating airspaces and ranges using goal programming with multi-objective functions of minimizing the deviations of the target values.

• 한국식품조리과학회지
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• 제13권3호
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• pp.319-329
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• 1997

Food procurement practices in elementary schools were evaluated to provide basic information for the efficient foodservice management. Total 85 self-completed questionnaires were collected out of 134 dieticians working for elementary schools in Kyungkido, and analyzed for demographic background, purchasing activities and processing-food utilization status. The results were as follows: 1. The elementary schools were located in urban (22.0%), provincial (58.5%), and isolated areas (19.5%). 2. 62.4% of them were conventional schools and rest of them were commissary schools (37.6%). 3. As the total meals produced in schools increased, the number of meals served per foodservice staff and the workload increased, and more foods were purchased through wholesalers and competitive bids. 4. There were no significant differences (p > 0.05) in food procurement practices by the location, type of foodservice systems and the size of schools. 5. As the number of total meals in schools increased, the level of FPI (Food Processing Index) points for meat products, fish products, kimchi and sauce decreased.

• 육아정책연구
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• 제12권3호
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• pp.3-27
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• 2018

본 연구는 유치원 교사의 하루 업무수행의 경향성을 분석하고, 업무시간 운영의 실제와 효율성에 대한 인식을 알아보기 위해 공사립유치원 교사 273명을 대상으로 설문조사를 실시하였다. 연구결과, 첫째, 유치원 교사들은 단위시간(30분)별로 평균 1.41개의 업무를 수행하였으며, 업무 내용에 있어 공립과 사립 간에 차이가 있었다. 둘째, 수업준비시간이 부족한 이유로 공립 교사들은 행정업무가 많아서, 사립 교사들은 행사나 공동 업무가 우선시 되어서를 꼽았고, 수업 외 업무에서 많은 시간을 소비하여 인력지원이 필요한 업무로 공립 교사들은 사무관련 업무, 사립 교사들은 행사관련 업무를 꼽아 차이를 보였다. 셋째, 업무시간의 효율적 운영과 관련해서는 공립과 사립 모두 업무량 과다를 매우 심각하게 보았고, 더불어 공립은 보조인력 부족, 사립은 행사관련 업무 과다 및 관리자의 리더십을 문제시 하였다. 이러한 결과는 유치원 교사의 업무량 적정화, 수업준비시간의 확보 및 업무 효율화, 기관유형에 맞는 지원이 필요함을 시사한다.

• 디지털융복합연구
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• 제12권4호
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• pp.443-454
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• 2014

본 연구의 목적은 종합병원 신규간호사의 실무적응에 대한 주관성을 유형을 파악하고자 Q방법론을 적용하였다. 연구 대상자는 종합병원 신규간호사 40명을 대상으로 개별 면담을 실시하고 Q방법론을 적용하였다. 진술문은 자신의 의견에 따라 +4점(가장 긍정하는 진술문)에서부터 0(중립) -4(가장 부정하는 진술문)을 선택하여 9점 척도상에 강제 분포하도록 하였다. 자료 분석은 PC QUANL program을 이용하였으며, 분석결과 eigenvalue 1.0이상을 가진 값을 가지고 5가지 유형이 나타났으며 변량은 62.38%이었다. : (1) 새로운 업무 부담형, (2) 흥미, 책임감형, (3) 상황개선형, (4) 지식, 기술 부족형, 그리고 (5) 과도한 업무 부담형의 5가지 유형으로 분류되었다. 이 차이점으로 보았을 때 종합병원 신규간호사의 실무적응유형을 볼 수 있었으며, 이 연구 결과 효과적인 교육과 개별화된 임상실무전략을 개발해야 할 것이다.

• 한국도서관정보학회지
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• 제48권1호
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• pp.43-75
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• 2017

본 연구에서는 사서의 고용실태 및 환경, 취업전망에 대한 인식을 조사하기 위해 사서 대상 설문조사를 수행하였으며, 그 결과는 다음과 같다. 첫째, 인식조사를 기반으로 한 도서관 현장의 고용환경은 낮은 임금, 불안정한 일자리, 전공비일치 직원배치로 인한 업무의 어려움, 상사와의 불화, 사서로서의 자존감 저하, 업무량과다, 열약한 업무환경 등으로 나타났다. 둘째, 대학의 문헌정보학과 교육과정에 추가되어야 할 내용으로 현장 근무자들은 문화프로그램 관련, 전자정보 조직 및 서비스 등을 가장 높게 선호하였다. 셋째, 비정규직의 고용환경은 높은 경쟁률, 낮은 임금, 높은 이직횟수, 과다한 업무량 등으로 나타났다. 넷째, 취업준비 시 가장 큰 애로사항은 취업 정보의 부족으로 나타났다. 따라서 위의 연구결과를 기반으로 한 다양한 개선책이 요구되며, 특히, 취업정보시스템의 구축, 현장중심 교육과정의 도입, 채용시 구체적 직무조건 제시가 요구된다고 할 수 있다.

