• 제목/요약/키워드: Three shift working system

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소방공무원 3교대 근무 실효성 확보를 위한 제언 (A Suggestion for Effectiveness Secure of Fire Servant's Three Shift Working System)

  • 송용선
    • 한국화재소방학회논문지
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    • 제28권2호
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    • pp.98-104
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    • 2014
  • 소방공무원의 열악한 근무조건을 개선하기 위해서 2004. 6. 1. 소방 방재청 출범과 함께 3교대 근무체제가 제시되었다. 그러나 차일피일 미루어 오다 2008. 12. 행안부장관이 2012년까지 3교대 전면시행을 보고하면서 이듬해 2009년부터 3교대 근무가 시범 실시되었고, 이후 2013년 6월 현재 약 97%의 시행률을 보이고 있지만, 지방재정 열악 등으로 2014년에 완료되는 것으로 알려지고 있다. 한편, 소방공무원 3교대 근무형태에 관한 국내연구는 거의 전무한 실정으로 아주 초보적이고 유치한 수준으로 이제 시작에 불과한 단계라 할 수 있다. 따라서 본 연구는 그동안 시행해 오고 있는 3교대 근무 시행의 문제점과 선결과제 등을 살펴보고, 향후 3교대 근무제의 실효성 확보를 위한 몇 가지 정책적 제언을 하는데 그 목적이 있다.

교대근무 간호사의 효율적인 근무형태 개발을 위한 실태조사 (A Study for Developing the Effective Working Pattern for Nurses in Shift Work)

  • 박영우;신혜경;이현심;이혜영;김은현;박정숙;오경환;정미애;문경희
    • 임상간호연구
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    • 제19권3호
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    • pp.333-344
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    • 2013
  • Purpose: This study was conducted to provide baseline data to develop work patterns for nurses that are suitable to Korean hospitals. Shift work patterns and nurses' preferences for working condition were examined. Methods: Questionnaires for nurse departments and nurses were mailed to 478 hospitals from June 1 to July 30, 2012. Nurse departments of 174 hospitals and 1,409 nurses responded to the questionnaire. Data were analyzed using SPSS statistical program. Results: Of the nurses, 89.4% were working three shifts. Of the hospitals, 17.3% had implemented fixed night work. Although 80% of nurses preferred fixed time work, only 24.9% of hospitals had fixed working hours. Of the nurses, 57% agreed with night work as fixed but potential night nurses accounted for only 17% of the respondents. Sixty-three percent of the nurses agreed on short time work during busy hours. There were preference differences according to age, marital status and clinical career. Conclusion: As many nurses reported a preference for various flexible working patterns rather than three shift work, there is a need for new decisions on hospital policy to ensure improved working conditions for nurses and enhanced job security. Legal requirements also need to be considered for various work patterns.

중환자실 간호사의 2교대와 3교대근무 간 근무 만족도, 수면, 피로, 삶의 질과 환자안전사고 비교 (Comparison of Shift Satisfaction, Sleep, Fatigue, Quality of Life, and Patient Safety Incidents Between Two-Shift and Three-Shift Intensive Care Unit Nurses)

  • 채민진;최수정
    • 중환자간호학회지
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    • 제13권2호
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    • pp.1-11
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    • 2020
  • Purpose : The aim of this study was to compare shift satisfaction, sleep, fatigue, quality of life (QOL), and patient safety incidents between a newly implemented two-shift system and a traditional three-shift system. Methods : A total of 127 intensive care unit nurses (48 two-shift nurses and 79 three-shift nurses) working in a tertiary hospital in Seoul were recruited from January 1, 2017, to March 31, 2017. They completed a self-reported questionnaire about their work hours, shift satisfaction, sleep patterns, sleep quality, fatigue, QOL, and patient safety incidents in the past 2 weeks. Data were analyzed using SPSS version 23.0. Results : The two-shift group showed higher shift satisfaction scores compared with the three-shift group (6.93 vs. 4.37, p<.001). Sleep latency was shorter and sleep quality was better in the two-shift group compared with the three-shift group. There were no significant differences in other sleep parameters, fatigue, QOL, and patient safety incidents between the two groups. Conclusion : Although a two-shift system did not improve nurses' fatigue or QOL in this study, it may effectively serve as an alternative shift-work system that can increase sleep quality and shift satisfaction without increasing patient safety incidents.

어린 두 자녀를 둔 3교대 간호사의 양육 갈등 경험: 현상학적 연구 (Experience of Conflict in Three Shift Nurses Rearing more than Two Kids: Phenomenological Study)

  • 김증임;염정원;박선경;정현희;민엄주;박선화;이정미;염영선
    • 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.

