1.The Current State and Quality Assessment of Nursing Intervention Study in Occupational Health Nursing of Korea
Korean Journal of Occupational Health Nursing 2019;28(1):21-35
PURPOSE: The purpose of this study is to propose directions for the development of Occupational Health Nursing Intervention by identifying the current status and quality of Occupational Health Nursing Intervention Research in domestic industries. METHODS: Between 2000 and August of 2018, total of 1,181 Occupational Health Nursing related published references were searched using 4 domestic databases, and of the total, 29 final theses that suited the requirements were analysed In this research, the quality assessment of literature that were selected as suitable was conducted using a tool for assessing the biasing risk of non-randomized studies, RoBANS(Risk of Biasing Assessment Tool for Non-randomized Study). RESULTS: For all research, nonequivalent control group pre-posttest design was the most used as quasi-experimental designs. The effectiveness of intervention was found both in terms of physical and psychological aspects, and the result of the risk of biasing assessment showed a high risk levels in both “confounding variables” and “detection bias”. CONCLUSION: Occupational Health Nursing Intervention have been steadily making improvements in terms of both quality and quantity, and as for more effective intervention developments that improves the physical and mental health of the workers, supplementation in strict research design and in ethical aspects deems necessary.
Bias (Epidemiology)
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Korea
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Mental Health
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Nursing
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Occupational Health Nursing
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Occupational Health
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Research Design
2.Analysis of Legal Liability in Medical Accident due to Nursing Practice through Precedents
Korean Journal of Legal Medicine 2019;43(4):119-128
These days, medical practice tends to be highly specialized and divided into qualified medical personnel, including nurses. Recent amendments of medical law show the change of the nurse's role in medical practice. Traditionally, nursing has been an aid work to doctor's practices and is one of the core parts of medical practices. Nurses are a skilled occupational group and individuals are trained and licensed as professionals during their educational courses under government supervision. Because all of the nursing practices cannot be directed or recognized by doctors and nurses are building their own expertise as healthcare providers, they can be held accountable in medical malpractice. In the past, from the perspective of legal responsibility, the nurse was only regarded as an assistant to a doctor; hence, a nurse's malpractice was concluded as a supervising doctor's liability. In the case of medical malpractice caused by nurses, the range of responsibility will be different, depending on the scope of the work carried out by nurse and whether it was supervised by a doctor. Therefore, further discussion is needed regarding the scope of independent nursing practice in order to distribute the legal liability. The authors reviewed ten cases of precedents of medical dispute, examined the events in-depth, and analyzed the court rulings determining the legal responsibility of a doctor or nurse.
Dissent and Disputes
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Health Personnel
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Humans
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Jurisprudence
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Liability, Legal
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Malpractice
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Nurse's Role
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Nursing
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Occupational Groups
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Organization and Administration
3.Working Conditions and Health Status of Delivery Workers
Korean Journal of Occupational Health Nursing 2019;28(3):156-165
PURPOSE: The purpose of this study was to compare working condition and health status between parcel delivery workers (PDW) and food delivery workers (FDW) and to examine the factors influencing their health status. METHODS: This was a secondary analysis of data collected from the fifth Korean Working Conditions Survey (KWCS). Based on existing literature, a set of variables was chosen from the KWCS. RESULTS: The proportion of PDW who carryied/moved heavy loads and experienced high job stress and lack of rest time was significantly higher than that of FDW. However, more FDW than their counterparts worked atypical hours. The differences in fatigue and well-being between PDW and FDW were not statistically significant. The multiple logistic regression analysis revealed low temperature, tobacco smoke, standing for long periods, and job stress were significant predictors of fatigue or well-being of FDW. Among PDW, noise, tobacco smoke, sitting for long periods, quantitative demands, hiding emotions, support from colleagues, job stress, no recovery period, and night work were significant predictors of fatigue or well-being. CONCLUSION: The findings of this study may be useful in developing nursing interventions for disease protection health promotion of delivery workers.
