Purpose: In the current context where aging is rapidly progressing, this study aimed to discuss the future directions and challenges of visiting health care services in Korea by drawing insights from Japan’s cases on how to provide high-quality care services for community residents. Therefore, this research aimed to explore the development directions of Korea’s visiting nursing services in an aging society by examining the four major projects of Japan’s visiting nursing system as presented in the ‘2025 Visiting Nursing Action Plan,’ jointly announced by the three organizations: the Japan Nursing Association, the National Association for Visiting Nurses in Japan, and the Japan Visiting Nursing Foundation. Methods & Results: In Japan, which has experienced and prepared for the aging phenomenon earlier than Korea, visiting nursing services are provided to match the characteristics of the entire community. Customized visiting nursing services for individuals with special needs, 24-hour visiting nursing stations, pediatric visiting nursing stations, and visiting cancer patient stations provide tailored services for the recipients. Conclusions: In Korea, as the population continues to decline and the super-aging phenomenon progresses rapidly, there is a need to develop a tailored visiting nursing service model by benchmarking the quantitative and qualitative expansion of Japan’s visiting nursing services. This is essential to provide high-quality visiting care services using limited healthcare resources.

Purpose: The purpose of this study was to investigate the effects of nursing professionalism, grit, and job satisfaction on the intention to stay of visiting nurses in public health centers. Methods: This study collected data through an online survey of 158 visiting nurses in charge of home visiting health care in public health centers. The collected data were analyzed using the SPSS/WIN program, t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient, and hierarchical regression analysis. Results: The variables affecting the intention to stay of visiting nurses in public health centers were nursing professionalism (β=.33, p<.001), employment type (β=.20, p=.008), and job satisfaction (β=.17, p=.036), in that order. Conclusions: Based on the results of this study, in order to improve the intention to stay of visiting nurses in public health centers, the most important focus should be placed on strategies to enhance nursing professionalism, and measures should be established to improve employment type and enhance job satisfaction.

This study analyzes the impact of occupational health risk assessments on the safety and health levels and the safety behaviors of workers in manufacturing workplaces. An online survey was conducted among 3,172 companies, yielding 637 responses. The statistical analysis on the collected responses revealed three key findings. First, the safety and health levels (safety importance, safety comprehension, safety awareness) positively influence the outcomes of occupational health risk assessments(safety practice, safety management, safety improvement) and safety behaviors (activity change, safety check). Second, the effectiveness of occupational health risk assessments has a positive impact on safety behaviors. Lastly, the effectiveness of occupational health risk assessments partially mediate the relationship between safety and health levels and safety behaviors. These findings are expected to contribute to the promotion of risk assessments in the field of industrial health and to enhancing safety performance by improving workplace safety, health levels, and safety behavior.

The Occupational Safety and Health Act (OSHA) aims to maintain and promote the safety and health of workers. Additionally, violations of the act can result in imprisonment or fines, depending on the severity of the offense. This study examines whether the severity of OSHA violations is proportional to the size of the fines imposed. There are 120 items subject to fines, with penalties ranging from a minimum of 50,000 won to a maximum of 30 million won. To assess the severity of these items, pairwise comparisons were conducted, and the results were expressed numerically. In summary, no significant correlation was found between the severity of violations and the amount of the fines. Therefore, this study proposes calculating fines based on the severity of violations. In many small companies, resources (e.g., budget and manpower) are limited. Thus, greater attentions tend to be directed toward addressing items with higher fines. Consequently, aligning the severity of legal violations with the size of the fines may contribute to improving the industrial safety.

