The increase of health care expenditure for Thai worker calls for the need of workplace health promotion. The purpose of this article is to describe the status of workplace health promotion in Thailand, emphasizing the roles of occupational health nurse. Secondary data analysis and extensive literature reviews were conducted. Results showed that Thailand is committed with implementing health promotion concepts in various settings including workplace. Several public organizations have developed national workplace health projects with different strategies and approaches. Role of occupational health nurses in workplace health promotion has gradually expanded. The new law specifying the functions of occupational health nurse in providing comprehensive health services is in the process. Occupational health nursing standard as related to workplace health promotion has been developed. A research based case study on workplace health promotion program is also presented to elaborate the proactive roles of occupational health nurse. Findings of this study suggest the transitional roles of Thai occupational health nurses in which training and technical supports from related organizations are in need.
Purpose: The purpose of this study was to identify the relationship of the school organizational climate with perceived discrimination and the workplace violence among school health teachers. Methods: The research design was a cross-sectional study. The subjects of the study were 350 school health teachers with more than one year of teaching experience. Data were collected online using a questionnaire. Research variables are general characteristics, organizational climate, perceived discrimination, and workplace violence. The relationship between organizational climate and perceived discrimination and the relationship between organizational climate and workplace violence were analyzed using regression analysis. Results: The score for organizational climate of health teachers was 3.10 out of 5 points, the score for perceived discrimination was 2.85 out of 5 points, and the experience rate of workplace violence was 16.9%. School organizational climate was related to both workplace violence and perceived discrimination. The subcomponents of organizational climate affecting perceived discrimination of health teachers were interrelationship and the level of compensation. The subcomponents of organizational climate affecting workplace violence of health teachers were interrelationship and autonomy. Conclusion: The improvement of the school's organizational climate can reduce the level of workplace violence and discrimination against health teachers. It is important to establish an appropriate evaluation system for health teachers and to recognize the role and expertise of health teachers. In addition, it is necessary for school administraters to actively support health teahcers and to create an organizational climate where they can be friendly and communicative.
Purpose: The purpose of this study was to explore the factors related to physical and affective well-being of taxi drivers. The main factors of interests were workplace hazards and work environment. Method: This was a cross-sectional descriptive study. A convenience sampling method was utilized. 181 taxi drivers in Seoul metropolitan area completed survey questionnaires. Result: In bivariate analysis, payment system, workplace hazards, and work environment were associated with physical health of taxi drivers. Multiple regression analysis revealed payment system and workplace hazards were significant predictors of physical health. On the other hand, age and workplace hazards, and work environment were significantly associated with affective health in the bivariate analysis. Moreover, workplace hazards and environment were significant predictors of affective health in the multiple regression analysis. Conclusion: To improve taxi drivers' health status, it is critical to reform payment system to monthly payment, establish prevention policies of workplace hazards, and encourage employers and taxi drivers to make efforts for better work environment.
Purpose: This study explored the association between workplace discrimination and violence and depressive symptoms among Korean employees. Methods: Data were obtained from the 4th Korean Working Condition Survey of 2014, which included 21,902 Korean employees. Depressive symptoms were measured using the WHO-5 Well-Being Index questionnaire scales. Results: A statistically significant relationship between workplace discrimination and workplace violence was found, and these two variables were also associated with depressive symptoms. After adjusting for variables such as sociodemographic characteristics, physical risk, and psychosocial working environment, workplace discrimination (OR=1.22, p<.001) and workplace violence (OR=1.69, p<.001) were both significantly associated with depressive symptoms. Conclusion: This study indicates that to promote employees' psychological health, systems and programs to prevent workplace discrimination and violence are needed. Development of these systems and programs should consider employees' experiences of workplace discrimination and workplace violence, sociodemographic characteristics, physical risk, and psychosocial working environments.
Purpose: This study was conducted to determine the effect of the performance of Workplace Health Manager at the workplace on presenteeism in the workers. Methods: Three months before this study, between June 2010 and September 2010, a self-reporting survey of 316 employees in 136 workplaces in each of each hired a Workplace Health Manager was performed at their workplace with explanations of the purpose and methods of this study after their consent was obtained. Results: The average performance score of the Workplace Health Manager as graded by the employees was 3.8 out of 5 points. The duties of the Workplace Health Manager which received higher grades were posting of the Material Safety Data Sheets (MSDS), health education, and future management with respect to the results and procedure of health care-related work. According to the employees' survey, the score for presenteeism was evaluated as 14.3 out of 30 points. Based on the presenteeism analysis results, when (1) the employee was a male, (2) the workplace was established and managed by Industry Safety and Health Committee, (3) the employees were aware of the role of Workplace Health Managers, and (4) Workplace Health Manager fulfilled his/her role actively and successfully, presenteeism was observed to a lesser extent. Conclusion: According to the results of the study, presenteeism was observed to a lesser extent when the Workplace Health Manager actively performed his/her role.