Fatigue
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Health Promotion
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Logistic Models
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Noise
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Nursing
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Occupational Health
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Smoke
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Tobacco
4.Effects of an Integrated Physical Activity Program for Physically Inactive Workers: Based on the PRECEDE-PROCEED Model.
Journal of Korean Academy of Nursing 2018;48(6):692-707
PURPOSE: We aimed to examine the effects of an integrated physical activity (PA) program developed for physically inactive workers on the theoretical basis of the PRECEDE-PROCEED model. METHODS: Participants were 268 workers in three departments of L manufacturing unit in South Korea. The three departments were randomly allocated into integration (n=86) (INT), education (n=94) (ED), and control (n=88) (CT) groups. The INT group received self-regulation, support, and policy-environmental strategies of a 12-week integrated PA program, the ED group received self-regulation strategies only, and the CT group did not receive any strategies. After 12 weeks, process evaluation was conducted by using the measures of self-regulation (autonomous vs. controlled regulation), autonomy support, and resource availability; impact evaluation by using PA measures of sitting time, PA expenditure, and compliance; and outcome evaluation by using the measures of cardiometabolic/musculoskeletal health and presenteeism. RESULTS: Among process measures, autonomous regulation did not differ by group, but significantly decreased in the CT group (p=.006). Among impact measures, PA compliance significantly increased in the INT group compared to the CT group (p=.003). Among outcome measures, the changes in cardiometabolic/musculoskeletal health and presenteeism did not differ by group; however, systolic blood pressure (p=.012) and a presenteeism variable (p=.041) significantly decreased only in the INT group. CONCLUSION: The integrated PA program may have a significant effect on increases in PA compliance and significant tendencies toward improvements in a part of cardiometabolic health and presenteeism for physically inactive workers. Therefore, occupational health nurses may modify and use it as a workplace PA program.
Blood Pressure
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Compliance
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Education
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Health Expenditures
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Health Promotion
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Korea
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Motor Activity*
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Occupational Health
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Occupational Health Nursing
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Outcome Assessment (Health Care)
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Presenteeism
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Process Assessment (Health Care)
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Risk Factors
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Self-Control
5.Women's Health Status Working at Traditional Marketplaces and Their Needs for Public Health Care Services.
Won Ju HWANG ; Jin Ah KIM ; Hee Gerl KIM
Journal of Korean Academy of Community Health Nursing 2017;28(1):44-54
PURPOSE: The purpose of this study is to analyze health status of women working in traditional marketplace and their needs for public healthcare services. METHODS: A descriptive survey of 500 women working at three traditional marketplaces was conducted. RESULTS: street vendors' health status were much poorer than store merchants'. Furthermore, psychosocial factors like job stress and depression were increased in street venders. Thus, the public healthcare programs required by them included exercise programs (28.2%) and health checkup (26.8%). In addition, 31.2% of the participants reported that they needed visiting nursing care services. The rate of occupational health and safety or employment insurances was as low as 10.8%. CONCLUSION: Effective interventions including psychosocial factors for women workers at traditional marketplaces need to be developed based on these results. Also, it is recommended that public health care services such as outreach services and visiting nursing care services for women working at traditional marketplaces be provided. Furthermore, institutional provisions such as insurances for protecting these vulnerable groups' health are needed.
Delivery of Health Care
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Depression
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Employment
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Female
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Health Services Needs and Demand
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Humans
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Needs Assessment
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Nursing Care
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Occupational Health
;
Occupational Health Nursing
;
Psychology
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Public Health*
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Women's Health*
6.Workplace Response System Against Infectious Disasters based on the MERS Outbreak in Korea.