이 연구는 구강보건정책 연구 동향을 파악하여 구강보건정책 개선에 활용할 기초자료를 제공하고자 하였다. 2010년부터 2024년까지 RISS에 게재된 구강보건정책 관련 연구 97편의 주제어를 Net-Miner 4.0 프로그 램으로 네트워크 분석한 결과는 다음과 같다. 구강보건정책 연구 주제어 의 출현 빈도는 노인, 구강관리, 구강보건인식이 높게 나타났다. 연결 중 심성이 높은 주제어는 구강관리, 융복합, 삶의 질이었다. 구강보건정책 연구 응집구조분석 결과 1집단은 유아 청소년 구강보건정책, 2집단은 성 인 구강보건 정책, 3집단은 노인 구강보건정책, 4집단은 치주 및 보험 구강보건정책, 5집단은 삶의 질 관련 구강정책 영향요인 연구로 구성되 었다. Modularity 값은 0.257로 모듈화됨을 확인하였다. 구강보건정책 연구는 대상자, 중대구강질환, 삶의 질 중심으로 진행되었고 고령화 사회 시대적 흐름을 반영한 정책연구 확대가 요구되었다.

Scientific exploration of how occupational health risks relate with occupational illnesses are essential for mitigating health-related issues in industries. This study analyzed the risk scores obtained by occupational health risk assessments at 3,172 manufacturing companies and examined their effects on occupational illness. Statistical analyses revealed that companies with an occupational health manager (scored 89.1 out of 100) had significantly higher activity scores of health management compared to those without (78.2). However, companies with a history of occupational illness (79.1) or those classified as high-risk industries (85.2) had significantly lower activity scores than their counterparts (81.7, 87.3). In addition, regression analyses using factor analysis showed that latent risk factors such as cardiovascular disease/job stress, health management, and musculoskeletal problem significantly influenced the risk of occupational illness. The activity factors such as health management, work environment management, and regulatory complaisance significant impacted the reduction of occupational illness. The findings of this study can be used to improve the occupational health risk assessment method and utilized in effectively managing occupational risks in industries.

본 연구는 국내･외 동물보건사 자격제도와 업무범위에 대해 비교 및 분석하여 국내의 동물보건사 업무에 대한 방향성을 제시하고자 한다. 이를 위해 2012-2024년 국내･외 논 문 및 연구 보고서를 바탕으로 동물보건사의 자격제도와 업무 범위에 대한 자료를 수집하 였다. 이를 통해 다소 체계적이지 않은 국내의 동물보건사 업무 범위의 방향성을 제시하 기 위해 문헌 고찰을 수행하였다. 동물보건사 자격제도를 조사한 결과, 국내의 동물보건사는 동물 간호 관련 학과를 졸업 한 후 동물보건사 국가 자격시험에 합격하면 자격을 취득할 수 있다. 미국은 수의 테크니 션 교육 및 활동에 관한 위원회를 졸업한 후 VTNE를 통과해야 하며, 영국은 약 7년 동안 수의 간호사에 대한 교육이 필요하다. 일본은 애완동물 간호사를 양성하는 대학에서 공부 한 후 국가시험을 통과해야 하고, 호주는 수의학 간호사 관련 시설에서 교육받은 후 자격 을 취득할 수 있다. 동물보건사의 업무 범위는 국내의 경우, 수의사의 지도 아래 약물 도 포, 경구 투여, 마취 및 수술의 보조 등을 수행하고 있다. 반면 국외의 경우, 영국은 수의 간호사가 수의사의 지도하에 내･외과 처치를 할 수 있는 것을 법적으로 인정하여 이를 수행하고 있다. 호주는 간호 절차를 수행하기 전에 규제 요건에 대해 관련 주 또는 규제 당국에 확인 후 수행하고 있다. 미국과 일본은 수의사의 지시하에 침습적인 의료 행위를 수행하고 있다. 본 연구는 국내의 동물보건사 업무 범위가 국외에 비해 미흡하다는 것을 인지하고 이 를 기점으로 업무 범위에 대해 법적으로 명확하게 규제할 필요성을 제시한다. 이로 인해 동물보건사의 전문성을 향상시켜 동물보호 사회의 인식을 높일 수 있다는 의의를 지닌다.

