보건관리자가 인지한 근로자 건강증진 프로그램 수행 실태에 관한 업종별 비교: 요구도, 필요도, 수행도, 장애도 및 운영효과를 중심으로
Comparison of Occupational Health Providers' Perception on Workers' Health Promotion Program by Business Types: Focusing on Need, Necessity, Performance, Barriers, and Effectiveness of Program
1
조회
0
다운로드
19
인용
0
참고문헌
키워드
초록
Purpose: 본 연구는 근로자 건강증진프로그램의 요구도, 필요도, 수행도, 장애도, 운영효과를 업종별로 비교하고 근로자 건강증진프로그램 운영효과에 영향 미치는 요인을 업종별로 비교하는 것을 목적으로 한다. Methods: 한국산업간호협회 보수교육에 참여한 보건관리자를 대상으로, 응답자 자기기입방식으로 설문조사를 시행하였다. 설문지는 기존문헌고찰을 통해 연구진에 의해 개발되었는데, 세부적으로는 보건관리자의 일반적 특성, 사업자의 특성, 근로자 건강증진 프로그램에 대한 근로자 요구도, 보건관리자가 인지한 필요도, 실제 수행도, 장애도 및 운영효과로 구성되었다. 최종적 연구대상 사업장은 총 168개소로, 제조건설업 76개소(45.2%), 서비스업 52개소(31.0%), 보건업 40개소(23.8%)이었다. 분석방법으로는 χ²test, ANOVA test, correlation analysis, multiple regression analysis 등이 활용되었다. Results: 근로자 건강증진 프로그램의 요구도, 필요도, 수행도는 업종별로 차이가 있었다. 근로자 건강증진 프로그램 운영효과로서 이직율 감소에 있어서 보건업에서 통계적으로 유의하게 높은 점수를 나타내었다. 마지막으로 근로자 건강증진 프로그램 운영효과에 영향 미치는 요인으로, 제조․건설업은 근로자의 요구도, 서비스업은 보건관리자의 근무경력, 보건업은 보건관리자가 인지한 필요도인 것으로 나타났다. Conclusion: 본 연구결과에 근거하여, 효과적인 근로자 건강증진 프로그램 운영을 위하여 사업장 업종별로 차별적 전략을 사용할 것을 제안하였다.
Abstract
Purpose: The purposes of this study were to examine the differences in need, necessity, performance, barriers, and effectiveness of workers' health promotion program and to determine the influencing factors in effectiveness of workers' health promotion program by business types. Methods: Subjects were participants of an education held by Korean association of occupational health nurses and a survey was self-reported. Survey items were developed by researchers through literature review. It included general characteristics of occupational health providers and worksites, need, necessity, performance, barriers and effectiveness of workers' health promotion (WHP) program. The total number of worksites was 168, manufacturing/construction was 76 (45.2%), other services were 52 (31.0%), and healthcare services were 40 (23.8%). We used χ²test, ANOVA test, correlation analysis, and multiple regression analysis. Results: There were differences in need, necessity and performance of WHP by business types. In healthcare services, WHP had statistically significant effectiveness to reduce turnover rates. And the influencing factors of WHP’s effectiveness were workers’ need in manufacturing/construction, health provider’s career in other services, and perceived necessity in healthcare services. Conclusion: Based on this result, we propose differentiated strategies depending on the business types for effective workers’ health promotion program.
