• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.161-171
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• 2008

Purpose: The aim of this study was to analysize net income of a surgical nursing ward in a general hospital. Method: Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Result: Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at \119,913,334.5. The cost volume of the allocated medical department was \91,588,200.3, and the ward consumed cost was \28,325,134.2. The revenue of the surgical nursing ward was \33,269,925.0. The expense of a surgical nursing ward was \28,325,134.2. Therefore, the net income of a surgical nursing ward was \4,944,790.8. Conclusion: We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

• Journal of Korean Academy of Nursing Administration
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• v.2 no.1
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• pp.17-33
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• 1996

The primary purpose this descriptive study was to identify, describe, and compare the patterns of shared governance and nursing unit culture in the hospital settings. The secondary purpose of the research was to identify, describe whether the participation style or responsibility style of nursing management activities shared through nurses in a consistent way. Methodology included survey and in-depth interviews with a total 145 members of 15 nursing units in 3 hospitals. One was a national hospital, another was a corporation hospital and the other was a teaching hospitals. Conclusions from this research included the following: 1. The degree of shared governance in nursing management activities was the highest in the corporation hospital. 2. In the participation style of nursing management activities, 'all participation' was the highest in the corporation hospital. 'Nursing administration only' was the highest in the national hospital. 3. Distribution of responsibility style differed from that of participation style. Three hospitals showed high in nursing management activities such as 'nursing administration only' and 'head nurse only' style. 4. Five experts surveyed showed that the ideal level of nurses' participation in nursing management activities was a traditional nursing governance pattern. 5. There was a distinct difference in the nursing unit culture throughout the institutions in the professional growth. 6. There was no significant difference in the same nursing units of three hospitals in nursing unit culture. According to these results, the following implications can be made; 1. In nursing administration, there should be an emphasis on preparing staff nurses' potential decision-making ability through continuing education so that staff nurses' autonomy and responsibility will be developed and increased. 2. It is necessary to develop a strategic nursing unit for improving nursing quality in hospital setting. 3. The relationship of shared governance, nursing unit culture and nursing outcome should be researched further.

• Women's Health Nursing
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• v.25 no.3
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• pp.239-257
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• 2019

Purpose: To analyze the job of nursing unit managers working at women's hospital, using DACUM (developing a curriculum), DACUM is a method for analyzing job-focused competency. Methods: This study involved a descriptive survey. A DACUM workshop was held to define women's hospital nursing unit managers' role and identify their duties and tasks. For the workshop, a committee was formed consisting of 5 women's hospital nursing unit managers. Finally, after validation, the developed contents were made into a survey asking about nursing unit manager's duties and tasks. Results: Sixteen duties and 83 tasks were identified on the DACUM chart. The importance, difficulty, and frequency of the tasks were ranked in terms of A, B, and C, with A being the highest degree. Eight tasks received A's all in importance, difficulty, and frequency of performance. The 8 tasks were: 'taking over', 'taking care of seriously ill patients on handover', 'ward rounding', 'analyzing and resolving demands identified during handover and patient tour', 'reporting patient status during rounding', 'promoting breast-feeding', 'uterine contraction, and training for breast-feeding'. The duty with the biggest determinant coefficient (DC) was 'patients complaint management' (DC=7.09). Based on tasks, the one with the biggest DC was 'solving patient and patient guardian's complaints' (DC=7.53), followed by 'making infection control guidelines' (DC=7.5). Conclusion: When expanding the nursing staff of the hospital, women's hospitals nursing unit managers also need to use administrative functions as intermediaries to focus on the operation management of the entire hospital rather than direct nursing to suit their role.

• Journal of Korean Academy of Nursing Administration
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• v.8 no.4
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• pp.655-667
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• 2002

Purpose : This study analysis of nursing interventions and core nursing interventions performed orthopedic surgery care unit. Method : The data were collected from 55 nurses of 4 general hospital from July. 10, 2002 to Aug. 30, 2002. The instrument for this study was the Korean translation of 486 nursing intervention classifications developed by McColskey & Bulechek in 2000. In the 486 nursing interventions 350 nursing interventions were selected 8 among the 10 more than 5 years working group in orthopedic surgery care unit. Self frequency checking performed by 350 nursing interventions were used secondary questionnaire In the orthopedic surgery care unit nurses. Results : 1. The most frequently used nursing interventions domains were "Physiological : basic" and then "Physiological: complex", "Health system" "Behavior", "Family", "Safety". 2. Orthopedic surgery care unit core nursing interventions were performed several times a day by 50% or more of orthopedic surgery care unit and this result were 4 of domain, 11 of class, 26 core nursing interventions. This core nursing interventions were 5 of "Physiological : basic", 17 of "Physiological: complex", 1 of "Safety", 3 of "Health system" and have no "Behavior", "Family". Conclusion : This study analyzed nursing intervention of orthopedics and reestablished nursing intervention concept and I hope this study will be helpful for the nurse to be a professional by applying this to actual clinic, for development in qualified nursing and for establishment nursing information system.

