수도권 대학병원 행정 직원의 직무만족에 미치는 영향

황경일(Kyoung-Il Hwang),이일현(Il-Hyun Lee),이현실(Hyun-Sill Rhee) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.10

본 연구는 의료 환경이 공급자 중심에서 소비자 중심으로 변화함에 따라 행정직원에게 동기를 부여하여 직무만족도를 향상시킴으로써 경영의 효율성을 높이고자 하였다. 연구대상은 수도권 대학병원 행정직원 총 305명으로 설문된 데이터를 이용하였다. 분석방법은 AMOS 21 Ver.을 사용하여 구조모형방정식(SEM)으로 통계적 검증을 실시하였다. 첫째, 모형의 적합도 검증결과 X2=206.776, df=77, Q=2.685, P<.001, GFI=.915, TLI=.927, CFI=.946, RMSEA=.074로 분석 되었으며, 본 연구를 검증하는데 타당한 것으로 나타났다. 둘째, 성과보상과 근무환경은 동기부여에 통계적으로 정(+)의 방향으로 영향을 미친다는 점이 나타났다. 셋째, 동기부여는 직무만족에 통계적으로 정(+)방향으로 유의하게 나타났다. 넷째, 의사소통이 직무만족에 정(+) 방향으로 영향을 미친다는 점이 통계적으로 유의하게 나타났다. 다섯째, 매개효과 검증 결과, 성과보상과 직무만족의 관계에 있어 동기부여는 완전매개로 나타났고, 근무환경과 직무만족의 관계에 있어 동기부여는 부분매개로 나타났다. 공정하고 합리적인 성과보상과 직장 안정성, 복리후생 등의 근무환경, 조직내외의 원활한 의사소통은 직무만족도를 높인다. 이를 위해서는 경영자의 관심과 의지가 필요하며, 다양한 교육훈련과 프로그램개발이 필요하다. 본 연구를 통하여 병원 행정 직원의 만족도 향상을 위한 제도적 개선 방안을 모색하는 기초적인 자료를 제공하고자 한다. As provider-centered medical environment has changed into consumer-centered, this study intends to improve the efficiency of management by motivation to administrative staffs and improvement in job satisfaction. The purpose of this study is to analyze the factors that influence job satisfaction among administrative staffs in a metropolitan university hospitals. Survey of 305 people in total were used in the data analysis. AMOS 21 Ver. was used to perform Structural model(SEM) equation. First, the validation results showed the follow results X2=206.776, df=77, Q=2.685, P<.001, GFI=.915, TLI=.927, CFI=.946, RMSEA=.074, which supported this researchs significance. Second, compensation and working conditions positively affected motivation. Third, motivation positively influenced job satisfaction. Fourth, communication positively influenced job satisfaction. Fifth, after adjusting the mediating effect, in the relationship between compensation and job satisfaction, it was proved that motivation was a complete mediator. Incase of the relationship between the working conditions and job satisfaction, motivation acted as a partial mediator. Fair and reasonable compensation and employment stability, benefits and other working conditions, better internal and external communication between the organization are to increase job satisfaction. To do this, an administrator needs to have attention and will, and a variety of education and training programs need to be developed. The purpose of this study is to provide basic grounds for future policies related to increasing administrative staffs job satisfaction.

증례보고 : Sevoflurane 전신마취 후에 발생한 장시간의 과진정에 대한 Flumazenil의 길항 효과

황경일 ( Kyung Il Hwang ),김훈도 ( Hoon Do Kim ),이상호 ( Sang Ho Lee ) 대한마취과학회 2003 Korean Journal of Anesthesiology Vol.45 No.1

痢疾아메바 感染이 腸間膜 肥滿細胞에 미치는 影響에 關한 硏究

任敬一(Kyung-Il Im),黃瀚琦(Han-Ky Hwang),蘇鎭琸(Chin-Thack Soh) 대한기생충학열대의학회 1975 The Korean Journal of Parasitology Vol.13 No.2