참고문헌 (27)
- "Primary prevention of chronic disease in Australia through interventions in the workplace setting: A rapid review. An Evidence Check rapid review brokered by the Sax Institute" (2008)[URL]
- Larry S. Chapman, "Meta-Evaluation of Worksite Health Promotion Economic Return Studies: 2012 Update", American Journal of Health Promotion, 26(4), pp.TAHP-1~TAHP-12 (2012), SAGE Publications[DOI]
- Ennals, R, "Partnership for sustainable healthy workplaces", The Annals of Occupational Hygiene, 46(4), pp.423~428 (2002)[DOI]
- Epstein, P. M, "Substance abuse among registered nurses", AAOHN journal, 58(12), pp.513~516 (2010)[DOI]
- European Agency for Safety and Health at Work, "Motivation for employers to carry out workplace health promotion" (2012), Publications Office of the European Union
- European Network for Workplace Health Promotion, "The Luxembourg Declaration on workplace health promotion in the European Union" (2007), European Network for Workplace Health Promotion
- A. Fine, "Health promotion in small workplaces - a feasibility study", Health Education Journal, 63(4), pp.334~346 (2004), SAGE Publications[DOI]
- Jung, H. S, "Model and strategies development for improving the workplace health promotion activities" (2014), Occupational Safety and Health Research Institute
- 김은주, "일부 사업장 근로자의 업종별 건강문제, 건강상태, 건강증진행위 및 유해환경정도 비교", 한국직업건강간호학회지, 18(1), pp.71~83 (2009), 한국직업건강간호학회
- 김은경, "근로자 건강증진 실천에 영향을 미치는 요인", Annals of Occupational and Environmental Medicine, 19(1), pp.56~64 (2007), 대한직업환경의학회
- 김순례, "근로자의 건강증진 프로그램요구도에 영향을 미치는 요인", 지역사회간호학회지, 17(4), pp.530~541 (2006), 한국지역사회간호학회
- Kim, Y. H, "Strategies for facilitating workplace health promotion" (2010), Occupational Safety and Health Research Institute
- 김순례, "사업장 건강증진 사업의 실태 및 건강증진 프로그램 요구도", 지역사회간호학회지, 17(2), pp.195~209 (2006), 한국지역사회간호학회
- 이복임, "대인접객서비스 근로자의 성별 직무스트레스와 우울", 한국직업건강간호학회지, 18(2), pp.232~241 (2009), 한국직업건강간호학회
- Lee, B, "Effect analysis of subsidies for labor and managementdirected health promotion activities" (2012), Korea Occupational Safety & Health Agency
- Lee, S. S, "Effect of health promotion program by intervention groups on cerebral and cardiovascular diseases risk factors-Targeting male workers in small and medium sized workplace", master, pp.2012
- Angela Martin, "Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms", Scandinavian Journal of Work, Environment & Health, 35(1), pp.7~18 (2009), Scandinavian Journal of Work, Environment and Health[DOI]
- Ministry of Employment and Labor, "Survey on labor conditions by type of employment" (2015), Ministry of Employment and Labor
- Ministry of Health and Welfare, "The National Health Plan 2020" (2011), Ministry of Health and Welfare
- 오영아, "제조업 근로자의 작업환경인지도와 스트레스와의 관련성 연구", Annals of Occupational and Environmental Medicine, 14(3), pp.301~314 (2002), 대한직업환경의학회
- Rhee, K. Y, "Economic analysis of occupational safety & health program-Focus on development of guidelines" (2006), Occupational Safety and Health Research Institute
- Song, J. Y, "A study on the effects from 'workplace health promotion movement' to improve worker health", master, pp.2010
- Paul E. Spector, "Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review", International Journal of Nursing Studies, 51(1), pp.72~84 (2014), Elsevier BV[DOI]
- Steenstra I, "Economic evaluation of a multistage return to work program for workers on sick-leave due to low back pain", Journal of Occupational Rehabilitation, 16(4), pp.557~578 (2006)[DOI]
- Patricia W. Stone, "Nurses' Working Conditions: Implications for Infectious Disease1", Emerging Infectious Diseases, 10(11), pp.1984~1989 (2004), Centers for Disease Control and Prevention (CDC)[DOI]
- Tones, K, "Health promotion : Effectiveness, efficiency and equity" (2001), Nelson Thornes
- WHO Expert Committee., "Identification and control of work-related diseases" (1985), World Health Organization