Earticle

목적: 본 연구는 4개 교육과정에 참여한 건강관리사의 일반적 특성에 따른 지식, 태도, 기술, 자기효능감과 직무만족의 차이와 각 변수들 간의 상관관계를 규명하기 위한 것이다. 방법: 연구대상자는 152명의 건강관리사이다. 자료분석은 Mann-Whitney U test, Kruskal-Wallis H test와 부분상관 분석을 활용하였다. 결과: 지식과 기술은 건강관리사 경력과 교육과정별로 유의한 차이가 있었으며, 태도는 성, 연령, 교육과정에 따라 유의한 차이가 있었다. 자기효능감은 성, 연령, 건강관리사 경력, 교육과정에 따라 유의한 차이가 있었으며, 직무만족에서는 유의한 차이를 나타내는 인구학적 특성은 없었다. 지식, 태도, 기술, 자기효능감, 직무만족도 간에 유의한 상관관계가 있는 것으로 나타났다. 결론: 교육과정의 수준이 모든 변수에 영향을 미치는 변인인 것과 달리 직무만족에서는 교육과정이 영향을 미치지 않는 것으로 나타났다. 이런 결과에 의하면, 지식, 태도, 기술, 자기효능감은 개인의 내적 차원의 개념인 반면, 직무만족은 조직 차원의 개념이라고 할 수 있다. 따라서 사례관리의 질을 향상시키기 위해서는 건강관리사의 직무만족을 향상시키기 위한 조직전략이 필요하다고 할 수 있다.

Purpose: The purpose of this study was to identify the differences and relationships among knowledge, attitudes, skill, self-efficacy (SE), and job satisfaction (JS) of healthcare managers (HMs) participated in the 4 kinds of continuing education. Methods: The subjects were 152 HMs. Data were analyzed by Mann-Whitney U test, Kruskal-Wallis H test, and partial correlation. Results: There were significant differences in knowledge according to the amount of healthcare management experience (HME) and the training program level (TPL); in the attitudes according to gender, age, and the TPL; in the skill according to the amount of HME and the TPL; and in SE according to gender and the TPL. There was no significant difference in JS according to general characteristics. There were significant positive correlations among knowledge, attitudes, skill, SE, and JS. Conclusion: The TPL was identified as a significant common variable that affects all variables apart from JS. According to these results, knowledge, attitudes, skill, and SE are considered as intrapersonal constructs, whereas JS is considered as an organizational construct. Therefore, in order to improve the quality of healthcare management, organizational strategy to enhance job satisfaction of HMs are recommended.

Purpose: The purpose of this study was to identify the factors influencing the nursing students' Job-esteem. Method: The data were collected from March 1 to 30, 2011 using questionnaires. The subjects were recruited from the department of nursing at a college in Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression Analysis. Result: The significantly factor which is a variable predicting best job-esteem of college nursing students by ability and opportunity to getting accounting for 13.4%(β=.277) of the prediction, followed by work conditions, lifestyles, and sense of honor that accounted for 27.6%. Conclusion: Based on the results of this study, nursing educational program and curriculum development should give nursing students a variety of experience for their career.

Purpose The purpose of this study was to describe the role experiences of occupational health nurse. The research question was "what are daily experiences in practice ?" Methods The data were collected through the focus-group interviews with nine occupational health nurses and analyzed by the grounded theory of Strauss and Corbin (1998). Results The core category on occupational health nurse role experience was named as "struggling alone with the dual role". The causal conditions included 'unfamiliar area' and 'new work'. The contextual conditions included 'overload of work', 'tasks beyond OHN job' and 'disharmony with colleagues'. The intervening conditions were analyzed as supportive factors and discouraging factors. There were action/ interaction strategies ‘getting information about tasks’, 'working as a professional', 'establishing a cooperative relationship', 'seeking help' by trying to regulate the phenomenon. Finally they succeed in ‘establishing the identity' and 'feeling proud', but sometimes they could be ‘suffering from low morale', or ’considering turnover‘. Conclusions Through these results, it can be explained that occupational health nurses have been exerting themselves to establish their role with various situation through the conflicted context. Based on the findings, we suggest developing the diverse continuing education programs to be tailored for OHN’s needs and reinforcing the occupational health services under the legal and political support.

