Earticle

Purpose: The purpose of this study was to investigate the factors influencing performance of the clinical nurses about the management of nosocomial infection. Method: The data were collected using structured questionnaire from 300 clinical nurses from April 26, 2004 to May 20, 2004. The data analyzed by the SPSS (ver10.0)program, and it included descriptive statistics, t-test, ANOVA, the Pearson correlation coefficient, stepwise multiple regression. Result: Personal hygiene management and disinfection equipment management had the higher record than other dimensions. The level of recognition for management of nosocomial infection showed positive correlation with the level of performance for management of nosocomial infection. The level of recognition for management of nosocomial infection, working period, number of hand washing, have significant effects on the degree of a performance for management of nosocomial infection. These predictive variables of the degree of a performance for management of nosocomial infection explained 17% of variance. Conclusion: It is needed to be developed for the effective management of nosocomial infection through the educational program.

Purpose: This study was conducted to identify patterns and trends of studies of SMIs from 1999 to 2004, and to suggest the directions of future research activities. Method: 38 research studies of SMIs were selected and classified according to the sample characteristics, and the types of SMIs and outcome variables. Results: The number of SMIs studies has been increased since 1991, but it was more smaller than descriptive studies. They tended to be conducted more without the conceptual framework or randomization. Nurses were the most popular subjects and GHQ was more prevalent than other instruments. SMIs studies used confusedly in “job stress” terms. The outcome variables, most frequently measured were “anxiety and depression”. 46 interventions were conducted in 38 studies. Most of them were individual worker-focused intervention and CBT was most frequently conducted. There were wide variations in duration, and intervals of SMIs. Conclusions: These results of this study will be used to guide the development of SMIs. And it was needed to identify and debate on ‘stress’ terms among the authors and to develop the SMIs. Also, it will be needed research that evaluate the effect of Job SMIs and experimental studies must be conducted rather than descriptive studies.

Objectives: The objective of this study was to analyze factors affecting depression in pneumoconiosis patients. Methods: The subjects were 200 pneumoconiosis patients hospitalized in Pneumoconiosis Hospitals in An-san and Tae-beck. Collected 114 surveys were used in this study among 200 surveys since 86 surveys offered insufficient data. SAS for Windows 8.01 was used to analyse the data Results: Percentage of normal and mild depression is 2.6%, Percentage of moderate depression is 14.9%, Percentage of severe depression is 79.8%. In order to analyze the factors affecting depression rate, the factors with p-values less than 0.1, such as age, education, religion, work department, hospitalized period, physical pain existence, daily living ability, family supports and internal locus of control, were selected as independent factors and analyzed using a stepwise multiple regression. As results, the factor that affected the rate of depression were of the age, education, ADL(Activities of Daily Living), the internal locus of control, family support. Conclusion: It is necessary to develop health program which can improve the patient's ADL(Activities of Daily Living), enforce internal locus of control to minimize the depression rate in pneumoconiosis patients.

Purpose: To find out the relationship between the shift work, and disrupted sleep and consequent fatigue symptoms. Methods: The questionnaires were given to 345 nurses of 4 hospitals with over 400 beds in Daejeon. Results: The shift workers showed worse subjective quality of sleep than the daytime workers, and had significantly higher frequency of “cannot get to sleep within 30 minutes”, “wake up in the middle of the night” and “wake up in the early morning”. The shift workers had significantly higher scores of subjective symptoms of fatigue than the daytime workers, and the fatigue was found to be the mental type. The subjective symptoms of fatigue scores were significantly higher in the group who had “cannot get to sleep within 30 minutes”, “wake up in the middle of the night” and “wake up in the early morning”. Conclusion: The study results indicated that the shift workers had the higher level of subjective symptoms of physical fatigue as well as the worse quality of sleep than the daytime workers. It is speculated that the factors attributable to the poor quality of sleep or sleep induction disorders of nurses of hospitals could be due in major part to adaptational difficulties resulting from frequent night shifts.