• Safety and Health at Work
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• 제12권1호
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• pp.119-126
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• 2021

Background: During the period 2001 to 2016, the maximum temperatures in Thailand rose from 38-41℃ to 42-44℃. The current occupational heat exposure standard of Thailand issued in 2006 is based on wet bulb globe temperature (WBGT) defined for three workload levels without a work-rest regimen. This study examined whether the present standard still protects most workers. Methods: The sample comprised 168 heat acclimatized workers (90 in construction sites, 78 in foundries). Heart rate and auditory canal temperature were recorded continuously for 2 hours. Workplace WBGT, relative humidity, and wind velocity were monitored, and the participants' workloads were estimated. Heat-related symptoms and signs were collected by a questionnaire. Results: Only 55% of the participants worked in workplaces complying with the heat standard. Of them, 79% had auditory canal temperature ≤ 38.5℃, compared with only 58% in noncompliant workplaces. 18% and 43% of the workers in compliant and noncompliant workplaces, respectively, had symptoms from heat stress, the trend being similar across all workload levels. An increase of one degree (C) in WBGT was associated with a 1.85-fold increase (95% confidence interval: 1.44-2.48) in odds for having symptoms. Conclusion: Compliance with the current occupational heat standard protects 4/5 of the workers, whereas noncompliance reduces this proportion to one half. The reasons for noncompliance include the gaps and ambiguities in the law. The law should specify work/rest schedules; outdoor work should be identified as an occupational heat hazard; and the staff should include occupational personnel to manage heat stress in establishments involving heat exposure.

• 대한치위생과학회지
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• 제1권2호
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• pp.9-19
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• 2018

The purpose of this study was to examine the state of conflicts among dental health care workers. A survey was conducted on 266 dental hygienists and nursing assistants who worked in dental institutions from September 12 to November 13, 2017, and SPSS(statistical package for the social science) version 20.0 was employed to analyze the collected data. The findings of the study were as follows: 1. The most common reason of the dental hygienists for turnover was working hours and heavy workload(24.6%), followed by pay (22.6%), conflicts with dentists(16.0%) and conflicts with colleagues (11.3%). The most dominant reason of the nursing assistants for turnover was pay(31.1%), followed by working hours(24.4%), heavy workload(17.8%), conflicts with dentists(15.6%) and conflicts with colleagues(8.9%). 2. The largest reason for unsuccessful communication with dentists was that heavy workload reduced the opportunity to communicate well(54.5%). The second biggest reason was that they couldn't communicate well though they had the opportunity(24.0%), and the third greatest reason was that they tended to lag behind dentists in terms of professional knowledge(16.9%). 3. The biggest reason for unsuccessful communication among the dental health care workers was that they didn't have a lot of chances to communicate well on account of heavy workload(41.0%). The second largest reason was the differences in professional knowledge(24.9%), and the third greatest reason was that they couldn't communicate well though they had the chance(23.7%). 4. The most dominant reason for conflicts with dentists was the difference in power(24.0%), followed by poor communication skills(22.1%) and a lack of mutual respect(18.1%). But the opinions of the nursing assistants were different from those of the dental hygienists, as they cited poor communication skills as the most common reason, which was followed by the difference in power and a shortage of understanding of each other's work. 5. The most common reason for conflicts among the dental health care workers was a shortage of communication and communication skills(22.9%), and the second most dominant reasons were a lack of mutual respect and poor understanding of each other's work(17.5%), followed by a lack of mutual respect(17.2%). 6. As to the ways of resolving conflicts with dentists, the most common case was making some mutual concessions to compromise (28.9%), followed by delivering opinions through the staff meeting (23.9%), resolving conflicts by candidly exchanging opinions(15.8%), avoiding each other in moderation(11.7%) and following the opinions or assertions of dentists(1.3%). 7. Concerning the conflict resolution methods among the dental health care workers, the most prevalent way was making some mutual concessions to compromise(36.4%), followed by resolving conflicts by candidly exchanging opinions(23.0%) and conveying opinions through the staff meeting(18.5%). 8. Regarding communication among the dental health care workers, the dental hygienists(3.53±.729) considered themselves to be better at communicating than the nursing assistants(3.29±.745) did(p<0.05), and the dental hygienists(3.45±.809) who thought there was respectful treatment among workers who were different in occupational categories found themselves to be better than the nursing assistants(3.21±.952) who had the same thought did(p<0.05). As a result of analyzing whether frequent job-related meetings occurred among the workers whose occupational categories were different, the dental hygienists(3.05±.975) perceived that there were more frequent meetings than the nursing assistants(2.67±.955) did (p<0.01).

• 한국의료질향상학회지
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• 제21권1호
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• pp.36-49
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• 2015

In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

• 임상간호연구
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• 제26권2호
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• pp.175-185
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• 2020

Purpose: This study was performed to develop a valid and reliable Pediatric Patient Classification System (PPCS). Methods: The study was conducted in a children's hospital which included various ward settings. Content validity was analyzed by Delphi method and to verify intraclass correlation reliability, 7 nurse managers and 29 staff nurses classified 216 patients. To verify construct validity, the staff nurses classified 216 patients according to PPCS comparing differences by age, days of stay, type of stay and medical department. Results: The developed PPCS has 12 categories, 55 nursing activities and 80 criterions. High agreement among nurses (r=.90) suggested substantial reliability. Construct validity was verified by comparing differences in age, days of stay, type of stay and medical department (p<.05). The entire patient group were classified to four groups using PPCS. Conclusion: The findings suggest that PPCS would be a useful tool for estimating nursing demands related to medications and the complexity of pediatric patients.