• 간호행정학회지
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• 제13권4호
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• pp.407-420
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• 2007

Purpose: The objective of this literature review study was to identify research's trends and methodological issues of cost analysis on nursing services. Methods: Researches which analyzed nursing services cost, were selected from journal articles and master or doctoral dissertation studies. The total numbers of the collected studies were 23. Results: The number of studies on nursing services cost has been increased rapidly since middle-1990. The 5 methodological frameworks to classify the cost analysis researches was found. 4 researches were using the traditional costing method. 6 researches were using the clinical patient classification systems. 4 researches were using the Korean Diagnosis Related Group (KDRG). 5 researches were using the Resource Based Relative Value Scale (RBRVS). 4 researches were using the Activity Based Costing (ABC). Conclusion: These results will be used to provide the basic data for developing a more refined cost analysis method on nursing services. For further studies, we will suggest that the consent criteria of cost items need to measure nursing services be developed and the conducting cost analysis on nursing services be networked a hospital's cost management system.

• 간호행정학회지
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• 제7권3호
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• pp.545-560
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• 2001

The Purpose of this study was to suggest the direction of restructuring organization of KNA. For this purpose, it was tried to identify the organization structure and effectiveness of KNA and member's need and perception on KNA, and to compare with other NNA's organization structures and major activities. To collect the data, Delphi technique and survey were done. And the various data such as the annual reports, inspection reports, the articles of KNA, ANA, JNA, and RCN and other related references were investigated as well. The subjects were consisted of 102 representatives of KNA and 520 staff nurses. The data was collected from September 20. 1999 to February 10. 2000. In conclusion, this study recommends the following actions to restructure the organization of KNA. 1) The current framework of the overall structure will be maintained. 2) Among organizations in the Headquarter, the policy-making and revenue-making functions will be strengthened. 3) The opportunities of participation of the general members in the KNA activities will bee more reinforced than as it is. 4) The way of constitution of the Representatives and the Board of Directors will be modified not to be partial in terms of representativeness. 5) More emphasis will be put in such projects as welfare improvement of members, and advocacy of members' right at work.

• 간호행정학회지
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• 제10권1호
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• pp.121-140
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• 2004

Purpose: This study is to analyse and observe the college of oriental medicine related with nursing investment contents, its conversion process and output to get good qualified oriental nursing result, thus developing a matrix of oriental nursing management system on the basis of that project. Method: This study was nursing management system of matrix developmental study for Korea was performed to the objectives of 11 college of oriental medicine nursing directors and 328 nurses with more than three-year experiences in Korea. Result: We found difficulties to utilize knowledge obtained through the regular curriculum to the practice of oriental nursing because only me or two subjects were running or even no syllabus. Therefore, we recommend that oriental nursing in-service education program as well as oriental nursing practice preceptorship should be administered en site. The evaluation of oriental nursing and its feedback, duty related multiple evaluation, aggressive QI activity and feedback of the performance evaluation oriental nurse's role and duty manual also should be essentially organized. Conclusion: We urgently request that the consensus of nursing school and nurse association to be made about oriental nursing activity as a basic curriculum of compulsive subject.

• 간호행정학회지
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• 제10권2호
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• pp.175-184
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• 2004

Purpose: The purpose of this study was to develop a nursing organization culture measurement tool and to test the validity and reliability of the tool. Method: This study conducted in three phases. In phase 1, theoretical framework choice, Phase 2, measurement items selection, Phase 3, testing of validity and reliability. In order to test validity and reliability of the measurement, data were collected from 915 nurses, working in the 22 hospitals with more 500 beds. The data obtatined were analyzed by SPSS-Win 10.0 program using percentages, Factor Analysis, Cronbach's alpha Coefficients. Result: As a result of the study, nursing organization culture measurement scale was consisted of 20 items, 4 factors. 4 factor explained 60.54% of the total variance, and the Cronbach's alpha of this scale was .8829. Conclusions: The Study supports the validity and reliability of the scales. Therefore, this scale can be effectively utilized for the evaluation of nursing organization culture in hospital setting.

• 간호행정학회지
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• 제9권1호
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• pp.31-40
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• 2003

Purposes : The purpose of this study is to analyze the correlation among Expectations, Performance-Perception, Willingness of reuse of hospital. Methods : The subjects of this study were 120 patients who were admitted in the hospitals over 1 week in Pusan. The data was collected by self-reporting questionnaires from Oct. 16th, to Nov. 5th, 2001. The data were analysed by SPSS/PC package using frequency, percentage, mean, standard deviation, Pearson's correlation coefficient. Results : The results were as follows; 1) The mean score of Expectation was 3 and over. The highest item was 'equal treatment' and the lowest was 'safety in transaction'. 2) The mean score of Performance-Perception was 4 and under. The highest item was 'nurse' attractive appearance' and the lowest was 'equal treatment', 'kindness and etiquette'. 3) The mean score of Willingness of reuse was 3.11. 4) There was a statistical significance of the difference between Expectations and Performance-Perception. The highest difference item was 'equal treatment', and then the lowest difference item was 'working environment arrangement/order'. 5) There were statistically significant positive correlation among Expectations, Performance-Perception, and Willingness of reuse. The highest correlation was 0.89 between Performance-Perception and Willingness of reuse. Conclusions : Nursing managers have to develop nurse training programs for improving of patient's performance perception on nursing service.

