• Title/Summary/Keyword: 간호조직 구조

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Concept Analysis of Oppression in Nursing Organization (간호조직에서의 억압에 대한 개념분석)

  • Doo, Eun Young;Choi, Sujin
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.498-508
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    • 2021
  • This study was to identify the concept of oppression in nursing organization thereby providing basic data on nursing education to improve oppression in nursing organization. Using Walker and Avant's criteria to identify attributes, antecedents, and consequences of oppression in nursing organization, 17 research articles published from 2006 to 2020 were reviewed. The defining attributes of oppression in nursing identified in this study were low self-esteem, lack of authority, and horizontal violence. The antecedents to oppression in nursing organization were oppressors, hierarchical organizational structure, and marginalization. The consequences of oppression in nursing organization included job satisfaction, organizational silence, patient safety and quality of nursing. Considering the findings, improvement of the hierarchical working environment in hospitals and self-awareness as professional nurses are important for nurses to overcome oppression in nursing organization. Therefore, effective educational programs should be developed to ameliorate working environment and self-awareness of nurses.

Mediation and Moderation Effects of Organizational Citizenship Behavior between Nursing Performance and Turnover Intention (간호업무수행과 이직의도 간의 관계에서 조직시민행동의 조절 및 매개효과 분석)

  • Kim, Eun-Hee;Lee, Eunjoo
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.250-262
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    • 2015
  • The purpose of this study was to investigate the mediating and moderating effects of organizational citizenship behavior on the relationship between nursing performance and turnover intention. Data were collected from 439 nurses in 3 tertiary hospitals and 2 secondary hospitals and analyzed by PASW 18.0 and AMOS 18.0. The findings were as follows. The correlation coefficients of the study variables were all statistically significant. The organizational citizenship behavior showed mediating effects between the nursing performance and turnover intention. On the other hand, organizational citizenship behavior did not have moderating effects. Various strategies that are purposed to enhancing organizational citizenship behavior among nurses should be developed to reduce turnover intention of nurse who have high nursing performance.

The Second Study on the Effectiveness of Nursing Organization (간호조직 효과성에 관한 2차 연구)

  • 박영주;이숙자;장성옥
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.253-263
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    • 1997
  • This second study on the effectiveness of nursing organization was designed to test the relationships between effectiveness of nursing organizations and structural variables that had been significant variables in the first study, the group design variable and the personal characteristic variables that had not been analyszed in the first study based on personal resource productivity model. The data were collected through self-reported questionnaires completed by 605 nurses working in hospitals in seoul and 782 patients being hospitalized in 5 tertiary hospitals in Seoul. The results showed that according to the canonical correlation analysis, the managing job design, nursing delivery system. nurse's age, career. and formalization were revealed as predicting variables of a nurses' job satisfaction and patients satisfaction among the five hospitals. Hospitals in which the team nursing method was used showed a higher score in nurses' job satisfaction and patient satisfaction than in hospitals which used the functional nursing model.

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Personal factors and their influence on efficient organizational functioning - Leadership (효과적인 조직기능에 영향을 미치는 인격요인 -I. 지도성-)

  • Byun C J
    • The Korean Nurse
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    • v.20 no.2 s.110
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    • pp.52-54
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    • 1981
  • 효과적인 조직기능에 영향을 미치는 요인은 구조적요인, 인적요인, 경제적 및 외적요인 등이 있겠으나 본 논제에서는 인적요인에 초점을 두어, 가장 보편적이면서 또 재인식이 필요하다고 보는 Leadership, Communication and Group Process 그리고 Motivation and Job Satisfaction에 관하여 Sandra Stone 외 4명이 공동 집필한 ''Management for Nurses''를 중심으로 다루어 보았다.

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Social Networks of Nursing Units as Predictors of Organizational Commitment and Intent to Leave of Nurses (간호사의 조직몰입과 이직의도에 대한 예측변인으로서 간호단위의 사회연결망)

  • Won, Hyo-Jin
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.187-196
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    • 2020
  • This study attempted to examine the structural characteristics of the social network of nursing units by dividing them into a job-related advice network and a friendship network, and to analyze the relationship between nurse organizational commitment and intent to leave. The subjects were 420 nurses working in 4 hospitals and 30 nursing units. Data were analyzed using UCINET 6.0, SPSS 20.0 and HLM 7.0. In job-related advice networks, degree centrality of head nurse contributed to organizational commitment. Network density contributed to intent to leave. In friendship networks, closeness centrality of head nurses and betweenness centrality of charge nurse contributed to organizational commitment. Density and betweenness centrality of charge nurses contributed to intent to leave. Accordingly, it is necessary to foster good relationships between nurses and to develop various types of strategies for building effective networks.

