Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Changes of Job Stress after the Adoption of a Computerized Order Communication System and Its Related Factors in Hospital Employees

일개 종합병원의 처방전달시스템 도입전후 직원의 직무스트레스 변화

  • Kam, Sin (Graduate School of Public Health, Kyungpook National University) ;
  • Park, Ki Soo (Department of Preventive Medicine, College of Medicine, Gyeongsang National University) ;
  • Kim, Seong Ah (Department of Preventive Medicine, College of Medicine Pochon CHA University) ;
  • Kim, Jung Mi (Graduate School of Public Health, Kyungpook National University) ;
  • Lee, Chae Yong (Department of Preventive Medicine, College of Medicine Pochon CHA University) ;
  • Jung, Sang Jae (Department of Preventive Medicine, College of Medicine Pochon CHA University) ;
  • Jung, Jae Jin (Department of Internal Medicine, College of Medicine Pochon CHA University)
  • 감신 (경북대학교 보건대학원) ;
  • 박기수 (경상대학교 의과대학 예방의학교실) ;
  • 김성아 (포천중문의대 예방의학교실) ;
  • 김정미 (경북대학교 보건대학원) ;
  • 이채용 (포천중문의대 예방의학교실) ;
  • 정상재 (포천중문의대 예방의학교실) ;
  • 정재진 (포천중문의대 내과학교실)
  • Published : 2006.05.24
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Abstract

Background : This study was carried out to examine the changes of job stress after adoption of order communication system(OCS) and its related factors. Methods : Two hundreds and twenty one employees in a university hospital were surveyed 4 months before and 1 year after the OCS had been adopted. Author used Korean version of Karasek's job content questionnaire(K-JCQ) to evaluate job stress. The questionnaire developed by Doll's was used to assess the satisfaction for the OCS. Result : With the adoption of OCS, the scores of skill discretion increased significantly from 29.9 to 30.8 that meant job stress was decreased. In use of OCS, direct user group showed significant increase of skill discretion, whereas the indirect user group showed significant increase in psychological job demand, and it was statistically significant when compared to direct user group(p<0.05). Among the changes in job stress, skill discretion score change was significantly different by age(p<0.05). This study revealed that there was statistically significant relationship between the change of skill discretion score and time computer use, level of satisfaction for content of provided information(p<0.05). And psychological job demand score change was significantly different by time of computer use(p<0.05). Conclusion : Adoption of OCS into hospital may increase job stress, but when it is adopted wisely and appropriately, it may enhance skill discretion of each individual, and decision authority while reducing psychological job demand.

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