• Journal of Korean Academy of Nursing
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• v.50 no.5
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• pp.646-657
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• 2020

Purpose: The purpose of this study was to identify the quality of sleep in novice and experienced shift work nurses and compare the factors associated with their quality of sleep. Methods: We analyzed the data of 192 and 256 novice and experienced nurses, respectively. The quality of sleep, sleep hygiene, job stress, and fatigue were measured using Insomnia Severity Index, Sleep Hygiene Practice Scale, the Korean Occupational Stress Scale, and Fatigue Severity Scale. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and logistic regression. Results: Sleep quality was lower in experienced nurses (12.55 ± 5.71) than in novice nurses (11.18 ± 5.78). Fatigue was more severe in experienced nurses (4.47 ± 1.13) than in novice nurses (4.23 ± 1.12). In the logistic regression, factors related to sleep quality in novice nurses were sleep hygiene (odds ratio; OR = 1.06, p < .001) and fatigue (OR = 2.49, p < .001). Factors related to sleep quality in the experienced nurses were also sleep hygiene (OR = 1.04, p = .001) and fatigue (OR = 1.53, p = .012). Conclusion: Sleep quality of experienced nurses is lower than those of novice nurses. Factors associated with sleep quality in novice and experienced nurses are equally identified as sleep hygiene and fatigue. Therefore, personal efforts to improve sleep hygiene, such as providing comfortable sleep environment, are needed. Furthermore, organized efforts to decrease fatigue, such as constructing a working environment with a bright light at night and providing a fatigue-decreasing program that includes meditation, are required.

• Journal of Environmental Science International
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• v.26 no.9
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• pp.1013-1021
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• 2017

Exposure to Diesel Particulate Matter (DPM) potentially causes adverse health effects (e.g. respiratory symptoms, lung cancer). Due to a lack of data on Elemental Carbon (EC) exposure levels in underground copper ore mining (unlike other underground mining industries such as non-metallic and coal mining), this case study aims to provide individual miners' EC exposure levels, and information on their work practices including use of personal protective equipment. EC measurement was carried out during different work activities (i.e. drilling, driving a loader, plant fitting, plant operation, driving a Specialized Mining Vehicle (SMV)) as per NIOSH Method 5040. The copper miners were working 10 h/day and 5 days/week. This study found that the most significant exposures to EC were reported from driving a loader (range $0.02-0.42mg/m^3$). Even though there were control systems (i.e. water tanks and DPM filters) on the diesel vehicles, around 49.5% of the results were over the adjusted recommendable exposure limit ($0.078mg/m^3$). This was probably due to: (1) driver's frequently getting in and out of the diesel vehicles and opening the windows of the diesel vehicles, and (2) inappropriate maintenance of the diesel vehicles and the DPM control systems. The use of the P2 type respirator provided was less than 19.2%. However, there was no significant difference between the day shift results and the night shift results. In order to prevent or minimize exposure to EC in the copper ore mine, it is recommended that the miners are educated in the need to wear the appropriate respirator provided during their work shifts, and to maintain the diesel engine and emission control systems on a regular basis. Consideration should be given to a specific examination of the diesel vehicles' air-conditioning filters and the air ventilation system to control excessive airborne contaminants in the underground copper mine.

• Journal of the Korean Society of Safety
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• v.38 no.4
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• pp.32-38
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• 2023

Job stress factors are factors that induce biological, psychological, and behavioral responses in individuals when they encounter mental and physical stimuli in the workplace. According to occupational safety and health standards, employers are responsible for the health consequences of job stress when workers engage in activities that result in high levels of physical fatigue and mental stress. Such activities include long working hours, shift work (including night shifts), driving vehicles, and operating precision machinery. Therefore, precautionary measures should be implemented. Following the COVID-19 epidemic, the logistics industry in Korea has experienced rapid growth owing to the shift from offline to online platforms facilitated by advanced digital infrastructure. Consequently, this study conducted a survey to analyze job stress factors among delivery workers. The survey utilized a Korean job stress factor assessment tool comprising 43 items and analyzed job stress factors considering the work characteristics of the courier business field obtained from responses provided by 421 courier workers nationwide. The survey analysis revealed that the physical environment, job demands, and job autonomy exhibited higher stress indices among Korean workers. Furthermore, the younger the age, the higher the stress on job demands, whereas the higher the age, the higher the stress on relationship conflict, job instability, and workplace culture. In addition, daytime delivery work was associated with higher stress levels in job demands and job instability compared with nighttime delivery work. These findings can serve as foundational data for reducing and preventing job stress among courier workers, whose workload has increased owing to the growth of the logistics industry.

• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.769-779
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• 2016

Purpose: This study was an experimental study to compare the inhalation effects of aroma essential oil on the quality of sleep (QOS) for shift nurses after working nights. Methods: The participants were 60 healthy adults who didn't have any disease. As an experimental treatment, the participants in the experimental group were asked to inhale essential oil for 3 minutes at a distance of approximately 10 cm from their nose and then they were asked to sleep with the aroma stone beside their head (within a 30 cm distance). QOS were measured four times on Pretest, Day 1, Day 2, and Day 3 after they slept. To measure QOS, Perceived QOS (Numeric Rating Scale), the Verran & Synder-Halpern (VSH) Sleep Scale were used, and number of awakenings (NoA) was measured by Actigraph. Results: There were no significant differences in the homogeneity tests for general characteristics and dependent variables prior to the experiments, except for VSH of subjective sleep quality. Also, there was no significant interaction between group and time. The VSH of the experimental group was higher than the control group (F=6.39, p=.002). The NoA between the experimental group and the control group was significantly different after experimental treatment 3rd day (F=13.35, p=.001). Conclusion: The findings show that the inhalation of aroma essential oil had effects to increase the quality of sleep. Therefore, the inhalation of aroma essential oil could be applied to general nursing interventions to improve the quality of sleep.

• Korean Journal of Adult Nursing
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• v.24 no.5
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• pp.509-519
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• 2012

Purpose: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients. Methods: Data were collected from medical records of patients who received intubation in a medical intensive care unit. One hundred eighteen patient charts were selected for the study. The Patient Severity Classification Scale and unplanned extubation risk factors were examined. Data were analyzed with descriptive statistics, $x^2$-test, Fisher's exact test and Mann-Whitney U test. Results: The incidence of unplanned extubation was 11 (9.32%) out of 118 patients who had undergone intubation. There were statistically significant differences between the unplanned extubation and work shift ($x^2$=61.52, p=.001), ventilation mode (p=.001), number of days of ventilator application (U=366.00, p=.038) and administration of sedatives (p=.025). Conclusion: Unplanned extubation is affected by the following variables: a) whether a nurse is in night shift, b) whether ventilation is mandatory, c) duration of ventilation use and d) administration of sedatives.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.30 no.3
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• pp.93-110
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• 2019

This study surveyed 129 librarians of public libraries in the northwestern region of Seoul to identify harmful factors under the assumption that the work and environmental factors of them would burden their musculoskeletal system and influence their work satisfaction. The results of this study showed that the musculoskeletal symptoms in the shoulder, one of the general items, were more frequently observed in women than in men. Secondly, the musculoskeletal symptoms in the arms and elbows, one of the working environment characteristics, were most frequently reported when they worked more than one year and less than three years. The musculoskeletal symptoms in the waist were influenced by the operation method; the librarians of public libraries entrusted to the Office of Education or a local government showed symptoms more frequently. The musculoskeletal symptoms in the neck were affected by working hours; librarians working in the day shift showed neck symptoms more frequently than those working in the night shift. Thirdly, when the characteristics of the work environment were examined, the musculoskeletal symptoms in the hands, wrists, and fingers were highly frequent under all characteristics of the work environment, the musculoskeletal symptoms in the waist were highly frequent under all characteristics of the work environment except for work satisfaction, and the musculoskeletal symptoms in the legs and feet were highly frequent according to the proficiency, work intensity, and physical burden. Fourthly, this study evaluated the differences in musculoskeletal symptoms according to the work satisfaction of individuals. The results revealed that the occurrence frequency of musculoskeletal symptoms for all body parts decreased as work satisfaction increased. Therefore, it will be necessary for the main body of public library operation to improve the work and working environments and enhance the work satisfaction of individuals by reducing the physical burden of the librarian of public libraries through adjusting the work intensity in order for the health of the librarian of public libraries.