Executive safety leadership is essential to prevent accidents in the workplace. However, will safety be secured by emphasizing only executive safety leadership to workers? In this study, the impact of executive safety leadership on the workplace hazard level was analyzed by adding the supervisor's safety role as a mediating variable. This paper shows that executive safety leadership has no direct effect on workplace hazard levels. However, executive safety leadership was found to have a significant impact on the supervisor safety role, and the supervisor safety role was found to lower the hazard levels in the workplace. In summary, executive safety leadership was found to reduce the hazard levels in the workplace through the full mediating effect of the supervisor safety role. Based on these research results, this study seeks to present the following recommendations to the government and management: The government should ensure that a workplace safety and health system is established by strengthening the effects of other mediating factors, such as strengthening the role of supervisors who are actually responsible for workplace safety and health. Executives must grant supervisors actual authority and responsibility to properly perform their safety roles and establish personnel and performance evaluation systems.

Purpose: This review study analyzes the impact of the Korean Society for Customized Visiting Health Care on the development of Home Visiting Care in public health centers since its inception in 2007. It also suggests potential future directions for both the Korean Society for Customized Visiting Health Care and Home Visiting Care in public health centers. Methods: The investigation scrutinized various sources including the white paper detailing the activities of the Korean Society for Customized Visiting Health Care, academic conference materials, minutes from general meetings, research papers from the Ministry of Health and Welfare, and the Korea Health Promotion Institute. Results: The Korean Society for Customized Visiting Health Care has been actively involved in advancing and assessing home-visiting health care services. The society has been focused on developing and evaluating the effectiveness of home visit health care services offered by public health centers. Conclusions: The Korean Society for Customized Visiting Health Care has achieved progress by continuous interaction with field staff, rigorous personnel training, technical assistance, field research, and policy recommendations. In 2024, the home visit health care sector could be advanced and improved using AI technology.

이 연구는 의사소통 중심 교수법을 바탕으로 학습자 중심⋅주도형으로 이루어진 A 보건 대학교 간호학부 교과목 ‘고전과 인성’ 수업 운영 사례 를 1차 사전 설문조사, 수업 운영 방법, 수업 활동 분석, 2차 사후 강의 만족도 설문조사 결과 분석 후 개선점을 제시함으로써 대학 고전 교육의 방향을 모색한 데 의의가 있다. 먼저 전체 수업에 대한 만족도 조사 결 과, 조별 수업 주제 요약 및 관련 도서 읽은 후 요약, 간호 업무에 적용 하기, 소감 말하기, 발표와 토론, 나의 생각 쓰기로 구성된 수업에 전체 학습자(120명) 중 83%(매우 만족 38%, 만족 45%)가 ‘만족하는 것’으로 나타났다. 게다가 ‘고전과 인성’ 교과목 수업계획서에 명시한 학습 목표 5가지가 달성되었고, 92% 학습자가 후배 학습자들에게 이 교과목을 추 천하겠다고 하였으므로 유의미하다. 그러나 교육부는 ‘국어과 교육과정 (읽기, 쓰기, 듣기⋅말하기)을 관리⋅감독 강화 및 개편해야 한다. 왜냐하 면 ’고전과 인성‘ 수업 운영 사례 결과, 이것을 학습자들이 어려워했거나 제대로 수행하지 못하였기 때문이다.

본 연구는 COVID-19 팬데믹 상황에서 보건소 간호사로 근무한 경험을 심층적으로 이해하고, 본질을 규명하고자 시도되었다. C도의 3개 군 보건소에서 COVID-19 팬데믹 기간 동안 1년 이상 근무한 경험이 있는 대상자를 연구참여자로 선정하여 Colaizzi가 제안한 현상학적 방법에 따라 분석하였다. 연구결 과 ‘COVID-19에 대한 부정적 감정’, ‘직업적 소명의식 고취’, ‘신종 감염병 대응 체계 구축에 앞장’의 3가 지 주제모음이 도출되었다. 이를 바탕으로 간호사들을 위한 심리적 문제 지원 강화, 편중된 업무의 개선, 전문 인력 지원, 체계적 교육 지원, 적정 수준의 보상체계 마련 등의 필요성을 확인하였다. 따라서 본 연구 결과를 토대로 보건의료 체계 내 주요 인력인 간호사의 지지체계를 마련하고, 효율적인 감염병 대응 전략 을 마련하기 위해 다각도의 관심을 가지고 활발한 논의가 이루어져야 할 것이다.

