Objectives: The aim of this study was to define the relationship between certification as an excellent health management corporation and industrial health activities in small and medium-sized business establishments (SMEs). Methods: This study used the 2021 application for the small business sector. This was using the application forms for the excellent health management corporation, a small and medium-sized corporation category in 2021. The items evaluated were the role and qualifications of health promotion staff, cooperation with outside experts, lifestyle health guidance efforts, and the implementation status of post-health checkup guidance. Results: The Bright 500, awarded to the top 500 certified firms, encompasses firm size, industry, role of the person in charge, qualifications of the person in charge, collaboration with outside experts, lifestyle health guidance efforts, and post-periodic health checkup guidance. The companies that promote excellent health management in small and medium-sized business establishments are those that have the person in charge of health management working with industrial health staff and insurers to implement the PDCA cycle from planning to implementation and evaluation for health management promotion, receiving support from external experts, and engaging in periodic health checkup follow-up guidance as the foundation of industrial health activities. Conclusion: The results suggest that SMEs that excel in promoting employee health activities are those whose health promotion staff, occupational health staff, and insurers, implement a PDCA cycle from planning to implementation and evaluation for health management promotion, consult outside experts, and engage in periodic health checkup follow-up guidance as a foundation for occupational health activities.

Objectives: This study aimed to evaluate the effectiveness and efficacy of a health education program and determine whether the provision of health information, decision-making, and consolidation can increase the physical activity of bus drivers. Methods: A total of 113 bus drivers were invited to participate in this study. Participants were divided into two groups: intervention and control. The intervention group received a health education program that consisted of health information provisions, goal setting, self-monitoring practices, and encouragement, as outlined by the researcher. Conversely, the control group only received health information. The outcomes were compared between the groups before and after the intervention. Results: In total, 80 drivers were included in the initial analysis, after excluding those who did not participate in the program because of reasons such as bus driving shifts. The groups showed significant differences in two items included in the evaluation, namely, ‘time management’ and ‘daily activity.’ The responses of 56 drivers who completed all items on the self-monitoring sheets were included in a subsequent analysis. The results revealed significant differences among the groups in four items, namely, ‘consciously walking fast’ and ‘light calisthenics, stretching, and sit-ups.’ Conclusion: The physical activity of the bus drivers increased with the help of the health education program. Moreover, the effectiveness of this health education program was verified through this study.

Objective: To determine the relationship between critical incidents by hospital nurses and stress reactions, resilience, and social support by years of work experience. Methods: Researchers surveyed 1,352 nurses from 3 general hospitals using anonymous questionnaires. Results: After conducting logistic regression analyses, with depression and traumatic stress reaction being dependent variables, innate resilience showed a significant association with traumatic stress reaction for nurses with 1 to 3 years work experience. For nurses with 4 to 9 years work experience, sexual harassment, mental abuse, excessive work demands, and innate resilience was significantly associated with depression, while psychological violence, mental abuse, excessive work demands, and innate resilience had significant association with traumatic stress reactions. Nurses with 10 or more years of experience showed sexual harassment and peer support to be significantly associated with depression, while psychological violence, mental abuse, severing human relationships, and peer support was significantly associated with traumatic stress reactions. Conclusion: This study suggests that it is important for nurses with 1 to 3 years of work experience and 4 to 9 years of work experience to have support to strengthen their resilience, and for those with 10 or more years of work experience to have a work environment that provides social support.