Objectives: The purpose of this study was to build a conceptual framework of bullying in nursing workplace. Methods: A comprehensive literature review was conducted to identify concepts in relation to bullying in nursing workplace by searching research articles published between 1995 and 2013. In-depth interviews were performed with 14 nurses who experienced bullying at work. The Hybrid Model was applied for concept analysis which led to identify attributes of bullying in nursing workplace. Results: The antecedents of bullying in nursing workplace were offenders, victims, and administrators. They create negative effects on organizational culture and imbalance of power between authority and subordinate workers in the organization. Bullying in nursing workplace that occurred in the forms of inefficient organizational culture, imbalance of power, and the vulnerability of individual or individuals and groups of individuals formed an unstable dynamic. It is expressed as verbal and nonverbal bullying, work-related bullying, and external threats. Consequently, workplace bullying causes physical and psychological withdrawal and increased negative energy in an organization. Conclusions: Workplace bullying consisted of verbal abuse, alienation, unreasonable work processes, restriction on work-related rights, and external threat.
Purpose: This study was done to evaluate the program for smoking cessation of workers in small workplace. Method: The study cases were seventy workers who voluntarily participated in the above program and they were from small workplace (under fifty employees) at Yonugdeungpo-gu, Seoul. This program was composed of individual health education and distributing guide books and video. Nurses visited the workplace for the program once two weeks. Result: Nine works (12.9%) succeed and 10 worker(14.3%) failed in smoking cessation. Number of cigarettes smoked a day and level of nicotine dependency of fifty-one(72.9%) workers decreased significantly. Conclusion: The results indicated the program was successful for workers at small workplace. The continual management by nurses' regular visit was the moat important thing for successful program.
This study was done in an attempt to reveal those factors interfering with the observation study. Three trained research assistants collected data by observing the two occupational health nurses working in the small scale enterprises on the 3rd and 10th of February, 1999. The first observation was performed on the 3rd of February without observation guidance. Guidance was given during the second observation on the 10th of February. These data were compared between reporters in nursing services of 'Workplace visiting', 'Health counselling' and 'Blood pressure checking' according to nursing time and frequency. These areas were chosen because these activities were regarded as clearly identifiable by observers in contrast to the other performances. The data showed inconsistency between reporters. However, they were reduced when reporters observed nurses with guidance, although there were still minor differences between data in time and frequency. Discussions were carried out to find possible reasons for these differences. The causes were mainly attributed to the difficulty in workplace conditions to observe, the work specificity of nurses visiting each workplace and the delicate situation between nurses and observers when reporters were travelling in the nurse's car. Therefore, the results suggest that the observation method applied to the nursing service research at small-scale enterprises should be more concerned about the selection of appropriate workplace and operational definition of nursing activity in order to more precisely measure nurses' attitudes.
Purpose: We investigated the effects of emotional labor and workplace violence on various physical and mental health outcomes among female workers. Methods: We obtained data from 24,760 female workers who participated in the 4th Korean Working Conditions Survey (2014). Hierarchical logistic regression analysis was used to analyze the relationships. Results: Female emotional workers were more exposed to workplace violence than were female non-emotional workers. Verbal abuse was the most common type of workplace violence. Logistic regression analyses revealed that (1) emotional labor was significantly associated with higher odds of having musculoskeletal or abdominal pain (physical health outcomes), along with overall fatigue (a mental health outcome), and (2) workplace violence experiences were significantly associated with higher odds of musculoskeletal pain, headache/eye strain, abdominal pain, depression/anxiety disorder, overall fatigue, and insomnia/sleep disturbance, after controlling for covariates. Conclusion: This study demonstrated that both emotional labor and workplace violence have negative effects on physical and mental health. However, workplace violence experience has a stronger negative impact on health outcomes than does emotional labor alone. A management system to eradicate workplace violence and programs aimed at managing emotional labor are urgently needed at the organizational level.
Purpose: This study was to assess the prevalence of workplace bullying and the relationship workplace bullying to self-esteem and turnover intention among clinical nurses. Methods: The subjects were 223 clinical nurses at 3 small and medium-sized hospitals in K and B cities. The data were collected from February 1st throughout 28th, 2013. The collected data were analyzed using the SAS program through the frequency, percentage, mean, and Pearson's correlation coefficients. Results: The rate of self-reported bullying in the nursing workplace was 24.6% of respondents. There was a negative correlation between workplace bullying and self-esteem (r=-.39, p<.001). Also there was a positive correlation between workplace bullying and turnover intention (r=.14, p=.031). Conclusion: Prevalence of self-reported bullying is high among small and medium-sized hospitals and is clearly associated with lower levels of self-esteem and higher levels of turnover intention. Therefore, an organizational nursing management program as a monitoring regularly the psychosocial work environment and policies and procedures to prevent and manage workplace bullying is strongly recommended for the promotion of self-esteem and reducing the nurse's intention to leave the organization.
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