• Women's Health Nursing
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• v.22 no.3
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• pp.170-181
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• 2016

Purpose: The aim of this study was to identify the nursing diagnosis-outcome-intervention (NANDA-NOC-NIC) linkages for gynecology inpatients shown in their electronic nursing records. Methods: This retrospective and descriptive research was conducted in two steps and based on the 287 electronic nursing records for 253 patients. First, nursing diagnoses, outcomes and interventions were collected. To identify major nursing diagnoses, a comparison was done with the top 10 nursing diagnoses from this research and with previous research selected using a content validity index developed by a team of professionals. Second, nursing outcomes and interventions that were associated with major nursing diagnoses were identified. Results: Nineteen nursing diagnoses, 12 nursing outcomes, and 40 nursing interventions were collected. The top 5 major nursing diagnoses were identified and 7 nursing outcomes and 18 nursing interventions associated with these diagnoses were checked. Conclusion: The identified NANDA-NOC-NIC linkages can contribute to improving nursing practice and will help in the establishment of standardized nursing care.

• Women's Health Nursing
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• v.17 no.3
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• pp.275-284
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• 2011

Purpose: The purpose of this study was to identify nursing intervention performed by nurses on gynecological nursing units. Methods: The instrument in this study is based on the fifth edition of Nursing Interventions Classification (NIC) (2008). Data was collected by Electronic Medical record from August, 2010 to October, 2010 at one hospital and analyzed by using frequencies in the Microsoft Excel 2010 program. Results: Of a total of 82 NIC, domains of the nursing interventions showed higher percentages for physiological: basic (36.3%) and physiological: complex (34.5%). The classes of nursing interventions showed higher percentage for health system medication (12.1%), perioperative care (10.0%), and drug management (8.6%). The most frequently used top interventions were Discharge Planning. The thirty least used interventions was environmental management. Top thirty most frequently used interventions belonged to the domain of physiological: basic (37.9%), physiological: complex (31.1%), and behavioral (5.4%). Conclusion: These findings will help in the establishment of a standardized language for gynecological nursing units and enhance the quality of nursing care.

• Journal of East-West Nursing Research
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• v.13 no.1
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• pp.31-39
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• 2007

Purpose: This study was to identify the influence of internal marketing factors on organizational citizenship behavior of nurses based on the mediate variable of job satisfaction. Method: Structured questionnaires were used with a convenience sample of 267 subjects working at 2 hospitals which have more than 500beds. The data were analyzed using descriptive statistics, ANOVA, Scheffe test, Pearson's correlation and multiple regression. Result: Empowerment($\beta$= .395) and compensation($\beta$= -.232) among the internal marketing factors had significant influences on organizational citizenship behaviors. However, job satisfaction($\beta$= .266) showed a mediate variable between compensation and organizational citizenship behaviors. Conclusion: This result indicates that empowerment and job satisfaction are important factors in predicting organizational citizenship behavior of nurses in hospitals. Thus it would be necessary to include this two factors in inhencing production of a nursing unit.

• Journal of Korean Academy of Nursing
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• v.8 no.1
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• pp.43-84
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• 1978

