• 한국보건간호학회지
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• 제33권3호
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• pp.379-389
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• 2019

Purpose: The study investigated the factors associated with compassion satisfaction of nurses in long-term care hospitals with a focus on the culture of patient safety. Methods: This study was conducted using a descriptive survey. The participants were nurses in 1 metropolitan city and 2 other cities (N=164). The data was collected in October, 2018 and analyzed using the SPSS Win 25.0 program. Results: The factors associated with compassion satisfaction were job satisfaction, work attitude, management practice, leadership of the managers of patient safety culture, and clinical career (F=21.66, p<.001). These variables explained 49.3% of the variance in compassion satisfaction of long-term care hospital nurses. Conclusion: These results highlight the importance of long-term care hospital nurses' compassion satisfaction and can be used as meaningful data for intervention to promote a culture of patient safety, and nurses' job satisfaction.

• 문화기술의 융합
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• 제7권4호
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• pp.237-242
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• 2021

본 연구는 요양병원 간호사를 대상으로 윤리적 풍토, 환자안전문화를 확인하고, 환자안전문화에 영향을 미치는 요인을 확인하기 위해 시도되었다. 연구참여자는 D시의 요양병원 간호사 120명을 대상으로 하였다. 자료분석은 SPSS 25.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 대상자의 윤리적 의사결정 자신감은 3.45± .41점이었고, 일반적 특성에 따른 환자안전문화는 차이를 보이지 않았다. 연구대상자의 환자안전문화는 윤리적 풍토의 동료(r=.123, p<.001), 관리자(r=.241, p<.001), 병원(r=.241, p<.001)과 정적상관관계를 나타냈다. 대상자의 환자안전문화에 영향을 미치는 요인은 동료(β=.23, p=.003), 관리자(β=.55, p=.004), 병원(β=.43, p=.031)이었고, 설명력은 33.5%로 확인되었다. 본 연구결과를 통하여 요양병원 간호사의 환자안전문화에 영향을 미치는 요인을 확인하기 위한 반복연구가 필요하다.

• 한국직업건강간호학회지
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• 제31권4호
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• pp.157-166
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• 2022

Purpose: The purpose of this study was to identify factors influencing fall-prevention behaviors of nurses working in long-term care hospitals. Methods: Participants included 147 nurses working in 10 long-term care hospitals in B city. Data were collected from September 20-October 12, 2016. SPSS/WIN 21.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression. Results: It was found that attitude toward fall (r=.29, p<.001) and patient safety culture (r=.25, p=.002) had a significant positive correlation with fall-prevention behaviors of nurses working in long-term care hospitals. The factors influencing fall-prevention behaviors in participants were clinical career and patient safety culture (β=.21, p=.012), contributing to 19% of the total variance in fall- prevention behaviors. Conclusion: The findings showed that systematic delivery of differentiated fall prevention education is preferred to nurse's clinical career as a private factor to improve fall-prevention behaviors of nurses in long term care hospital. Particularly, it is imperative to conduct periodical and practical fall-prevention education for nurses to prevent career discontinuity. An independent report system and open communication system as well as a scheme that can disseminate patient safety culture in individual departments to implement patient direct nursing are required to encourage patient safety culture in organizations.

• 한국산업보건학회지
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• 제31권2호
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• pp.156-172
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• 2021

Objectives: To investigate the trends of industrial injuries among long-term health care workers in Korea Methods: T7866 injuries were selected from the total industrial injuries approved by the Industrial Accident Compensation Insurance Act(Occupational Safety and Health Act) among long-term health care workers between 2007 and 2016 in Korea. We analyzied the trends of industrial injuries according to work process, occurrence type, and causes. Results: The industrial injuries among long-term health care workers increased since 2012. The mostly occurred area for industrial injuries were low back areas, which is related that the most serious industrial injuries occurred when the one long-term healthcare worker lift manually the recipient, from bed(ondol, Korean floor heating system) to a wheelchair, bed to bath bed, and wheelchair to bath chair. In addition to this, lack of workforce, increased work intensity due to overwork contributed the increasing of occupational injury. Conclusions: This study suggests that the main causes of industrial injuries were Lack of facilities and equipment for small private long-term care institutions, The physical load that goes into lifting the recipient directly, work intensity such as excessive workload and increased work speed. We suggest that the social publicization of long-term care service for the elderly, avoiding ways to lift recipients directly, introducing lifting machines as well as improving working methods, and reducing the workload of caregivers are required.

• 대한안전경영과학회지
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• 제13권4호
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• pp.193-199
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• 2011

In the past annual recycling obligation rate calculation of Extended Producer Responsibility (EPR) system, it was difficult to operate the system efficiently, because responsible producers passively participated in the scheme only bent on achieving annual obligation without long-term plan. Thus, a new scheme of long-term recycling obligation rate began to be established every five year from 2008 in order to give the basis for the notice of annual specific operation standard and recycling obligation, thereby helping responsible producers to make a preparation with a plan and giving expectation of active operation of the scheme. However, in the operation of long-term recycling target program, while the development of prediction models and the evaluation for existing items has been conducted in various ways, applications for a new target items and the evaluation are quite insufficient. Therefore, in this study, problems in implementing long-term recycling goal of new target items will be examined, and more objective and rational long-term recycling rate calculation and the operation standard will be proposed. Thus, the long-term recycling target will play a role as a pacemaker to steadily improve the recycling performance of target items, and responsible producers will be expected to increase the achievement with the realistic capacity.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2021년도 봄 학술논문 발표대회
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• pp.166-167
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• 2021