이 연구는 아시아지역에서 대표적으로 단일문화사회에서 다문화사회로 변모한 일본의 지방자치단체의 외국인주민 보건의료 정책을 중점적으로 살펴보았다. 주요 연구결과는 첫째, 일본의 지방자치단체는 다문화공생 정책의 주체로서의 지위를 가지고, 외국인주민에 대한 행정서비스를 지 원하고 있다. 둘째, 군마현은 다문화공생 추진 기본계획을 바탕으로 외국 인주민이 안전하고 안심하게 살아갈 수 있도록 지원 사업을 추진하고 있 다. 셋째, 군마현은 의료기관에서 외국인주민의 진료를 지원하기 위해 14개 언어의 의료통역 자원봉사자를 활용하고 있다. 한국 지방자치단체 의 외국인주민 보건의료 서비스 강화를 위한 정책적 시사점을 제시하면 첫째, 지방자치단체의 권한과 역할을 강화하여 외국인주민 정책과 보건 의료 서비스 지원 정책을 적극적으로 추진해야 한다. 둘째, 현재 외국인 주민 지원 조례의 내용이 지방자치단체별로 매우 유사하여 향후 지역적 특성과 실태를 반영하는 조례의 개정이 필요하다. 셋째, 외국인주민의 건 강정보와 의료접근성 강화를 위해 의료 통역사를 양성하고 지원하는 공 공의료통역시스템을 구축해야 한다.

This study analyzed the factors affecting the effectiveness of the Chemical Hazard Risk Management (CHARM). A survey was conducted on 104 learners who participated in the Risk Assessment training course at Occupational Safety and Health Training Institute. Through a self-administered questionnaire, the effect of personal characteristics, corporate characteristics, and safety and health level of the company on the effectiveness of chemical risk assessment was investigated. As a result of statistical analysis, the safety and health level of the company had a positive (+) effect on the effectiveness of Chemical Hazard Risk Management(CHARM), but personal characteristics and corporate characteristics had no relation to it. This study can be used as basic data for further research related to chemical risk assessment in workplaces.

Occupational safety and health management expenses in the construction industry are statutory and separately included in the cost statement to prevent occupational accidents and health problems. The expenses are determined by multiplying the standard amount by the rate decided according to construction types and scales. However, the current expense appropriation method does not properly reflect the recent changes in the construction industry such as industry size, industry diversification, and social atmosphere about safety reinforcement. This study surveyed 1579 questionnaires in total and analyzed expense execution rate and proportion of each expense category. The expense execution rate was relative higher in complex construction (e.g., heavy construction = 126%, civil engineering = 125%) and long-period project (equal to or over 48 months construction = 133%) compared to general construction (98~116%) and short-period project (less than 48 months construction = 115%). The proportion of spending expenses was higher in the category of safety manager labor costs (25~52%), safety facility costs (22~40%), and personal protective equipment costs (10~25%). The analysis results of the study can be utilized in revising the standard expense appropriation method by reflecting the current usages of the occupational safety and health management expenses in the construction industry.

The Severe Disaster Punishment Act had recently been established in order to promote safety and health (OSH) management system for severe accident prevention. OSH management system is primarily designed based on risk assessments; however, companies in industries have been experiencing difficulties in hazard identification and selecting proper measures for risk assessments and accident prevention. This study intended to introduce an accident analysis method based on epidemiological model in finding hazard and preventive measures. The accident analysis method employed in this study was proposed by the U.S. Department of Energy. To demonstrate the effectiveness of the accident analysis method, this study applied it to two accident cases occurred in construction and manufacturing industries. The application process and results of this study can be utilized in improving OSH management system and preventing severe accidents.

In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.