대학병원 임상간호사의 직무수행에 따른 안전보건 실행정도 = Level of Safety and Health Activities among Hospital Nurses

다국어 초록 (Multilingual Abstract)

This study is to measure the levels of performance with safety and health in nursing activities and to understand the factors affected among hospital nurses. It consists of 120 hospital nurses in 3 general university hospitals located in Seoul, Korea. The tool used in this study was 5 pointed Likert scaled questionnaire which was designed with 44 items followed by in-depth interviews with 8 clinical nurses. Statistical analysis was performed by using PASW 19.0. The reliability of this questionnaire had Cronbach’s a .88. Nine factors were extracted in the Eigen value of 1.2 and cumulative % in 63.39. These factors were named in to ‘Hazardous environment exposure’, ‘Supportive organizational system’, ‘Tight nursing schedule’, ‘Work station’, ‘Physical symptoms’, ‘Safety precaution’, ‘Medical device management’, ‘Physical workload’, and ‘Working stress management’. There were significant differences between practice level with the out-patient department and the ward department of ‘Hazardous environment exposure’, ‘Supportive organizational system’, ‘Tight nursing schedule’, ‘Work station’, and ‘Physical workload’. ‘Tight nursing schedule’ had positive correlations with ‘Hazardous environment exposure’, ‘Physical workload’, ‘Physical symptoms’, ‘Safety precaution’ with significant Pearson correlation coefficients and could be explained with overtime work. Thus, safety and health educational program in managing ‘Hazardous environment exposure’ would be desirable to focus on the work schedule management including overtime work for ward department nurse. It would also be effective in using ‘Supportive organizational system’ for out patient department nurse.

목차 (Table of Contents)

• Abstract
• 1. 서론
• 2. 연구 방법
• 3. 연구 결과
• 4. 고찰
• 5. 결론 및 제언
• 후기
• 인용문헌

참고문헌 (Reference)

1 안연순, "특집/보건의료종사자 감염성질환" 대한의사협회 53 (53): 454-466, 2010

2 김은아, "의료인의 직업병" 30 (30): 265-273, 2010

3 고용노동부 산업 안전보건국, "의료기관 보건관리를 위한 산업안전보건법 주요내용"

4 임현술, "업무상 질병으로 요양 승인된 의료기관 종사자 및 질병의 특성" 대한직업환경의학회 15 (15): 196-204, 2003

5 노원자, "수술실간호사의 건강위험요인" 7 (7): 55-64, 1998

6 "보건통계집 2007" 대한의사협회 2009

7 서영희, "병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구" 병원간호사회 16 (16): 61-70, 2010

8 Lipscomb, J. A, "Work-schedule characteristics and reported musculoskeletal disorders of registered nurses" 28 : 394-401, 2002

9 Trinkoff, A. M, "Work schedule, exposures and needlestick injuries in registered nurses" 28 : 156-164, 2007

10 Trinkoff, A. M, "The longitudinal relationship of long work hours and mandatory overtime to MSD in nurses" 49 : 964-971, 2006

11 Dembe, A. E, "The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States" 62 : 588-597, 2005

12 Mimura, C, "The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review" 60 (60): 10-15, 2003

13 Klink, J. J, "The benefits of interventions for workrelated stress" 91 (91): 270-276, 2001

14 Akerstedt, T, "Sleepiness as a consequence of shift work" 11 : 17-34, 1988

15 Smedley, J, "Risk factors for incident neck and shoulder pain in hospital nurses" 60 : 864-869, 2002

16 Caruso, C. C, "Relationship of work schedules to gastrointestinal diagnoses, symptoms, and medication use in auto factory workers" 46 : 586-598, 2004

17 Evanof, B, "Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace" 44 : 451-457, 2003

18 Colaizzi, P. F, "Psychological research as the phenomenologist views it, In Existential Phenomenological Alternativesto Psychology" Oxford University 47-48, 1978

19 Knauth, P, "Preventive and compensatory measures for shift workers" 53 : 109-116, 2003

20 Conner, T. H, "Preventing occupational exposures to antineoplastic drugs in health care settings" 56 : 354-365, 2006

21 Lee, J. E, "Participatory Action Oriented Training for Hospital Nurses (PAOTHN) Program to Prevent Musculoskeletal Disorders" JAPAN SOC OCCUPATIONAL HEALTH 51 : 370-376, 200907

22 Caruso, C. C, "Overtime and extended work shifts: recent findings on illnesses, injuries, and health behaviors" DHHS, PHS, CDC, NIOSH 2004

23 Yassi, A, "Occupational Health Services, In ILO Encyclopaedia of Occupational Health (4th ed)" International Labour Office 2-64, 1997

24 Takahashi, M, "Nurses’ workload associated with 16-h nightshifts. II: effects of a nap taken during the shifts" 53 : 223-225, 1999

25 Schernhammer, E. S, "Night-shift work and risk of colorectal cancer in Nurses’ Health Study" 95 : 825-828, 2003

26 Suzuki, K, "Mental health status, shift work, and odduoational accidents among hospital nurses in Japan" 46 : 448-454, 2004

27 Rosa, R. R, "Intervention factors for promoting adjustment to nightwork and shiftwork" 5 : 391-415, 1990

28 Knutsson, A, "Health disorders of shift workers" 53 : 103-108, 2003

29 Nelson, A, "Evidence-based practices for safe patient handling and movement" J Issues Nurs

30 Feiler, J. L, "Ergonomics in healthcare facility design, part 2: support areas" 41 (41): 97-99, 2011

31 Nelson, A. L, "Equipment for Safe Patient Handling and Movement, In Back injury among healthcare workers" Lewis Publishers 121-135, 2004

32 Collins, J. W, "An evaluation of a “best practices” back injury prevention program in nursing homes" 10 : 206-211, 2005

33 Owen, B. D, "An ergonomic approach to reducing back/shoulder stress in hospital nursing personnel: a five year follow up" 39 : 298-302, 2002