일일 3교대 간호활동시 호르몬분비 및 신장기능의 변화에 관한 연구 -간호학생을 대상으로- (A Study on the Changes of Urinary Hormonal Excretion and Renal Function During Three-shift Nursing Practice)

  • 김명애
    • 대한간호학회지
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    • 제16권3호
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    • pp.78-96
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    • 1986
  • The sympathico-adrenergic system and the hypophyseal-adrenocortical system mediates the regulation of the internal milieu. And the kidneys regulate both water and electrolyte balance of the body fluid. The kidneys are the sites of production of renin which participate indirectly in maintaining renin. angiotensin-aldosterone system. These system de-serve special attention in the context of adjustment the effects on the body function. And so, maximal exercise and work load are associated with home-osthetic function. The nurses working in the hospital have been complained of fatigue and stress by frequent duty changes and overload. In order to define this, the possible changes of hormonal excretion during three-shift nursing practice were investigated. Urine samples were collected at pre-duty and post-duty, and were measured with chemical assay and radioimmunoassay in 30 nursing students, in nursing practice and 43 nursing students, in studying. The results obtained were as follows. 1. In nursing practice, urinary norepinephrine concentration showed a marked increase during day duty, urinary cortisol concentration showed a marked increase during evening duty, and urinary renin concentration was increased in night duty, 2. Corrected ratio of urinary sodium excreted by the urinary excretion of creatinin (UNa/UCr) and UCl/UCr showed a marked decrease during night duty. Nursing practice did not affect on the UK/UCr and urinary concentrating ability. From these results, it is suggested that further studies the define the effects on some physiological function of the three-shift nursing practice against circadian rhythm are needed for better working condition of nurses.

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교대근무 간호사의 건강증진행위가 수면의 질에 미치는 영향 (Influence of Health-Promoting Behaviors on Quality of Sleep in Rotating-Shift Nurses)

  • 신승화;김수현
    • 기본간호학회지
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    • 제21권2호
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    • pp.123-130
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    • 2014
  • Purpose: The purpose of this study was to identify quality of sleep and health-promoting behaviors in rotating-shift nurses and to explore the influence of health promoting behaviors on quality of sleep. Method: Participants were 161 staff nurses working in an irregular three shift system in one of three general hospitals located in Kyungpook province. Data were collected using the Pittsburgh Sleep Quality Index and the Health Promoting Lifestyle Profile-IIand were analyzed using hierarchical multiple regression analysis. Results: The majority of the participants had very poor quality of sleep and performed a low level of health promoting behaviors. In terms of health promoting behaviors, nutrition and stress management significantly influenced quality of sleep of these nurses. Conclusion: Results indicate the importance of encouraging rotating-shift nurses to enhance their health promoting behaviors in order to improve quality of sleep.

산업장 여성근로자의 근무형태에 따른 건강증진행위 비교 (The Comparative Study on Health Promoting Behaviors by Shift Pattern of Duties of Women Workers in workplace)

  • 장희정;박경민
    • 한국직업건강간호학회지
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    • 제8권1호
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    • pp.22-41
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    • 1999
  • This study intended to analyze the health promoting behaviors, compare their factors according to the shift pattern of duties of women workers who were working in the industrial workplace and present basic data in planning systematic and effective programs of health promotion for three-shift system and day-duty. Using Quota Sampling, 219 women workers were selected as subjects from 5 workshops which had 50 settled workers up to 300 and 10 factories which had more than 300 located in Taegu and Kyung-Book Province. Data were collected by means of questionnaire from September 12 to September 30, 1998. As the instruments of the study were used Health Promotion Lifestyle Profile(HPLP) which was adapted and adjusted by Seo, Y. O. for health promoting behavior, the one developed by Moon, J. S. (1990) for health-belief, the one developed by Sherer et al.(1982) and then adapted by Oh, H. S. for self-efficacy, and the one developed by Park, J. W. (1985) for social support. The analysis of data were performed with Cronbach's ${\chi}^2$-test, t-test, ANCOVA, Kendal tau, Pearson correlation, Stepwise Multiple Regression test using SPSS program. The results of the study are as follows : 1. There was a significant difference in age(${\chi}^2=32.46$, p=0.000), career (${\chi}^2=18.47$, p=0.000), working day(t=-3.18, p=0.000) by the shift pattern of duties in terms of socio-demographic characteristics. 2. There was a statistically significant difference between the two groups on the health promoting behaviors (t=2,52, p=0.012). The score of three-shift group on health promoting behaviors was 2.27, showing that it was lower by .13 than that of day-duty group(2.40). 3. ANCOVA involving age, career and working day as covariables, which had revealed significant difference before, showed that health promoting behaviors by the shift patterns of duties was significantly different(F=4.88, p=0.028). 4. In consideration of variables that have an influence on health promoting behavior by the shift pattern of duties, social support occupied 19.4% of health promoting behavior in the three-shift group and 22.5% including the sense of self-efficacy. In the day-duty group, social support occupied 34.4% of health promoting behavior. 5. The score of three-shift group(2.94) was significantly lower than that of day-duty group(3.12) in the perceived benefit of health-belief(t= -3.29, p=0.001), while the score of three-shift group (2.48) was significantly higher than that of day-duty group(2.24) in the perceived barrier (t=4.22, p=0.000). In the sense of self-efficacy(t=-4.20, p=0.000), the score of three-shift group(3.24) was significantly lower than that of day-duty group(3.53) while in social support(t=-4.56, p=0.000) the one of three-shift group(2.64) was significantly lower than that of day-duty group(2.88). The suggestions are as follows on the basis of the results of this study : 1. It is required to develop health promoting program that takes the shift pattern of duties of women workers into consideration. In addition, there are special demands on developing nursing strategies for health promoting behavior of three-shift workers. 2. It is required to develop specific strategies for social support which is the most significant factor to the health promoting behavior for women workers. 3. It is necessary to develop some programs for improving the sense of self-efficacy, social support, and health-belief of three-shift workers. To achieve these tasks, industrial nurses should play an active role and improve the ability of self-health care of women workers.

