• Title/Summary/Keyword: 병원행정

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The relationship between emotional intelligence in leadership and organizational performance of nurses in general hospitals (종합병원에 근무하는 간호인력의 감성리더십과 조직성과 간의 관계)

  • Lee, Bo-Hye;Choi, Man-Kyu;Moon, Sang-Sik;Jung, Min-Soo;Kim, Jin-Hee
    • Health Policy and Management
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    • v.21 no.2
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    • pp.309-328
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    • 2011
  • In order to effectively attain the objectives of an organization, it is important for the leader to provide an environment where members can co-exist and mutually advance, and also to have an emotional impact on them. This study examines the structural relationship among emotional intelligence in leadership, organizational commitment, job satisfaction, turnover intention, and organizational performance effects of emotional leadership in the nursing profession of a general hospital. A structured questionnaire was sent to 550 nurses in 11 general hospitals in Seoul Metropolitan City, among which 350 responses were used in the analysis. The independent variable, emotional intelligence in leadership, was measured by 18 items, including self-awareness, self-regulation, social awareness and relationship management. The dependent variable, organizational effectiveness, consisted of 46 items, including 15 items regarding organizational commitment, 20 items on job satisfaction, 3 items on turnover intention and 8 items on organizational performance. The structural equation modeling technique was used to identify the impact of emotional intelligence in leadership on organizational effectiveness. The results of the analysis show that the emotional intelligence in leadership of superior nurses has a significant impact on the nurses'organizational commitment and job satisfaction. While the direct effect on turnover intention and organizational performance was not significantly high, organizational commitment and job satisfaction were parameters in low turnover intention and high job performance. In conclusion, emotional intelligence in leadership is critical as nursing services in hospitals are based on interpersonal relationships. Therefore, by developing appropriate programs and training, hospitals can anticipate improved self-awareness, self-regulation, social awareness and relationship management of nurses, and further improve the effectiveness of the nursing profession.

An Analysis of Structural Relationships among Financial Indicators of Hospitals in Korea: Applying Structural Equation Modeling(SEM) (병원 재무비율 지표들 간의 구조적인 관계 분석)

  • Jung, Min-Soo;Lee, Keon-Hyung;Choi, Man-Kyu
    • Health Policy and Management
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    • v.18 no.2
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    • pp.19-38
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    • 2008
  • Financial ratios are key indicators of an organization's financial and business conditions. Among various financial indicators, profitability, financial structure, financial activity and liquidity ratios are frequently used and analyzed. Using the structural equation modeling(SEM) technique, this study examines the structural causal relationships among key financial indicators. Data for this study are taken from complete financial statements from 142 hospitals that passed the standardization audit undertaken by the Korean Hospital Association from 1998 to 2001 for the purpose of accrediting teaching hospitals. In order to improve comparability, ratio values are standardized using the Blom's normal distribution. The final model of the SEM has four latent constructs: financial activity(total asset turnover, fixed asset turnover), liquidity(current ratio, quick ratio, collection period), financial structure(total debt to equity, long-term debt to equity, fixed assets to fund balance), and profitability(return on assets, normal profit to total assets, operating margin to gross revenue, normal profit to gross revenue). While examining several model fit indices(Chi-square (df) = 178.661 (40), likelihood ratio=4.467, RMR=.11, GFI=.849, RMSEA=.157), the final SEM we employed shows a relatively good fit. After examining the path coefficient of the constructs, the financial structure of the hospital affects the hospital's profitability in a statistically significant way. A hospital which utilizes its liabilities, more specifically fixed liabilities, and makes a stable investment decision for fixed assets was found to have a higher profitability than other hospitals. Then, the standard path coefficients were examined to directly compare the influence of variables. It was found that there were no statistically significant path coefficients among constructs. When it comes to variables, however, statistically significant relationships were found. between. financial activity and. fixed. asset turnover, and between profitability and normal profit to gross revenue. These results show that the observed variables of fixed asset turnover and normal profit to gross revenue can be used as indicators representing financial activity and profitability.

An Empirical Study on Measurement and Improvement for the Service of Education and Administration in the University (대학의 교육 및 행정 서비스품질의 측정과 향상 방안에 관한 실증적 연구)

  • Lee, Pil-Jae;Kim, Yoo-Ra;Jeong, Hae-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.3
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    • pp.197-209
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    • 2008
  • Since the theories of service quality were introduced in Korea, they have been applied to the various organizations, such as hospital, hotel travel agency bank, telecom company, and even retail market. Compared with these areas, however studies on the service qualify in educational institutions have been scarcely conducted. Also, higher educational service challenges user-oriented education system of the 21st century concept of Service quality from the theories of market economy. The purpose of this study is to identify the dimensions of educational and administrative service, and their influence upon the satisfaction and value on service quality, and formulate the service quality model based on the revised quality dimensions using SERVQUAL measuring method, to find out the most influential factors upon the service qualify among these factors. This study also suggests proper measures for improving service quality.