The Effectiveness of Nursing Organization(I) (간호조직 효과성에 관한 1차 연구)

  • 박영주;이숙자;이진규;장성옥
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.189-201
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    • 1997
  • This study was designed to test the relationship between effectiveness of nursing organizations and structural and managerial variables of nursing organizations that are described in the Robbins Organizational theory model. The data were collected through self reported questionnaires from 605 nurses working in, and 782 patients hospitalized in, five tertiary hospitals in Seoul. Results showed that according to MANOVA there was a significant difference in nurses job satisfaction and patient satisfaction among the five hospitals. According to cluster analysis of the structural and managerial variables of nursing organizations, the five hospitals were divided into two clusters and there was no significant difference in nurses job satisfaction or patient satisfaction between the two clusters. According to canonical correlation analysis the formalization and centralization of structural variables were shown to be predicting variables for nurses job satisfaction, and the managing job design and managing Change of managerial variables were shown to be predicting variables for nurses job satisfaction.

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Fundamental Structure of Knowledge in Nursing (간호학의 기본 지식 구조)

  • Lee, Kwang-Ja
    • Journal of Korean Academy of Nursing
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    • v.13 no.3
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    • pp.127-144
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    • 1983
  • 오늘날은 과학문명의 발달로 인하여 기존지식의 수명이 점차 짧아져 가고있는 것이 특징이다. 지식의 증가는 단순히 지식의 양을 증가시키는 역할뿐 아니라 많은 기존지식을 불충분하고 쓸모 없는 것으로 바꿔버리게 한다. 그러므로 학교에서는 학생들에게 어떤 특정지식의 축척보다는 그 학문에 내재해 있는 기본적인 지식의 구조를 학습하게 하여 여러 가지 개념을 관련시키는 논리적 방법을 학습하게 하고 합리적인 탐구방법을 구사할 수 있도록 하여 변화하는 미지의 세계에 대처해 나갈 수 있도록 하는 것이 중요하다. 본 연구는 간호학의 기본 지식구조를 확인하는데 그 목적이 있다. 본 연구를 하게 된 동기는 간호업무의 근거로 활용도리 지식체계는 교육과정의 조직원리로 작용될 유형이나 구조를 지니고 있으며 이런 유형이나 구조를 중심으로 간호교육과정을 구성하는 것이 간호교육에 필수적이라는 문제에서 비롯되었다. 연구방법은 1982년 9월부터 1983년 5월에 걸쳐 간호학 문헌을 체계적으로 분석하여 간호학의 개념적 지식구조와 구문적 지식구조를 확인하였다. 그 결과 얻어진 결론은 다음과 같다. 1. 간호학의 개념적 구조: 모든 학문에는 탐구의 대상인 특수현상을 설명하고 서술하는데 활용되는 일련의 실질적, 개념적 구조를 가지고 있다. 그러나 그 학문의 중요한 부분 또는 중심을 포함하고 있는 개념들이 그 분야 또는 학문의 개략이라고 할 수 있는데 연구결과 간호학에서 가장 높은 순위의 대표적 특질을 지닌 개념은 인간, 건강, 환자/대상자, 간호, 행동으로 분석되었다. 2. 간호학의 구문적 지식구조 : 지식구조의 두 번째 요소인 학문의 구문(syntax)은 간호학에서의 특징적인 탐구방법과 관련되나 개념적 구조와 마찬가지로 탐구방법은 학문에 따라 다르며 그 분야의 주요양상을 나타낸다. 연구결과 간호학에서의 특징적인 탐구방법은 공동적으로 간호과정(nursing process)임이 나타났으며 그 요인으로는 사정, 진단, 계획, 수행, 평가의 다섯 단계로 분석되었다.