전시권에 관련된 규정의 개정 필요성에 관한 소고

김인철(Kim, In Chul),황경일(Hwang, Kyoung Ill) 서강대학교 법학연구소 2016 법과기업연구 Vol.6 No.3

대한민국 저작권법 제19조는 미술저작물, 건축저작물, 사진저작물의 저작권자에게 원본 또는 복제본에 관계없이 전시권을 부여하고 있고, 이러한 미술저작물등의 원본의 소유자 또는 그의 동의를 얻은 자에게는 원본에 의한 전시를 인정하고 있다. 그러므로 이론적으로는 복제본에 의한 전시는 실내 또는 실외와 관계없이 저작권자의 전시허락을 받은 경우에만 전시를 할 수 있다. 그러나 저작권과 관련된 국제조약은 전시권에 관련된 규정이 존재하지 않고, 전시권을 인정하는 세계 어느 국가도 원본과 복제본의 실외전시를 전면적으로 규정하는 국가는 몇 나라를 제외하고 찾아볼 수 없고, 전면적으로 인정하는 국가인 미국은 최초 판매의 원칙을 전시권에도 적용하여 전시권을 제한하고 있으므로 현실적으로는 대한민국 저작권법을 제외하고 실외의 전시를 원본과 복제본에 대하여 인정하는 나라는 존재하지 않는 것으로 파악된다. 이러한 현행 대한민국 저작권법에서 저작권자를 제외하고, 어느 누구도 공중에게 개방된 실외장소에서 저작물이 화체된 저작물의 복제본을 전시할 수 없음에도 불구하고, 미술저작물등의 복제본에 대한 소유자들은 저작권자들의 전시허락을 받지 않고 전시하고 있고, 이러한 행위에 대하여 어떤 저작권자도 이의를 제기하지 않는다. 이러한 상황에서 우리는 저작권법의 규정을 개정하여 저작물이 화체되어 있는 복제본에 공중에게 개방된 실내 또는 실외의 장소에 대한 전시권을 배제할 필요가 있다. 그리고 저작권법 제35조 제2항에서 저작권자의 동의를 받고 공중에게 개방된 장소에 항시 전시된 원본 저작물을 복제하여 이용할 수 있도록 하고 있지만 이 규정도 외부에 항시 전시된 원본 저작물이 저작권자의 이용허락을 받고 전시된 것인지 또는 무단으로 전시된 것인지 알 수 없기 때문에 사진촬영 또는 영상촬영이 일반화된 현대사회에서는 부적절한 규정으로 보여지기 때문에 외부에 항시 설치되어 있는 경우에는 저작권자의 전시허락여 부에 관계없이 자유롭게 복제하여 이용하는 것을 허용하여야 할 것으로 생각된다. Under section 19 of Korea Copyright Act, authors have the right to display artistic works, architectural works, and photographic works, irrespective of their original or reproduced works and section 35 restricts the display right by giving the owner of the original copy of a artistic works or a person who has obtained the owner’s authorization to display the work in its original copy. Therefore, theoretically, the owner of a copy of a reproduced work may not display the copy in public place. However, I cannot find that international treaties about copyright and national copyright act shall have the copyright owners to have the display right in reproduced works except U.S. Copyright Act which exhausts the display right if the particular copy of copyrighted works was made lawfully and if one who displays is the owner of its copy. Under current Korea Copyright Act, nobody may not display the copy of the reproduced work in the public place except the copyright owner, and the owner of copy of original works may display the work in the public place which is indoor public place. However, many owners of a copy of reproduced work have displayed the copy in the public place without consent of the copyright owner. In this situations, we need to amend the display right of copyright owner by restricting the right. Section 35(2) of Korea Copyright Act allows everybody to copy the artistic works by any means with some exceptions. However, this subsection should be understood with section 35(1). Therefore, a copy of original works displayed without consent may not be copied. To solve this problems and to allow the freedom of panorama, we should amend the subsection by cutting off the relationship.

요부 추간판탈출증에 의한 신경근증의 치료로 C-arm영상증강장치하 경추궁간경막외차단과 경추간공경막외차단의 효과 비교

심규대 ( Kyu Dae Shim ),이상호 ( Sang Ho Lee ),황경일 ( Kyung Il Hwang ),김훈도 ( Hoon Do Kim ),한영미 ( Young Mi Han ) 대한통증학회 2004 The Korean Journal of Pain Vol.17 No.2

임상연구 : 수술 전 경막외진통과 정맥 통증자가조절장치의 병합이 골유합술과 추경나사못 고정술의 수술 후 통증완화에 미치는 효과

심규대 ( Kyu Dae Shim ),이상호 ( Sang Ho Lee ),황경일 ( Kyung Il Hwang ),김광희 ( Kwang Hee Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3

Background: Postoperative pain control following bone fusion and pedicle screw fixation is insufficient with IV-PCA alone. Therefore, the effect of preoperative epidural analgesia in addition to IV-PCA was evaluated for postoperative pain control following bone fusion and pedicle screw fixation surgery. Methods: Eighty patients, scheduled to undergo bone fusion and pedicle screw fixation, were randomly assigned to two groups; the study (n = 40) or control groups (n = 40). After induction, the patient was turned into the prone position, and morphine 2 mg and 10 ml of 0.2% ropivacaine were injected into the L1/2 epidural space, after dye confirmation, under C-arm guidance for the study group, with 10 ml normal saline injected into the L1/2 epidural space for the control group. After induction, IV-PCA was applied in both groups. After the operation, the NRS (numerical rating scale) and side effects were evaluated immediately post-op, and at 24 and 48 hours after the operation. Results: In the study group, the NRS was more reduced for all periods compared with the control group, but the incidences of nausea/vomiting and pruritus were no different from the control group. Conclusions: It was concluded that preoperative epidural analgesia, in addition to IV-PCA, was a good postoperative pain control method following bone fusion and pedicle screw fixation. (Korean J Anesthesiol 2007; 52: 296~300)