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A Study on the patient satisfaction for nursing care in a general hospital. (일 종합병원 간호사의 간호행위에 대한 환자 만족도 조사연구)

  • Kang, Ik-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.2
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    • pp.137-150
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    • 1997
  • This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

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A Study on $360^{\circ}$ Feedback of Nursing Unit Manager in a Hospital (병원 간호단위관리자의 다면평가($360^{\circ}$ feedback)에 관한 연구)

  • Lee, Jung-Hee;Kwon, Sung-Bok;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.495-505
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    • 2003
  • Purpose: The purpose of this study was to develop 360 feedback for nursing unit manager based on the current personnel evaluation system and to evaluate the new tool according to evaluation subjects. Total of 277 subjects of nurse unit managers and staff nurses were participated in this study. Method: The study was conducted in three phases each for development, application, and analysis of 360 feedback. SAS program was utilized for data analysis with descriptive statistics, t-test, and analysis of variance. Result: The evaluation criteria of the developed 360 feedback tool consisted of 13 subscales such as professional knowledge, apprehension & judgement, job performance, applicability, creativity, leadership, responsibility, promptness & accuracy, administrative ability & sense of mission, activeness, cooperation, communicability, and general attitude. The internal consistency of the tool was Cronbach's alpha .939. The evaluation score by! peers(M=4.30) was the highest one, followed by self-evaluation(M=4.23), evaluation by supervisor(M=4.17), and evaluation by subordinate(M=4.10). The differences in the total evaluation scores among the subjects supervisor, self, peer, and subordinate were not statistically significant, but significant differences were found in some subscales scores. Conclusion: Further research is required to test the reliability and validity of the $360^{\circ}$ feedback tool, and to test the outcome and the process of $360^{\circ}$ feedback system.

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Perceived consumers satisfaction with nursing and medical service and hospital revisiting intent (소비자가 지각하는 간호 및 의료서비스에 대한 만족과 병원 재이용 의도 분석)

  • Lee, Mi-Aie;Kim, In-Hong;Baek, Seol-Hyong
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.403-414
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    • 2003
  • Purpose: This study is performed to measure the level of nursing and medical service satisfaction according to consumer's demographic and hospital using behavior characteristics, and investigate the relationship among the nursing service satisfaction and the medical service satisfaction and the hospital revisiting intent. Method: The questionnaire is distributed to 300 patients at the six general hospitals in provincial city, Korea. For data analysis, SPSS/PC program is used. Result: The characteristics of consumer's demographics and hospitals using behavior that make difference in nursing and medical service satisfaction are education, the average number of the visiting(by month) and hospitals. Nursing service satisfaction correlated with medical service satisfaction(r=.677) and hospital revisiting intent(r=.570), and medical service satisfaction correlated with hospital revisiting intent(r=.680). Nursing service satisfaction explained medical service satisfaction(45.9%) and hospital revisiting intent(32.5%), and medical service satisfaction explained hospital revisiting intent(54%). Conclusion: It is concluded that education, the average number of the visiting(by month) and hospitals make difference in nursing and medical service satisfaction, and there are very close relationship among nursing service satisfaction and medical service satisfaction and hospital revisiting intent. Nursing service is a very important factor to improve medical service satisfaction and hospital revisiting intent.

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A Survey on Nurses' Utilization of Computerization in Nursing Practice (일개 종합병원 간호사의 간호업무 전산화 활용에 대한 연구)

  • Park, Kyung-Sook;Choi, In-Soon;Kang, Hyun-Wook;Kim, Na-Young;Kim, Mi-Jin;Kim, So-Hee;Son, Jin-Ha;Yun, In-Ja;Ju, Ae-Ra;Hong, Mi-Na
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.367-378
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    • 2003
  • Purpose: The research studied to survey the degree of utilization, satisfactions and problems of the computerization in nursing practice. Method: The subjects were 176 nurses who are working at university hospital in Seoul. The research was operated by 75 questionaries which were developed and modified from precedence study of Kim(1998), No(1996) and Pang(1996). The data was processed by SPSS for window 11.0 and the results analyzed with number, percentile, average, t-test and ANOVA. Results: As the way of using computer system in nursing, the most nurses used that to Dr's order check, treatment activity, laboratory, barcode sticker, medication in order that were connected with order system mutually to other parts. The average degree of contentment from the computerization in nursing practice was presented as 3.855 in the full mark 5. The facility of stock management got the highest points(4.98). The problem was marked 3.12 and the biggest problem is interruption of work from the computer system error(4.03). The contentment of computerization in nursing practice by duty year was reflected a significant difference(F=5,457 P=0.005) and was not related with computerization and computer education(F=0.028 P=0.867, F=2.178 P=0.142).