Ihn Sook JEONG ; Jungok YU ; Mi Jeong HA
Korean Journal of Occupational Health Nursing 2017;26(4):207-217
PURPOSE: This study aimed to evaluate the workplace response system (WRS) against infectious disasters (IDs) based on the response attitudes and capacity of occupational health nurses (OHNs) who worked during the 2015 Middle East Respiratory Syndrome (MERS) outbreak in South Korea. METHODS: Fifty-one participants who had worked as OHNs at the time of the 2015 MERS outbreak were surveyed from November 20 to December 10, 2016. Data were collected using a self-report questionnaire and analyzed using descriptive statistics and McNemaer's test. RESULTS: According to the survey results, the following were lacking in the WRS: a dedicated ID-response team, manuals, related education programs for OHNs, and health education programs for workers. Results also confirmed that workers were vulnerable to new infectious diseases because of the lack of health checkups and support for workers before and after business trips abroad. Among the respondents, 98.0% answered affirmatively that an ID was important for health management in the workplace, but 64.7% answered that it was difficult to manage an ID. The perceived capacity items to respond to IDs ranged from 3.0 points to 3.3 points. This scores weregenerally high. CONCLUSION: As the WRS is currently insufficient, it is necessary to develop an adequate WRS to IDs by addressing the identified problems.
Commerce
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Communicable Diseases
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Coronavirus Infections
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Disasters*
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Education
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Health Education
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Infection Control
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Korea*
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Middle East Respiratory Syndrome Coronavirus
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Occupational Health
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Occupational Health Nursing
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Surveys and Questionnaires
7.Psychosocial Work Stressors, Work Fatigue, and Musculoskeletal Disorders: Comparison between Emergency and Critical Care Nurses in Brunei Public Hospitals.
Abdul Rahman HANIF ; Abdul Mumin KHADIZAH ; Naing LIN
Asian Nursing Research 2017;11(1):13-18
PURPOSE: Little evidence estimated the exposure of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders for nurses working in South-East Asian region, and research on this subject is almost nonexistent in Brunei. The main aim of our study was to provide a comprehensive exploration and estimate exposure of the study variables amongst emergency (ER) and critical care (CC) nurses in Brunei. The study also aims to compare whether experiences of ER nurses differ from those of CC nurses. METHODS: This cross-sectional study was implemented in the ER and CC departments across Brunei public hospitals from February to April 2016 by using Copenhagen Psychosocial Questionnaire II, Occupational Fatigue Exhaustion Recovery scale, and Cornell Musculoskeletal Discomfort Questionnaire. RESULTS: In total, 201 ER and CC nurses (82.0% response rate) participated in the study. Quantitative demands of CC nurses were significantly higher than ER nurses. Even so, ER nurses were 4.0 times more likely [95% confidence interval (2.21, 7.35)] to experience threats of violence, and 2.8 times more likely [95% confidence interval: (1.50, 5.29)] to experience chronic fatigue. The results revealed that nurses experienced high quantitative demands, work pace, stress, and burnout. High prevalence of chronic and persistent fatigue, threats of violence and bullying, and musculoskeletal pain at the neck, shoulder, upper and lower back, and foot region, was also reported. CONCLUSION: This study has provided good estimates for the exposure rate of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders among nurses in Brunei. It provided important initial insight for nursing management and policymakers to make informed decisions on current and future planning to provide nurses with a conducive work environment.
Asian Continental Ancestry Group
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Brunei*
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Bullying
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Critical Care Nursing
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Critical Care*
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Cross-Sectional Studies
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Emergencies*
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Emergency Nursing
;
Fatigue*
;
Foot
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Hospitals, Public*
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Humans
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Musculoskeletal Pain
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Neck
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Nursing
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Occupational Health
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Prevalence
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Shoulder
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Social Support
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Violence
8.Health Disparities among Korean Workers by Enterprise Size: Using Korean Labor and Income Panel Study (17th).
Bohyun PARK ; Sook Ja CHOI ; Sukyong SEO
Korean Journal of Occupational Health Nursing 2016;25(4):277-289
PURPOSE: This study aims to investigate the cross-sectional association of company size and self-rated health using representative data on Korean workers. METHODS: We used the data from 2,884 wage workers collected by Korean Labor and Income Panel Study (17th). The association between company size and self-rated health was analyzed using logistic regression with covariates including demographic characteristics, work environment, job satisfaction, and health-related behaviors. RESULTS: Odds ratio (OR) for better health status among workers in large-sized company was 1.351 (CI. 1.054~1.731), compared to workers in small-sized company. We performed three separate models stratified by firm size (small, medium, and large companies). Occupation variables showed different effect on health depending on firm sizes. OR for better health of white-color job (referred to blue-color job) was 1.693 in medium-sized company model but it was 0.615 in large company model. OR for better health of the workers working shift work showed 0.606 in large company model but it was not significant in small and medium company models. CONCLUSION: We found that small-sized company workers have significantly poor self-rated health compared to large-sized firm workers. This study revealed that there exist differences among health related factors depending on firm sizes.