Purpose: The purpose of this study was to investigate occupational stress and fatigue level of neonatal nurses and to assess relationship between the two of them. Methods: Subjects were 109 neonatal nurses working at 2 university hospitals and 9 women's hospitals in D city, and the data were analyzed using descriptive statistics and binary logistic regression analysis by the SPSS/PC win 15.0. Results: The mean score of nurses` occupational stress level was 3.22, and the highest was 'night shift' among the 7 subcategories, and fatigue level was 62.0, and the highest was physical fatigue in configuration field. In logistic regression analyses, 'heavy workload’ and ‘inadequate physical environment’ led to most occupational stress. Conclusion: In addition to significantly higher levels of occupational stress of neonatal nurses, the cumulative fatigue also resulted in decreased quality of nursing, job satisfaction and nursing productivity; therefore, appropriate number of nurses and improvement of work environment is necessary. Furthermore, to reduce the occupational stress and fatigue, we should try to develop adequate clinical guidelines and intervention strategies and apply them in neonatal care unit.

Purpose: This study tries to identify experience of verbal abuse, emotional response, and ways to deal with verbal abuse against nurses in hospitals. Methods: This study was a descriptive research and conducted from April to July 2011. One hundred and seventeen nurses with over one-year experience in general wards were selected and evaluated. The data were analyzed using descriptive analysis, independent t-tests, and one-way ANOVA. Results: The nurses’ experience rate of verbal abuse during the entire period of work in hospitals was 98.3%. The majority of the nurses were verbally abused by patients (70.9%), followed by patients' relatives (65.8%), physicians (61.5%), and coworkers (58.1%). Overall negative emotional response score of nurses after verbal abuse was 38.82 (±8.287). Ways to deal with verbal abuse were as follows: suppression was 74.4%, complaining of an injustice to close people, 67.5%, and ignoring, 43.6%. Conclusion: Nurses have significantly been exposed to verbal abuse while working in hospitals. Therefore, hospital managers and nurse managers are required to inform other staff and visitors in hospitals the real condition of verbal abuse against nurses and provide a safe work environment by developing the report and disposal system of verbal abuse.

Purpose: The purpose of this study was to identify the relationship between occupational stress and depression of construction workers. Methods: The subjects were 168 construction workers selected from I city and K city in Korea by convenient sampling. The data were collected by self-report questionnaires from August 1 to 31, 2011. The data were analyzed by frequencies, t-test, ANOVA, Tukey test, Pearson correlation coefficient, stepwise multiple linear regression with the SPSS/WIN 15.0 program. Results: The total mean scores of occupational stress on the subjects were 46.65 and lower(below 50%) than those of the Korean male workers, standard. According to the CES-D cut-off point, the prevalence of depression was 25%. The study showed that occupational stress is positively correlated with depression. Conclusion: This study concludes that it is necessary to develop stress management program to reduce occupational stress and depression.

Purpose : The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods : The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results : There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, A이, and level of pain explained 48% of the HRQoL. Conclusion : Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.

Purpose: The purpose of this study is to establish the standards for duty of Medical Care Client Managers and analyze the extent of accomplishment, importance, and difficulty according to the standards. Method: The draft for duty of Medical Care Client Managers was formed by the method of developing a curriculum(DACUM) and data were collected from 185 Medical Aid Client Managers in 234 areas to evaluate the actual frequency of accomplishment, importance and difficulty in comparison with the standards for duties. Results: The standard duty draft for Medical Care Client Manager is composed of five separate groups of duties and thirty five tasks. The five duties are Case Management, Extension Approval, External Cause of Injury, Duplicate Claims and Other Administrations. Seven Tasks are allocated to each duty such as Case Management, Extension Approval and External Cause of Injury. Five tasks are allocated to 'Duplicate Claims' duty and nine tasks are allocated to 'Other Administrations' duty. Conclusion: From the results of analysis for duties, it was apprehensive about overburdened responsibilities and carelessness in professional duties. It was necessary to establish specific guidelines for duties because of redundent application or regional variation in frequency of accomplishing other administrative duties. It was necessary to relieve a regional disparity of business charge and also was necessary to propose an alternative plan to relieve the overburdened responsibilities.

Purpose: This study was conducted to identify the level of emotional labor, social support, and depressive symptoms of nurses, and the relationships among them. Methods: The data were collected from 314 nurses. Surface and deep-acting scales of the emotional labor scale (ELS), the personal resource questionnaire, the organizational support scale, and the Korean version of the center for epidemiologic studies rating scale for depression (CES-D) were used. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe test. Results: Fifty six percent of total subjects had mild or major depressive symptoms. As the level of surface-acting of ELS was higher, so was the level of depressive symptoms, while as the level of individual and organizational support was higher, the level of depressive symptoms was lower. Conclusions: It is necessary to provide organizational-level support and to manage surface-acting in order to prevent the nurses’ depressive symptoms. In particular, for the nurses who show relatively higher level of depressive symptoms; who are in 20s and have short employed years or not married, it is urgently required to be provided depressive symptoms management programs that targeted for those nurses.