술중 급성 심근경색 소견을 나타낸 뇌지주막하 출혈 환자의 마취 1예

정영균,이헌근,황경일,신일우,양우창,손주태 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.5

It is now well established that acute subarachnoid hemorrhage secondary to rupture of a cerebral aneurysm can precipitate life-threatening cardiac arrhythmia. We experienced a 60 year old patient with a subarachnoid hemorrhage (neurologic grade III) due to rupture of anterior communicating artery aneurysm who presented with such intraoperative electrocardiographic changes as ST segment elevation and T wave inversion which are hallmark of acute myocardial infarction. The operation was uneventfully ended. On the postoperative laboratory examination about suspected acute myocardial infarction, the patient was found to have normal triple enzyme study and echocardiographic finding. The electrocardiogram three days after subarachnoid hemorrhage due to cerebral aneurysm returned to normal sinus rhythm. This case suggests that this patient's electrocardiographic change simulating acute myocardial infarction is transient change due to subarachnoid hemorrhage. (Korean J Anesthesiol 1999; 36: 901∼905)

대퇴골절 수술 후 회복실에서 나타난 지방색전증후군

정영균,손주태,황경일,강성준,김홍범,이헌근 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.4

The fat embolism syndrome is a serious and potentially life threatening complication of long bone trauma, blunt trauma and intramedullary manipulation. A 26-year-old woman underwent an intramedullary nailing of the femur under general anesthesia 45 hours after a traffic accident. The operation ended uneventfully and the patient was extubated in the operatirg room. About one hour after the patient arrived at the recovery room, she progressively developed tachycardia, tachypnea, cyanosis and drowsiness. The fat embolism syndrome was suspected because of the above clinical signs, and because pulmonary edema appeared on a simple chest A-P. During six days of intensive treatment in response to the fat embolism syndrome, the patient,s vital signs and ventilatory status progressively improved. The patient was uneventfully discharged from the hospital 19 days after her operation. (Korean J Anesthesiol 1999; 37: 731∼736)

마취유도시 Etomidate 0.3 mg/kg 정주는 정상혈량 백서에서 정맥용량을 유지한다

정영균,이헌근,황경일,양우창,손주태 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.2

Background : Etomidate is short-acting non-barbiturate intravenous anesthetic with minimal cardiovascular depression. As a small change in venous capacitance significantly alters venous return and thus cardiac output, it is important to know the effects of intravenous anesthetics on venous capacitance. The purpose of this study was to examine the effect of etomidate or pentobarbital (control agent) on venous capacitance. Method : All twenty rats (etomidate group: 10, pentobarbital group: 10), weighing 350∼450 gram, were anesthetized with pentobarbital 50 mg/kg given intraperitoneally for surgical preparation. Mean arterial pressure (MAP), heart rate (HR), and mean circulatory filling pressure (MCFP) were measured in the awake state(recovered from pentobarbital anesthesia for surgical preparation) as well as during anesthesia with etomidate or pentobarbital. Venous capacitance was assessed before and during anesthesia with etomidate or pentobarbital by measuring MCFP. MCFP was measured during a brief perio of circulatory arrest produced by inflating a balloon inserted in right atrium. Results : As compared with MCFP in the corresponding awake state, MCFP was not significantly altered by etomidate but significantly decreased by pentobarbital. As compared with MAP in the corresponding awake state, MAP was not significantly altered by etomidate but significantly decreased by pentobarbital. Conclusion : The results suggest that unaltered venous capacitance by etomidate may contribute to a maintained MAP but increased venous capacitance by pentobarbital decrease in MAP of the normovolemic rat. (Korean J Anesthesiol 1999; 36: 298∼304)

잡견에서 Ketamine 또는 Sodium Thiopental 이 Venous Capacitance 에 미치는 영향

김성호,이상정,정영균,손주태,이헌근,황경일 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.5

Background : A small change in venous capacitance significantly alters venous return and thus cardiac output. It is therefore important to know the effects of intravenous anesthetics on venous capacitance, particularly in a hypovolemic state. As ketamine does not suppress sympathetic activity, it has been suggested that ketamine may be the drug of choice for anesthesia during hypovolemia. The purpose of this study was to examine the effects of ketamine or sodium thiopental on venous capacitance and total vascular compliance in dogs. Methods : Twenty mongrel dogs, weighing 10∼15 Kg, were divided into two group(ketamine group: 10, sodium thiopental group: 10) of 10 each. Venous capacitance was assessed before and after drug(ketamine 1 mg/kg or sodium thiopental 5 mg/kg) injection by measuring mean circulatory filling pressure(MCFP) in the normovolemia and hypovolemia. MCFP was measured after arresting the circulation by tightening of superior vena cava and inferior vena cava snares simultaneously. Results : Ascompared with MCFP in the normovolemia and hypovolemia, MCFP was significantly increased by ketamine in the normovolemia and hypovolemia. As compared with MCFP in the hypovolemia, MCFP was significantly decreased by sodium thiopental in the hypovolemia. The slope of the regression line relating MCFP and blood volume was not significantly altered by ketamine or sodium thiopental, which suggests that ketamine or sodium thiopental did not alter total vascular compliance. Conclusions : These results suggest that ketamine decreases venous capacitance in the normovolemia and hypovolemia but sodium thiopental increases venous capacitance in the hypovolemia. (Korean J Anesthesiol 1998; 34: 896∼903)