미국에 이민 온 한 한국가정을(정씨 가족) 대상으로 세 번의 면담 (interview) 및 art session을 통해서 이 핵가족 및 확대가족을 다음과 같은 방법으로 분석하여 가족의 유형(family Pattern)과 관계된 이론적 모델(Theocratical model)을 理이해하고 변화되고 있는 Health Program에 있어 간호원이 "변화인자(change agent)"로써의 역활을 재발견하고자한다. 이러한 방법은 가족 및 간호과학에 새로운 접근법이며 간호의 영역이 얼마만큼 확대될 수 있는가를 나타내고 있다. (1) Toman의 Family Cnstellation 이론과 일치되는 점 및 일치되지 않는 점 (2) 한국인 핵가족에서 관찰된 비언어적 의사소통(non-verbal communication)및 이것과 Scheflen의 이론과의 관계 (3) family Theory Bowen의 "differentiation of self"와 "family projection Process"이론에 의한 분석 (4) 핵가족에서 관찰된 상호작용 유형(interactional pattern)을 분석 (5) Art Session을 통해서 관찰된 사항 및 Critique 결과적으로 이 핵가족은 사회적 가치관이 변화된데서 오는 갈등에 직면하고 있다. 우리 나라의 확대가족에서 강조된 경치관은 가족을 하나의 전체로써 보는 "우리 (we-ness)"였는데 이것은 일상사용하고 있는 언어에도 영향을 미치고 있는 것을 볼 수 있어 즉, "내 동생 (my sister)"이라고 하는 대신 "우리 동생 (our sister)"이라고 하는데 여기에서 언어가 뜻하는 의미와는 거리가 먼 것을 알 수 있다. 정씨 부부는 미국적 정치관을 인식해서 그들의 상호작용 유형을 긍정적이고 개방적인 토의방법으로(positive open-discuses) 접근해야 한다. 이 핵가족의 부부는 둘 다 유교사상이 강조된 가정에서 자라나, 이 부부가 결혼한지 오 년이나 되었으나 언어적 의사소통이 (verbal communication)굉장히 제한된 것을 쓸 수 있다. 인간의 경험들은 인간이 접하고 있는 사회와의 상호작용에 의해서 결정된다. 사회가 배화함에 따라서 가족도 변화할 것이다. "변화는 언제나 사회에서 부터 가족으로 온다. 이 변화는 절대 작은 단위에서 큰 단위로 오는 것이 아니다.…그러나 가족구조는(family structure) 환경이 변화함에 따라서 적응해야 한다."라고 Minuchin이 지적한 것 같이 정씨 부부가 직면하고 있는 여러 가지 갈등은 이 핵가족이 그들의 가치관 및 상호 작용유형을 변형(repattering) 시키므로써, 복잡하고 다양한 미국사회에서 성장할 수 있는 좋은 기회를 만들어 주고 있다. 세 번의 면담시간은 각 30분이었으나 Volume 생략한 것을 부기하여 둔다.

• Journal of Korean Academy of Nursing Administration
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• v.7 no.1
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• pp.53-64
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• 2001

The study was done to evaluate patient satisfaction with nursing care. The study subjects were patients admitted in a general hospital in Gangwon province. The instrument used in the study was developed by Lamonica. The reliability alpha of this tool 0.8596. The survey method was applied to collect data period of data collection was total 21days from September 4rd to September 24th in 2000. The data was analysed by statistical method of %, mean, ANOVA, Pearson's Correlation Coefficients though SPSS program. The follows are the summaries of results of the study. 1. The highest scores of satisfaction was shown in the area of technical professional nursing and the lowest scores was shown in area of nursing education. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a significance by marriaged status(p<0.05) but no significance by factors of sex, ages, education, religency. 3. Job satisfaction of nurses showed 2.79 in average on the basic of 5 marks. 4. The significant Correlation were found between job satisfaction degree and bed rotation rates , number of patients by one nurse, experience of nurse(p<0.05). 5. The significant Correlation were found between nursing satisfaction degree and ages, job satisfaction, bed rotation rates, number of patients by one nurse(p<0.05), experience of nurse(p<0.01). On basis of the above findings the following recommendations are made : to suggest to improve environment of nursing unit. And to suggest to improve job satisfaction for improvement of nursing satisfaction in practice.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.25 no.3
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• pp.215-223
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• 2018

Purpose: The purpose of this study was to investigate effects of nurse managers' conflict management styles on nurses' levels of leader trust and organizational commitment. Methods: For this study, a descriptive survey design was used. The participants were 165 nurses who had worked more than 1 year in a university hospital. Data were collected from September 1 to September 10, 2016, using a self-report questionnaire. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe's tests, Pearson's correlation coefficients, and multiple regression analysis. Results: Among the nurse managers' conflict management styles, the problem-solving style was positively correlated with both leader trust and organizational commitment. Concession-avoiding and control-leading styles were negatively correlated with both variables. Furthermore, the problem-solving style was found to have significant influence on both leader trust and organizational commitment. Conclusion: In order to more actively cope with conflict situations occurring in the nursing work environment, nursing managers need to exhibit more effective attitudes of conflict management. This study suggests that the problem-solving style is a desirable conflict management style in terms of increasing leader trust and organizational commitment.