• 간호행정학회지
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• 제15권4호
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• pp.491-505
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• 2009

Purpose: This study was to develop an algorithm for emergency nursing care of dyspneic patients. Methods: This methodological study was done through reviews of medical records and literatures, checklists of emergency nursing care for dyspneic patients, interviews with nurses, and experts' validity. Results: Firstly, the initial assessment confirmed the identification of airway patency, accessory muscle usage, RR, $SpO_2$, v/s, skin color, and mental status. Immediate emergency care provided oxygen, checked ABG, EKG, and chest X-ray, established a semi-fowler position, maintained IV routes, administered medication orders, and conducted careful monitoring. Secondly, if the patient exhibited $SpO_2$ of less than 90%, the nurse considered the patient's condition to be aggravated. Thirdly, if the patient showed improvement of more than 90% $SpO_2$, the nurse administered secondary assessment and carried out specific nursing care. However, if the patient continuously showed $SpO_2$ of less than 80%, the nurse assisted the intubation and then executed ventilator therapy. Conclusions: This study suggests that the algorithm is an effective decision tool and utilizing the algorithm is expected to improve the emergency nursing care for dyspneic patients.

• 간호행정학회지
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• 제16권4호
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• pp.446-454
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• 2010

Purpose: This study was conducted to compare job satisfaction, self-esteem, and nursing task performance between registered nurses (RN) and nurse assistants (NA) in long-term care hospitals. Method: The sample consisted of 203 nursing personnel (RN 99 and AN 104), who were working in one of 5 long-term care hospitals in 5 different areas. Data were collected by structured questionnaires from March 15 to April 30, 2010, and analyzed using the descriptive statistics, independent t-test, One-way ANOVA, and Pearson correlation coefficients with SPSS/Win 17.0 program. Result: There was no significant difference between nurses and nurse assistants in job satisfaction and self-esteem. But nurses had higher levels of nursing task performance than nurse assistants. Conclusions: These findings demonstrate the necessity of developing programs that will help to improve job satisfaction and self-esteem in nurses and nursing task performance in nurse assistants. Strategies need to be developed to maximize the value of the existing workforce without impacting on the quality of care delivered.

• 간호행정학회지
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• 제23권2호
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• pp.139-150
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• 2017

Purpose: The purpose of this study was to identify nursing service costs associated with all health care costs incurred by the institution. Methods: This study was an empirical case study research in which the nursing cost was separated from total medical cost. The nursing cost index was calculated through a cost allocation method after summarizing costs for personnel, raw materials and administration of each department in one public hospital. The 2014 budget plan, published in 'Public Hospitals Alert', was used as data and the data were analyzed using the Microsoft Office EXCEL 2013 program. Results: When comparing total medical costs and nursing costs, the nursing cost were 27.14% of the total medical cost. The nursing cost per nurse per hour was calculated as \29,128 The nursing cost per inpatient per day was calculated as \157,970, and the administration cost per patient was calculated as \133,710. Conclusion: The results of the research present the process of cost allocation of specific cost elements in the hospital and evidence for administrative costs which in the past have been only vaguely formulated. These are the significant implications of this study.

• 간호행정학회지
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• 제21권4호
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• pp.405-416
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• 2015

Purpose: The purpose of this study was to compare perception of patient safety culture and safety care activities between university hospital nurses (group A) and small hospital nurses (group B). Methods: Using a structured questionnaire, data were collected from 246 university hospital nurses and 223 small hospital nurses working in Seoul or Gyeonggi Province. Descriptive statistics, $x^2-test$, ANCOVA, t-test, ANOVA with the SPSS package were used for data analysis. Results: Total score for perception of patient safety culture and 3 subcategories of perception of patient safety culture were statistically significantly higher for group B compared to group A. Operation room nursing, falls, and bed sore scores in patient safety care activities were statistically significantly higher for group A than for group B. Conclusion: The study findings suggest that the specific characteristics by size should be considered when developing effective patient safety culture in hospitals.

• 간호행정학회지
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• 제11권4호
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• pp.385-399
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• 2005

Objective: The objective was to extract a preliminary performance measurement indicators of nursing organizations in hospitals using the BSC(Balanced Score Card) developed by Kaplan and Norton, and to analyze the content validity and evaluation methods of the performance measurement indicators with actual nurses in the nursing organization as participants in the study. Methods: The preliminary performance measurement indicators was created through a literature review and had the content validity by a professional. This survey was sent via post to 316 nurse managers and nurses with more than 5 years of experience in seven secondary and tertiary hospitals in the Seoul Gyonggi district. The completed questionnaires were returned by mail. Results: Fourteen indicators for finances, 16 for customer services, 27 for internal business processes, and 13 for learning and growth were selected. Conclusion: Amidst a rapidly changing medical environment, a first step was taken towards developing a performance measurement from various perspectives for nursing organizations in hospitals from various perspectives, rather than just one or a past-oriented perspective. However, as the most important thing is to actually use these indicators, continuous interest in publicity and education must be developed.