Health Promotion
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Job Satisfaction
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Logistic Models
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Occupational Health Nursing
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Occupations
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Odds Ratio
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Salaries and Fringe Benefits
9.Work-Related Low Back Pain Treatment: A Randomized Controlled Trial from Tehran, Iran, Comparing Multidisciplinary Educational Program versus Physiotherapy Education.
Leila GHADYANI ; Sedigheh Sadat TAVAFIAN ; Anoshirvan KAZEMNEJAD ; Joan WAGNER
Asian Spine Journal 2016;10(4):690-696
STUDY DESIGN: Clinical trial. PURPOSE: To compare the multidisciplinary educational program versus physiotherapy education among Iranian nurses. OVERVIEW OF LITERATURE: Low back pain (LBP) can accompany significant occupational injuries in the nursing profession. There is no agreement on the most effective educational practice. METHODS: This study was conducted from August 17, 2014 to September 22, 2014 in Tehran, Iran. Eligible nurses with chronic mechanical LBP (n=136) were classified into an intervention group (n=66) or the control group (n=70). The intervention group received physiotherapy education for 120-minutes followed by a 120-minute health education session based on predictive constructs of social cognitive theory (SCT). The control group received the 120-minute physiotherapy education. Disability rate, pain severity and back pain prevention behavior were measured at initially and 3 months after intervention using visual analogue scale, Roland-Morris disability questionnaire and nursing low back pain preventive behaviors questionnaire. RESULTS: The two groups were the same in terms of all studied variables at the initiation of the study. At the 3-month follow up, predictive constructs of LBP preventive behaviors of participants in the intervention were improved (p<0.001). Significant decreases were evident at 3 months in pain severity (p=0.03) and disability (p=0.003). CONCLUSIONS: The designed multidisciplinary educational intervention could decrease chronic mechanical LBP in nurses.
Back Pain
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Education*
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Follow-Up Studies
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Health Education
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Humans
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Iran*
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Low Back Pain*
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Nursing
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Nursing Staff
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Occupational Injuries
10.Knowledge Structure of the Korean Journal of Occupational Health Nursing through Network Analysis.
Sun Young KWON ; Eun Jung PARK
Korean Journal of Occupational Health Nursing 2015;24(2):76-85
PURPOSE: The purpose of this study was to identify knowledge structure of the Korean Journal of Occupational Health Nursing from 1991 to 2014. METHODS: 400 articles between 1991 and 2014 were collected. 1,369 keywords as noun phrases were extracted from articles and standardized for analysis. Co-occurrence matrix was generated via a cosine similarity measure, then the network was analyzed and visualized using PFNet. Also NodeXL was applied to visualize intellectual interchanges among keywords. RESULTS: According to the results of the content analysis and the cluster analysis of author keywords from the Korean Journal of Occupational Health Nursing articles, 7 most important research topics of the journal were 'Workers & Work-related Health Problem', 'Recognition & Preventive Health Behaviors', 'Health Promotion & Quality of Life', 'Occupational Health Nursing & Management', 'Clinical Nursing Environment', 'Caregivers and Social Support', and 'Job Satisfaction, Stress & Performance'. Newly emerging topics for 4-year period units were observed as research trends. CONCLUSION: Through this study, the knowledge structure of the Korean Journal of Occupational Health Nursing was identified. The network analysis of this study will be useful for identifying the knowledge structure as well as finding general view and current research trends. Furthermore, The results of this study could be utilized to seek the research direction in the Korean Journal of Occupational Health Nursing.
Nursing
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Occupational Health Nursing*

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