The elderly population in Korea is constantly increasing. As the number of Long-Term Care hospitals increases, many fires have occurred in related facilities. In this facilities, due to the characteristics of the occupants, self-evacuation is difficult, resulting in a number of casualties. It is necessary to Life safety design that reflects the characteristics of the occupants of domestic long-term hospitals. The study attempted to suggest improvements to the standards of evacuation behavior model for occupants of domestic and overseas long-term care hospitals. As a result of the study, patients living in long-term hospitals have a problem that is difficult to evacuate on their own. It is judged that there is a need to present an evacuation behavior model database by setting evacuation priorities and evacuation plans. In addition, it is necessary to more the design factors that affect the evacuation model as well as the characteristics of the occupants of the long-term care hospital.

• 방사성폐기물학회지
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• 제21권4호
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• pp.451-463
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• 2023

With South Korea increasingly focusing on nuclear energy, the management of spent nuclear fuel has attracted considerable attention in South Korea. This study established a novel procedure for selecting safety-relevant radionuclides for long-term safety assessments of a deep geological repository in South Korea. Statistical evaluations were performed to identify the design basis reference spent nuclear fuels and evaluate the source term for up to one million years. Safety-relevant radionuclides were determined based on the half-life criteria, the projected activities for the design basis reference spent nuclear fuel, and the annual limit of ingestion set by the Nuclear Safety and Security Commission Notification No. 2019-10 without considering their chemical and hydrogeological properties. The proposed process was used to select 56 radionuclides, comprising 27 fission and activation products and 29 actinide nuclides. This study explains first the determination of the design basis reference spent nuclear fuels, followed by a comprehensive discussion on the selection criteria and methodology for safety-relevant radionuclides.

• 대한안전경영과학회지
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• 제23권3호
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• pp.57-66
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• 2021

Along with the increase in demand for rescue services, the types of rescue services are also diversifying. Accordingly, rescue workers are exposed to various unpredictable dangerous situations, and the possibility of safety accidents is increasing, so the need for systematic management of safety accidents by rescue teams is emerging. It is necessary to present a roadmap for improving the quality of rescue services. An integrated technology roadmap tool that can be used immediately to improve structural quality was applied. The driving elements of the roadmap are composed of three elements that constitute the improvement of structural quality. It can be divided into safety management, professional competence and other (policy support) fields. This study intends to present a long-term and short-term roadmap by dividing it into safety management, professional competency, and other (policy support) fields.

• Nuclear Engineering and Technology
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• 제55권12호
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• pp.4335-4349
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• 2023

Nuclear marine propulsion has been emerging as a next generation carbon-free power source, for which proper passive residual heat removal systems (PRHRSs) are needed for long-term safety. In particular, the characteristics of unlimited operation time and compact design are crucial in maritime applications due to the difficulties of safety aids and limited space. Accordingly, a compact and long-term-operable PRHRS has been proposed with the key design concept of using both air cooling and seawater cooling in tandem. To confirm its feasibility, this study conducted system design and a transient analysis in an accident scenario. Design results indicate that seawater cooling can considerably reduce the overall system size, and thus the compact and long-term-operable PRHRS can be realized. Regarding the transient analysis, the Multi-dimensional Analysis of Reactor Safety (MARS-KS) code was used to analyze the system behavior under a station blackout condition. Results show that the proposed design can satisfy the design requirements with a sufficient margin: the coolant temperature reached the safe shutdown condition within 36 h, and the maximum cooling rate did not exceed 40 ℃/h. Lastly, it was assessed that both air cooling and seawater cooling are necessary for achieving long-term operation and compact design.

• 산업융합연구
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• 제20권11호
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• pp.149-155
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• 2022

본 연구는 종합병원과 요양병원 간호사의 환자 안전 문화 인식의 정도를 비교하기 위하여 수행한 서술적 조사연구이다. 연구대상자는 3개 시에 위치한 종합병원 2곳과 요양병원 4곳에서 6개월 이상 근무 중인 일반간호사 150명이었으며, 자료는 2021년 10월부터 12월까지 수집되었다. 환자 안전 문화는 이순교가 개발한 환자 안전 문화 측정 도구를 사용하였다. 자료는 교차분석, 이원배치 분산분석과 t-test를 SPSS 20.0 프로그램을 이용하여 분석하였다. 연구 결과 간호사의 연령(F=44.17, p= .000), 총 임상 경력(F=62.86, p=.000), 현 근무부서 임상 경력(F=26.27, p=.000)이 많을수록 환자 안전 문화 인식이 높았으며, 요양병원 간호사의 환자 안전 문화 인식 하위영역 중 리더십(t=2.07, p=.040)과 환자 안전 우선순위(t=2.18, p=.031) 영역이 종합병원 간호사에 비해 높은 것으로 확인되었다. 연구 결과를 바탕으로 병원 및 요양병원에서 환자 안전 문화 수준을 높이기 위한 프로그램 개발이 활발히 이루어지기를 기대한다.