Purpose: To develop the stress coping behavior measurement scale(SCBMS) for the workers in manufacturing industry. Methods: Developing of SCBMS was based on job stress and psycho-social health status. Job stress and psycho-social health status were estimated by using the Karasek's job content questionnaire (JCQ) and the general health questionnaire (GHQ-28), and the general characteristics for subjects were estimated by self-reported questionnaire and interview. Result: The subjects were 456 male workers who had never been occupationally exposed to hazardous chemical and other materials, was mean age 31.27 years and mean work duration was 4.81 years. As a result of factor analysis for developed stress coping questionnaire, four factors were extracted such as inactive, active, health and emotional behavior from 15 question items of stress coping questionnaire. Fifteen items passed for item internal consistency (100% success rate) and item discriminant validity (100% success rate). Cronbach's alpha coefficient for each factor ranged from 0.56 to 0.77. The active behavior correlated positively with job demand of JCQ (r=0.12, p<0.05), but total GHQ-28 was negatively correlation (r=-0.24, p<0.01), respectively. Conclusion: These results demonstrated the reliability and validity of SCBMS. Thus, the results may prove to be a useful assessment tool in evaluating stress coping behavior.

Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as ‘workers' compensation insurance’, ‘personal care benefit’ and ‘long term care’ were used in searching the related literatures. Results: Though the personal care benefit under current Workers’Compensation in Korea is very similar to Japan’s, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers’ compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer’s role for quality management of personal care service, and developing a policy for family caregivers.

Purpose: To provide concretely for support system to occupational health management grasped the present condition about the private support organizations for the migrant workers. Method: The subjects were 30 organizations to support migrant workers with the healthy and medical problem. The organizations were investigated by the internet search, and the visiting and telephone interview. Then a expert advisory conference and researchers' regular meeting were held. Result: The support organizations for the migrant workers played multiple activities, but the medical treatment and education regarding the occupational safety & health were scarcely accomplished. The government constructs a network between the organizations. A health problem of a worker should be requested to the medical centers which cooperated with the private support organizations, it makes business expand to the existing organizations which take charge of the health business of a small-scale workplace rather than it constitutes new organizations. The organizations which can manage which build the online network which can grasp all the information concerning the migrant worker from whom the government became a principal axis. Conclusion: Support system on the occupational safety and health for migrant workers that it will be help to the occupational disease prevention and occupational safety and health management, is needed.

Purpose: The Purpose of this study is to build up model of the emotional labor worker's health. Methods: Data was collected from 230 emotional labor workers from 2 department stores, 2 insurance companies, and 3 hotels located in Seoul and Kyung-gi areas, by the health managers and team leaders. For data analysis, descriptive statistics, pearson correlation, factor analysis and covariance structure analysis were used by SPSS window 10 version and AMOS 4.01. Results: The hypothetical model showed a goodness-of-fit to the empirical data(GFI=0.90, RMR=0.04, NFI= 0.79, PNFI=0.64). Eight out of fifteen paths of the model were accepted, while the other seven paths rejected. : From ‘surface acting’ to ‘health’, from ‘social support’ to ‘surface acting’, from ‘social support’ to ‘health’, from ‘factors of organizational culture’ to ‘surface acting’, from ‘factors of organizational culture’ to ‘deep acting’, from ‘personal factor’ to ‘social support’, from ‘factors of organizational culture’ to ‘social support’, from ‘routine stress’ to ‘social support’. In conclusion, it has been confirmed that surface acting and social support were dominating factors to the health of emotional labor workers. Conclusion: In order to manage the health of emotional labor workers, it is imperative to develop a strategy to reduce their surface acting.

Purpose: The purposes of this study were to identify the scores of perceived job stress, health perception and health promoting life style in community health nurses and to define the correlations of three variables. Method: The data were collected by 68 subjects, using the self-reported questionnaires. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, and pearson correlation coefficient. Result: The mean score of job stress was 3.19(±.60), health perception scale was 3.04(±.49) and health promoting life style profile was 2.49(±.30). The relationship among job stress, health perception and health promoting life style were not statistically significant. The relationships between age, overloading job, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between religion and problem of interpersonal relationship was statistically significant. The relationships between single of marital status, knowledge & skill deficit and problem of interpersonal relationship were statistically significant. The relationship between career and stress management was statistically significant. Conclusion: These results suggested that health promotion program for community health nurses to reduce job stress, promoting health promoting life style should be carefully developed so as to provide better quality of health care services to the community people.