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Creation of Intellectual Capital in Hospital Organizations and Factors Influencing Creation of Intellectual Capital (임상간호사가 지각한 병원조직의 새로운 지적자본 창출 능력 영향요인)

  • Jang, Keum-Seong;Kim, Eun-A;Kim, Min-Soo;Sim, Jae-Yeun;Park, Hyun-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.1
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    • pp.46-55
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    • 2012
  • Purpose: This study was designed to identify creation of intellectual capital and factors influencing the creation of intellectual capital in hospital organizations. Methods: A cross-sectional design was used, with a convenience sample of 300 nurses from three general hospitals in Gwangju and South Cholla province. The tools used for this study were scales measuring creation of intellectual capital (8 items), social capital (20 items), knowledge management (8 items). Data was analyzed with descriptive statistics, Pearson's correlation coefficient and regression using the SPSS WIN 18.0 program. Results: There were significantly positive relationships between social capital and knowledge management with creation of intellectual capital. The mean score for creation of intellectual capital in hospital organizations was 4.59 points. Factors influencing creation of intellectual capital in hospital organization were identified as knowledge management (${\beta}$=.625), shared values & action (${\beta}$=.166), and participation in civic activities (${\beta}$=.118). These factors explained 59.3% of the variance in creation of intellectual capital in hospital organizations. Conclusion: The results indicate which factors are major factors influencing creation of intellectual capital and therefore, serve as predictors of creation of intellectual capital in hospital organizations.

Political Interest, Political Efficacy, and Media Usage as Factors Influencing Political Participation in Hospital Nurses (병원간호사의 정치관심도, 정치 효능감 및 매체 이용이 정치참여에 미치는 영향)

  • Jun, So Yeun;Ko, Il Sun;Bae, Ka Ryeong
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.3
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    • pp.342-352
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    • 2014
  • Purpose: The purpose of this study was to identify how political interest, efficacy and media usage influence political participation in hospital nurses. Methods: Participants were 286 nurses, who were informed of the study purpose and agreed to participate. Data were collected during November and December, 2012 using a questionnaire on political interest, political efficacy, media usage and political participation. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$'s test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Scores for political participation and political interest was average. The score for political efficacy was higher than average. Political participation was significantly different by education level, job career, position, and intention to vote in the election for the 18th President. Political participation had a moderate positive correlation with political interest (r=.50, p<.001), political efficacy (r=.32, p<.001) and media usage (r=.14, p=.022). Political interest (${\beta}$=.43) was the factor most influential on political participation, explaining 25% of the variance. A total of 32% of political participation was explained by political interest, political efficacy, and TV news or SNS for media use. Conclusion: The results suggest that it is necessary to develop strategies to promote political interest and political efficacy for hospital nurses to improve political participation.

Nurse's Job Satisfaction and Organizational Commitment according to Hospital Ethical Climate Types (병원조직의 윤리풍토가 간호사의 직무만족, 조직몰입에 미치는 영향)

  • Noh, Yoon Goo;Jung, Myun Sook;Lee, Young Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.513-524
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    • 2013
  • Purpose: This study was conducted to identify ethical climate factors in hospitals and analyze their influence on job satisfaction and organizational commitment. Methods: A convenience sample of 196 nurses from one national university hospital in J city participated in this descriptive study survey. Instruments included the Ethical Climate Questionnaire, Job Satisfaction Scale, and Organizational Commitment Scale. Cronbach's ${\alpha}$ and factor analysis were done to test reliability and construct validity of the scales. Data were collected from March 15 to March 25, 2013 and analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson correlation, and multiple regression with SPSS/WIN 18.0. Results: Seven ethical climate factors were identified; laws and professional codes, social responsibility, company rules and procedures, self-interest, personal morality, efficiency, and friendship. Factors influencing job satisfaction were friendship (${\beta}$=.25), social responsibility (${\beta}$=.20), laws and professional codes (${\beta}$=.20), and educational level (${\beta}$=.27), explaining 37.6% of variance in job satisfaction. Factors influencing organizational commitment included social responsibility (${\beta}$=.29), friendship (${\beta}$=.27), laws and professional codes (${\beta}$=.23), and age (${\beta}$=.19), with explanatory power of 44.6%. Conclusion: Results can be used as preliminary data for developing new strategies to establish positive ethical climates in hospital environments and thus enhance nurses' job satisfaction and organizational commitment.