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Shift Work Female Nurse Turnover Intention Structural Equation Modelling: Focused on Tertiary Hospitals (교대근무 여자간호사 이직의도 구조모형: 상급종합병원을 중심으로)

  • Cho, Hang Nan;So, Hyang Sook;Jang, Aeri
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.181-189
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    • 2021
  • This study uses a structural equation model for the turnover intention of female nurses performing shift work at a tertiary hospital. Data collection was conducted from November 11 to December 20, 2015, and 283 samples were included in the final analysis. As a result, 12 of the 19 hypotheses of the final model were supported. It was confirmed that external employment opportunities, nursing professional value, nursing organizational culture, job stress, job satisfaction, organizational commitment, and burn out accounted for 47.8% of the turnover intention. Burn out(+) and organizational commitment(-)had direct effects on turnover intentions, and nursing professional, relationship-oriented nursing organizational culture, and job stress showed indirect effects. Therefore, in order to reduce the turnover intention of female nurses working in shifts at tertiary hospitals, it is necessary to prevent burnout, increase organizational commitment, and job satisfaction. For this purpose, measures to strengthen relation-oriented nursing organizational culture and nursing professional intuition are required. In terms of hospital manpower management, the institutional arrangements of hospitals that enable flexible working hours adjustment, mutually respectful relationship-centered organizational culture, education, and policy support to reinforce nursing professional intuition, and the institutional system of hospitals to work with pride should be implemented.

Relationship Between Nursing Organizational Structure and Nursing Outcome (간호 조직구조와 간호결과의 관계)

  • Lee, Eun-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.37-48
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    • 2004
  • Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses' job satisfaction, nurses' clinical experiences, nurses' unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication). Method: The subjects consisted of 86 hysterectomy patients and 23 nurses in gynecology unit. Data were collected from May 16, 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson's correlation coefficient, path analysis. Result: Relationship between organizational structure and process ; Bed/nurse ratio was negatively related to nurses' job satisfaction(r=- .37, p<.05), and nurses' clinical experience(r=- .69, p<.00). Decentralization(r=.42, p<.05) and comunication(r=.61, p<.00) were positively related to nurses' clinical experiences. Relationship between process and nursing outcome ; There was a significant relationship between nurses' unit experiences and patient satisfaction(r=.63, p<.00), nurses' job satisfaction and physiologic adaptation(r= .44, p<.05), nurses' unit experiences and physiologic adaptation(r=.64, p<.00), Relationship between organizational structure and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r=.86, p<.00 ; r=.88, p<.00) and physiologic adaptation(r=,51, p<.01, r=.64, p<.00). Conclusion: Nurses' unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses' unit experience, nurses' job satisfaction, communication were significant variables for patient physiologic adaptation.

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A Study on the Nursing Organizational Change and Outcome in a General Hospital (일 종합병원 간호부서의 조직구조 재설계 전후 조직성과 비교)

  • Kim, Bog-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.195-207
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    • 2005
  • Purpose: The purpose of this study was to confirm the change of nursing organizational characteristics and to define the difference of organizational outcome by measuring the organizational commitment and job satisfaction perceived by nursing staffs and patient satisfaction before and after organizational redesign. Method: The structured questionnaires of which contained organizational characteristics, organizational commitment and job satisfaction were developed from previous published studies after modification by researcher. The questionnaires were distributed to 1,200 and 679 nurses before and after nursing organizational change. patient satisfaction were measured before and after organizational change by direct interview with structured questionnaire from 1,566 and 1,291 patients. Results: 1. The organizational characteristics were significantly increased and the leadership of team leader and head nurse was significantly increased among the factors of organizational characteristics. 2. Organizational commitment was showed decreased tendency, but the difference was not significant. Job satisfaction was increased significantly and administration, autonomy, and job tasks were increased significantly in the factors of job satisfaction. Patient satisfaction was also increased significantly. 3. There was significant positive correlation between organizational commitment and job satisfaction and also job satisfaction and nursing organizational characteristics. All factors of organizational characteristics and satisfaction in present working unit were major factors to influence organizational commitment and explained 43.8% in a significant level by multiple regression analysis. The major factor which affect job satisfaction were the factors of nursing organizational characteristic except 'interaction with team leader' and satisfaction in present working unit among general characteristics and these factors explained 58.8% of job satisfaction. Conclusion: In conclusion, the nursing organizational change was very effective to bring about desirable change in nursing organizational characteristics and also to improve job satisfaction and patient satisfaction. Therefore the nursing productivity and comparability would be increased when the nursing organizational change is accomplished by the way of improving the factors of organizational characteristics and it would be followed by the promotion of job satisfaction and organizational commitment.

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