• Title/Summary/Keyword: 병원간호조직 구조

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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.

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.

A Phenomenological Study on Tae-um Experienced by Nurses in Hospital Organizations (병원조직에서 간호사가 경험한 태움에 관한 현상학적 연구)

  • Kim, Min;Kim, Mi-Seon;Jeong, Hyeon-Cheol
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.39-48
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    • 2020
  • This study is a qualitative study to understand the meaning and essential structure of the experiences of Tae-um (Workplace bullying) experienced in hospital organizations for nurses. The participants were interviewed by selecting 10 persons who agreed to participate in the research through SNS in the workplace with the cooperation of the hospital. The collected data were analyzed using Colaizzi's phenomenological method. As a result of the study, Tae-um in the hospital organization of clinical nurses was divided into 4 categories(Taking the terrible first step, A series of hardships that never end, Hang on to myself, Wings flight of for adaptation) and 16 It was derived from themes. In conclusion, it was confirmed that Tae-um, not only new nurses, but even nurses who have accumulated careers, are still in progress, so they are adapting to the difficult hospital organization. Therefore, if a psychological support program for nurses is introduced, it will contribute to solving the Tae-um problem and establishing an organizational culture where nurses are respected.

Factors Influencing Nursing Service Quality of Nurses in Long Term Care Hospitals (요양병원 간호사의 간호 서비스 질 영향요인)

  • Park, Ju Hee;Park, Eun Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.409-415
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    • 2022
  • The purpose of this study is to identify factors affecting nursing service quality for nursing hospital nurses and An attempt was made to confirm the correlation between nursing work environment, human-centered care, and work stress on nurses in nursing hospital. The data was collected using questionnaire filled out by 129 nurses at nursing hospitals in G city area from August 20 to September 10, 2019. As a result of the study, factors influencing the quality of nursing services among nursing hospital nurses were married, Practice Environment of Nursing Work, and human-centered care. Based on these results, hospital management will need to make efforts to improve the organizational system to create a desirable nursing working environment in nursing hospital.

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 Relationships Between The Hospital형s Organizational Pattern For Nursing, Organizational Characteristics Perceived By Nurses and Their Job Satisfaction (병원 간호조직의 구조유형에 따른 간호조직특성과 직무만족과의 관계)

  • 장정화;박성애
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.397-416
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    • 1993
  • This study identified the relationships between the hospital’s organizational pattern for nursing, the organizational characteristics perceived by nurses and their job satisfaction. The study subjects were a convenience sample of 383 staff nurses working at 10 general hospitals with more than 300 beds in Seoul. Hospitals included in the study were classified Into five organizational patterns, where nursing was organized as an independent but lower level, attached to the medical department, attached to a department supporting medicine, and various other organizational pattern. The data were collected from July 10 to August 15, 1992. The organizational characteristics as perceived by the staff nurses were measured by Park & Yoon’s Scale (1986) and job satisfaction was measured by Slavitt’s Scale (1978). The data were analyzed by percentage distribution, Pearson’s correlation, x$^2$-test, t-test, ANOVA, and ANCOVA The summarized results are as follows : 1. The proportion of independent and attached nursing organizational patterns was 35.1% and 54.9% respectively. 2. There were differences between four general characteristics of the nurses, age, experience, position and education level, and the five structural types of nursing organization(p〈.05). 3. 1) There were no relationship between the perceived organizational characteristics and general characteristics of the nurses but there was a differ once in job satisfaction according to education level of nurses in hopitals where nursing was an independent department(T=-2.24, p〈.05). 2) There were differences in the perceived organizational characteristics according to age group and experience of nurses (F=3.26, 5.41, p〈 , 05)and in job satisfaction according to the position of nurses in the independent but lower level organizational pattern (T=2.26, p〈.05). 3) There was a difference in the perceived organizational characteristics according to age group (F=3.19, p〈 .05) and in job satisfaction according to the experience of nurses where nursing was attached to the medical department (F=3.49, p〈.05). 4) There was a difference in the perceived organizational characteristics according to nursing unit (F=3.19, p〈 .05), but none between job satis-faction and general characteristics of nurses where nursing was attached to a departiment supporting medicine. 5) There were no relationships between the perceived organizational characteristics and job sat isfaction and general characteristics of nurses in the various other organizational patterns. 4. Nurses in hospitals where nursing is organizationed as an independent department perceived their organizatianal pattern more positively and had higher job satisfaction than nurses working in hospitals where nursing is part of another department. 5. There were differences between perceived organizational characteristics and job satisfaction according to the organizational patterns for nursing (F=13.52, 8.76, p=.0000). 6. There were correlations between the perceived organizational characteristics and job satisfaction of nurses working in two independent nursing departments (r=0.2180, 2351, p〈.05). In conclusion, the relationship between perceived organizational characteristics and job satisfaction was significantly correlated in the hospitals where the nursing department is independent. Perceived organizational characteristics and job satisfaction depended on whether the nursing department is independent from or attached to other departments in the hospital. For nurses job satisfaction the nursing department should be independent from other departments and at the highest level of organization in the hospital.

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The Impact of career plateau on Job satisfaction and turnover intention of Hospital nurses (병원간호사의 경력정체가 직무만족과 이직의도에 미치는 영향)

  • Kim, Yu-Mi;Lee, Jong-Yul;Kang, Hyang-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.459-469
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    • 2016
  • This study was designed to survey the degrees of career plateau, job satisfaction, and turnover intention of hospital nurses, as well as to identify the relationship among them. We surveyed 239 nurses working at five different hospitals in J city and C city. Data collection was conducted between April 1 and April 30, 2016. The data was analyzed using SPSS 23.0. This study shows that the significant factors influencing job satisfaction were content plateau and structural plateau, which account for 55.0% of the variance. It also shows that the significant factors that influence turnover intention were structural plateau, present clinical career, content plateau, and working department, which account for 43.0% of the variance. As such, we identified that a decrease in the content plateau of hospital nurses enhances job satisfaction and that a decrease in structural plateau reduces turnover intention. The results indicate that a systematic managerial strategy for nursing resources should be developed and applied in the nursing field. This strategy should supplement the content plateau by job redesign and job enrichment. In addition, to increase retention of skilled nurses and to achieve superior organizational performance, as well as to contribute to the success of hospital nurses, supplementation of the structural plateau by adopting and applying a career ladder system is important.

A Study on Leadership and Subordination Of Nurses at a Hospital in Seoul (일부 종합병원 간호원의 지도성과 의식구조에 관한 연구)

  • 박성애;윤순녕
    • Journal of Korean Academy of Nursing
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    • v.17 no.1
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    • pp.44-51
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    • 1987
  • The purpose of this study is to identify the leadership and subordination of hospital nurses: to determine the leadership and subordination by nurses' characteristics, which are age, educational background, career, and position of nurses. 279 staff nurses, 13 charge nurses, 32 head nurses and 16 nurse supervisors were participated in this study during the period from Dec. 5 to Dec. 20, 1986. Subjects were instructed to rate at one of five points likert type scale on the 26 items of leadership and subordination. The reliability of the items (Cronbach's α) were 0.63∼0.84. Among the total 26 items, 8 items on authority, 4 items on human relation, 9 items on committment of position and 5items on committment of job were summed to cummulative scores in each category. As a result of data analysis nurses who perceive positive on authority are 68.6% and positive on human relation are 67.9%. The perception of authority is different by age, Career and position of nurses. (P<0.05). And nurses who perceive positive on committment of position are 84.7% and positive on committment of job are 62.1%. The perception of committment for position is different by age, career and position of nurses (P <0.05), and committment of job is different by age and position. (P<0.05).

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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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