Purpose: The purpose of this study was to measure patient satisfaction among injured workers and determine the factors that affect satisfaction of the hospital services. Methods: The subjects of this study were 231 injured workers hospitalized in I WC Hospital and D WC Hospital located in one of the major cities in Korea, all of whom agreed to participate in this research. The questionnaires were selected as literature suggested for explaining satisfaction of the hospital services, general characteristics of injured workers, characteristics of the hospital services. The data were analyzed with descriptive statistics, t-test, ANOVA, multiple regression analysis by SPSS 18.0. Results: The patient satisfaction level is at 3.2 point, which is lower than general patient satisfaction in previous study. There were significant differences in satisfaction scores, depending on the gender, degree of medical treatments, the specialty of medical team, staff's kindness, medical treatment process, the cleanliness of hospital and the convenience of facilities. It was found that the patient satisfaction among injured workers is affected by the characteristics of the hospital services. Conclusion: It is necessary to promote medical facilities, specialization of doctors and nurses, staff's kindness, medical treatment process and hospital cleanliness for developing Workers' Compensation hospital services.

Purpose: The purpose of this study was to identify the health behaviors by a risk level of metabolic syndrome(MS) among petty merchants in traditional markets. Methods: The data were collected through questionnaires and physical examination on abdominal circumstance, triglyceride, HDL, blood pressure, and FBS of 177 subjects in S city, Korea. The data were analyzed by descriptive statistics, chi-square test(or fisher's exact test) and ANOVA using SPSS 18.0 program. Results: The prevalence of MS was 15.8%, and risk group was 72.9%. The abdominal circumstance and triglyceride levels were higher in MS group than those of the risk group and normal group. The HDL and systolic blood pressure levels were also higher in MS group than those of the normal group. Conclusion: The prevalence of MS and risk groups was high among petty merchants in traditional markets. However, these merchants did not practice health behaviors nor take institutional health management benefit. Therefore, governmental level community based health management services are requested for them.

Purpose: This study was conducted to evaluate the relationships among the service education satisfaction, service involvement, and customer orientation of hospital employees after yearly-planned MOT service education. Methods: The data collection was done through the questionnaire survey in a university hospital located in D city from March 15 to 31, 2010. The statistical analysis was done by SPSS 18.0 program for Window. Results: The enrolled employees were two hundred and seventy six. Among the characteristics of employees, adequate work load, good payment, reasonable promotion system, suitability of work aptitude and good relationships with staff improved the service education satisfaction, customer orientation, and service involvement of hospital employees. For the customer orientation, old age and lower educational background were positive factors. The correlations among the service education satisfaction, customer orientation, and service involvement of hospital employees were significant. The factors that affect customer orientation and service involvement were found to be age, suitability of work aptitude and service education satisfaction. Conclusion: In conclusion, customer orientation and service involvement were related with the satisfaction of employees for working condition and service education. In terms of good medical service quality, plans for maintaining adequate working environment and systematic service education should be established.

Purpose: This study was aimed to examine the effect of employment status upon the subjective health status. Methods: The data of the study were from the 11th Korean Labor Panel Data, obtained by using a face to face interview method. These data were analyzed by ANOVA, t-test and multiple regression using the SPSS program. Results: There was a significant, statistical difference on the subjective health status according to employment status. The subjective health status of non-regular workers was lower than that of the regular workers. The significant predictors of the subjective health status of all subjects were economic status, age, gender, education, marital status, drinking, employment status, and egular work time. The significant predictors of the subjective health status of workers were age, economic status, gender, and education. The significant predictors of the subjective health status of non-regular workers were age, economic status, marital status, gender, education, and regular work time. Conclusion:　These results indicate an association between the subjective health status and employment status. The subjective health status may be affected by instability of temporary employment. The additional research to clarify the role of employment instability is recommended. Research on social policy to resolve health inequalities is recommended.

Purpose: This descriptive study was to examine the effect factors on health promotion lifestyle of shift work nurses. Methods: The 418 working nurses who completed questionnaires with consent were analysed. Results: The average level of health promotion lifestyle of shift work nurses was 2.21 and it was significantly lower than 2.36 of fixed work nurses. In shift work nurses, the highest health promotion lifestyle was personal relationship of 2.79 and the lowest was physical activity of 1.58. The young, shorter shift work duration, unmarried and general nurses were evaluated as not-healthy diet. The old, longer shift work duration and married showed less physical activity. Less self-efficacy and more job stress, depression, fatigue showed lower health promotion lifestyle. Conclusion: Self-efficacy on health behavior of shift work nurses was the most effective factor on all areas of health promotion. Therefore, we need to develop a health promotion program including self-efficacy encouragement. We suggest that this program be more effective when more precisely characterized according to age, marital status, shift work duration, job position, and psychological problems such as depression and fatigue.