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야간전담 간호사의 사적 생활에 미치는 밤번 근무 경험 (Night Duty Experience on the Personal Life of Fixed Night Shift Nurses)

  • 백영미
    • 디지털정책학회지
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    • 제2권2호
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    • pp.21-33
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    • 2023
  • 본 연구의 목적은 다양한 의료전달체계에서 근무하고 있는 야간전담 간호사의 사적 생활에 미치는 밤번 근무 경험을 탐색하는 것이다. 자료수집은 2022년 9월부터 10월까지 3개의 포커스 그룹 인터뷰로 이루어졌으며, 연구대상자는 야간전담 간호업무를 수행하고 있는 간호사 13명이었다. 분석을 위해 모든 면담은 녹음하고 필사하였으며, 질적 내용분석을 이용해 분석하였다. 연구 결과 4개의 주제, 11개의 범주 그리고 24개의 하위범주가 도출되었다. 4개 주제는 '자유의지로 선택 ', '근무 적응을 위한 노력', '야간전담 근무 수행 관련 지각', 그리고 '제도 개선을 희망'으로 나타났다. 본 연구는 야간전담 간호사의 사적 생활에 미치는 다양한 밤번 근무 경험을 보여줌으로써 야간전담 간호업무와 제도에 대한 이해를 돕고, 야간전담 제도의 개선방안 마련에 기초자료를 제공하기 위함이다.

소방공무원 의식과 처우개선에 관한 연구 (Consciousness of Fire Officers and Improving the Working Conditions)

  • 김국래
    • 한국화재소방학회논문지
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    • 제21권1호
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    • pp.7-18
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    • 2007
  • 본 연구는 소방공무원의 직무여건 개선 등에 관한 의식을 조사, 합리적인 개선방안을 제시하기 위하여 수행되었다. 연구결과 한국의 소방공무원은 직업에 대한 보람과 긍지를 가지고 있는 반면에 근로시간, 근속승진, 정부포상, 해외연수 등 처우개선 분야에 있어서는 경찰 교정 철도직 등 유사직렬 근무자와 대비하여 대부분 내재적인 비교갈등을 안고 있어 이에 대한 개선대안 마련이 시급한 것으로 나타났다. 그러나 광역 지방자치단체별 지방 공무원 대비 소방공무원의 인력비율이 평균적으로 적게는 26.46%에서 많게는 64.06%에 이르고 있고 소방력기준과 행정자치부 소방공무원 정원 보강지침, 소방공무원 표준정원제 등의 상치와 한계 및 공무원 총액인건비제도의 시행으로 전면적인 3교대의 도입과 만족스러운 처우개선 마련이 곤란하여 일시에 근원적인 해결책이 마련될 수 있는 사안은 아니다. 따라서 일본 미국 등 선진국의 제도와 소방공무원의 직무 하중 등을 고려하여 근무시스템은 과다근무 부서 중심으로 우선적 3교대를 시행하되 기타 근속승진과 순번휴무제의 확대와 정부포상, 해외연수 등 각종 복지제도를 단계적으로 현실에 맞게 개선해 나감으로써 합리적이고도 적실성 있는 정책대안을 수립 시행함이 필요한 것으로 분석되었다.

고령 경비원의 직무스트레스와 관련요인 (Occupational Stress and Related Factors among Aged Security Guards)

  • 최은숙;신동수
    • 한국직업건강간호학회지
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    • 제18권1호
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    • pp.106-115
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    • 2009
  • Purpose: Occupational stress is a determinant risk factor for cardiovascular disease and work disability. This study aims to describe occupational stress and identify its related factors among aged security guards. Methods: A random sample of 76 aged security guards were interviewed by three research assistants. The criteria of the subjects were as follows : 50 or older male with 40 or more working hours a week working with colleagues ranged from 3 to 50. The data were collected in September, 2007 and analyzed by multiple regression using SAS Version 9.1. Results: The mean score of occupational stress among aged security guards was 47.2. The mean scores of its sub-scales were 31.3(physical environment), 33.8(occupational demand), 80.8occupational control), 44.6(interpersonal conflict), 51.3 (occupational insecurity), 53.6(occupational system), 57.5(lack of reward), and 30.3(work environment). The scores of occupational control, interpersonal conflict, and occupational insecurity were higher than the scores of Korean average occupational stress sub-scales. Significant variables affecting occupational stress and its sub-scales were work place, work type, and employment type. Conclusion: In order to reduce occupational stress among security guards, sufficient occupational control and interpersonal conflict control, appropriate reward, and employment stability should be considered. Also long working hours and work shift should be improved.

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