• Journal of Korean Academy of Nursing Administration
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• v.3 no.1
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• pp.119-133
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• 1997

Continuing shift service of clinical nurses can be not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses. This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-sectional survey design from Sep. 7 through 20, 1996. Standardized modification of the CMI has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device. The structure of the device was composed of 35 questions on physical appeal(Chronbach's ${\alpha}=8507$) and 22 questions of mental appeal(Cronbach's ${\alpha}=.8166$ totalling 57 questions. The collected data has been computerrized by using SPSS. General character, present symptom, perceived symptom and others are sought by practical number and percentage, and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test was by Duncan's test by the level of p<.05. 1) The items of the answer that they have the physical symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness", "Are your eyes often red or inflamed", "Does press or pain in the head often make like miserable", "Are your ankles often badly swollen", "Do pains in the back make it hard for you to keep up with your work". 2) The items of the answer by over 50% of the nurses as the mental symptom at present were "do you fell bad when criticized?", "Do you get angry when everything is against your will?", "do you get angry when ordered to do this and that?", "do you feel uneasy by such a trifle thing?", "do you tremble or are you freightened by sudden sound?". The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other. But the physical condition has been worse than the mental one. 3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p<.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p<.05). 4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction, the better the health conditions. 5) There were the significant difference according to the times of night duty and whether they take the drug or not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions in the night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p<.05). I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should make every effort to improve the duty conditions by finding out the causes affecting to their health. In the nursing management viewpoint, I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.

• Proceedings of the ESK Conference
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• 1997.10a
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• pp.186-195
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• 1997

본 연구에서는 교대근무를 시행하는 사업장을 조사아여 교대 분류방법에 의해 교대제의 명확한 분류 와 국내의 교대제 적용업체의 편성상의 문제점을 파악하고 개선안을 제시하며, 문제점과 편성의 성격에 따을 스트레스의 정도를 분석하고자 하였다. 교대제는 크게 비심야 교대제, 심야 교대제, 휴일이 있는 종일 교대제, 휴일이 없는 종일 교대제로 나누어 진다. 마산, 창원 지역의 교대제는 휴일이 있는 종일 교대제를 가장 많이 취하고 있었으며, 전반적인 문제점으로는 휴일이 없는 교대제가 존재하며, 야근 연 속 일수가 4일 이상으로 길고, 생체리듬의 길어지는 특성에맞지 않는 역순환이 존재하며 휴일이 없는 종 일 교대제에서 야간 근무에서 주간근무로 근무간격시간이 짧다는 여러 가지 문제점을 가지고 있다. 편성 상의 문제점과 성격에 의한 SACL의 분석에서장시간 근무하는 12시간 2교대 보다 8시간 정상 근무하는 3교대 의 스트레스가 낮고, 야근 연속일 수는 5일 이하인 경우의 스트레스가 제일 낮았고, 휴일은 있는 경우가 높았다. 연령별로는 40대에서 교대제 편성상에따른 프트레스 점수간 차이를 보였지만 다른 연령대에서는 차이를 보이지 않았다.

• Journal of Digital Convergence
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• v.20 no.2
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• pp.107-116
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• 2022

In the Chinese workplace, the use of SNS such as Wechat and QQ for work delivery out of duty hours has become a very common phenomenon, which is also known as the "new night shift". This study is to empirically analyze the effect of work delivery using SNS out of duty hours on job performance. A questionnaire survey was conducted with 310 Chinese workplace employees. In order to verify the hypothesis, structural equation model analysis will be implemented. Analyzing the questionnaire data and receiving frequent work delivery using SNS out of duty hours will increase job stress, aggravate the conflicts between work and family, and lead to the decrease of job engagement and job performance. The study provides implications for the establishment of related theories by providing a different view form previous research results that work delivery using SNS out of duty hours will definitely improve job performance. In addition, in future studies, it will be necessary to analyze the effect of the moderating effect in converging these conflicting views.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.1
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• pp.664-675
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• 2016

The purpose of the study was to explore the nurses' perception of flexible working and present an operational guideline for implementation. The data were collected from a survey of 532 nurses conducted from 10 February to 24 February, 2015, using simple random sampling. SPSS 21.0 was used to analyze the data. This study found that the demanding for shorter hour shifts was highest ($M=3.89{\pm}0.87$) and 242 participants (46.2%) intended to apply the shift, followed by a fixed night shift, fixed weekend shift, and 12 hour shift. The common reasons identified were the poor environment of shift work and the challenges of child care. The increased time for personal development, relaxation activity to improve the quality of life and child care was highlighted and work-life balance was noted as a positive impact of flexible working. The negative impacts of flexible working were being likely to become temporary workers. These results can help establish uniform working conditions of nurses in the future by providing a standardized operational guideline as a precondition for reasonable compensation and working environment according to a flexible working pattern.