• 제목/요약/키워드: 병원 간호단위

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간호단위 성과평가도구 개발 (Development a Tool for Evaluating Nurses' Performance in Hospital Units)

  • 박성애;김진현;박광옥;김명숙;김세영
    • 임상간호연구
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    • 제15권2호
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    • pp.5-21
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    • 2009
  • Purpose: This study was aimed to develop a tool for evaluating nurses' performance by using Balanced Score Card (BSC) in hospital units. Methods: Preliminary survey was done in 10 hospitals to investigate evaluation criteria for nurses' performance. For the main study, each of 14 nursing managers evaluated 2 nursing units (total of 28 nursing units) to verify the sensitivity of the tool criteria. The evaluation result drawn from the preliminary BSC tool was analyzed to verify the sensitivity and validity of the tool. Results: As a result, nurses' performance evaluation tool consisted of 4 categories, 8 objectives, and 14 criteria was developed. Conclusion: The BSC tool for nurses' performance evaluation provides meaningful data in evaluating nursing performance in hospital units.

병원간호사의 변혁적 리더십과 조직몰입의 관계에서 미치는 사회적 자본의 매개효과 (Mediating Effect of Social capital between Transformational leadership and Organizational Commitment of Nurses in Hospitals)

  • 김순구;서영숙
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.282-289
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    • 2016
  • 본 연구는 간호단위 관리자의 변혁적 리더십과 사회적 자본, 조직몰입 간의 인과관계와 사회적 자본의 매개효과를 규명하기 위해 시도하였다. 연구방법은 병원 간호사 244명을 대상으로 구조화된 자기보고형 설문지로 조사하였으며, 수집된 자료는 SPSS/WIN 21.0와 Amos 18.0 프로그램을 이용하여 분석하였다. 연구결과는 간호단위 관리자의 변혁적 리더십은 사회적 자본, 조직몰입에 통계적으로 유의하게 나타났으며, 사회적 자본은 간호단위 관리자의 변혁적 리더십과 조직몰입 관계에서 부분 매개효과가 있었다. 이에 간호사의 조직몰입을 높이기 위해서는 간호단위 관리자의 변혁적 리더십과 조직몰입 간의 관계에서 사회적 자본의 매개효과를 고려한 인적자원 관리프로그램 개발이 요구된다.

간호단위별 간호근무환경이 간호사의 이직의도에 미치는 영향 (Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention)

  • 이영진;서문경애
    • 디지털융복합연구
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    • 제14권6호
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    • pp.355-362
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    • 2016
  • 본 연구의 목적은 3차 의료기관 1개소에 재직 중인 간호사를 대상으로 간호사의 이직의도에 대한 간호단위별 간호근무환경의 영향을 파악하기 위함이다. 서울 소재 의료기관의 24개 간호단위, 간호사 267명을 대상으로 서술적 관계 조사연구를 시행하였다. 자료수집은 2013년 11월에 수행되었으며, 분석은 SPSS/WIN 23.0 프로그램을 이용하여 실시하였다. 연구결과, 간호사의 이직의도는 간호단위 차원의 간호근무환경과 관련이 있는 것으로 나타났다. 또한, 간호사의 이직의도 예측요인으로 연령, 간호근무환경이 유의한 변수로 도출되었으며, 23.0%의 설명력을 보였다. 본 연구결과를 토대로 의료기관은 간호사의 병원운영 참여, 간호 관리자의 리더십 향상, 간호사와 의사의 협력적 관계형성 등 간호단위별 간호근무환경의 개선을 통해 간호사의 확보수준 향상 및 이직의도 감소를 위한 전략을 수립할 수 있다.

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

  • 원효진
    • 한국콘텐츠학회논문지
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    • 제20권6호
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    • pp.187-196
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    • 2020
  • 본 연구는 간호단위의 사회연결망을 과업조언 연결망과 친교연결망으로 구분하여 구조적 특성을 파악하고, 간호사의 조직몰입, 이직의도와의 관계를 분석하기 위해 시도되었다. 4개 병원, 30개 간호단위에서 근무하는 420명의 일반간호사를 대상으로 하였으며, 자료는 UCINET 6.0, SPSS 20.0과 HLM 7.0을 이용하여 분석되었다. 과업조언 연결망에서는 수간호사의 연결정도 중심성이 조직몰입에, 간호단위의 밀도가 이직의도에 영향을 미치는 것으로 나타났다. 친교연결망에서는 수간호사의 근접중심성과 책임간호사의 매개중심성이 조직몰입에, 간호단위의 밀도와 책임간호사의 매개중심성이 이직의도에 영향을 미치는 것으로 나타났다. 본 연구 결과를 통한 간호사들 사이에 형성되는 사회연결망에 대한 이해를 바탕으로, 적절한 인력 배치를 위한 연결망 구조와 기회, 조건을 개발하고 다양한 형태의 전략을 수립하기 위한 이론적 근거를 제공할 수 있을 것이다.

DACUM 직무분석 기법을 이용한 여성병원 간호단위관리자의 직무분석 (Job Analysis of the Nursing Unit Managers of Women's Hospital Using DACUM Analysis)

  • 손경숙;조경숙
    • 여성건강간호학회지
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    • 제25권3호
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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.

국내 상급종합병원의 간호단위 및 임상경력별 핵심간호실무와 교육요구도 (Core nursing practice and educational requirements according to nursing unit and clinical career in tertiary hospital)

  • 김연희;정영선;최진선;이혜영;정혜련;김지수;김경희
    • 기본간호학회지
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    • 제22권1호
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    • pp.35-48
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    • 2015
  • Purpose: The purpose of this study was to provide fundamental data to develop an educational program for the development of nurses' core competences, and to improve the curriculum in nursing education institutions. Methods: This study, based on a descriptive survey, was conducted with 1,019 nurses working in a tertiary hospital in Seoul. Among 47 core nursing practice items, core nursing practices as perceived by the participants and relevant educational requirements were measured on a four-point scale. The collected data were analyzed using descriptive statistics for the mean and standard deviation, one way ANOVA, and Duncan test as post-hoc test. Results: Regarding the core nursing practice perceived as by the nurses, there were statistically significant differences in 43 out of 47 items according to nursing unit, and in 15 items according to clinical career. Regarding the educational requirements for core nursing practice, there were also statistically significant difference for the same items as perception differences according to nursing unit and clinical career. Conclusion: The results of this study suggest further study on the development of educational programs to advance the clinical expertise of nurses and for the development of curriculum reflecting the actual conditions and requirements in clinical nursing practice fields.

중소병원 간호단위의 간호근무환경이 간호사의 이직의도에 미치는 영향 (Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals)

  • 권정옥;김은영
    • 간호행정학회지
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    • 제18권4호
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    • pp.414-423
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    • 2012
  • Purpose: The purpose of this study was to investigate the impact of the unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Methods: A cross-sectional study was conducted using a questionnaire survey with 308 nurses in 38 nursing units of 6 small and medium sized hospitals, having over 200 beds and under 300 beds and located in B metropolitan city. Data were collected from July 20 to August 10, 2011. Data were analyzed using hierarchical multiple regression. Results: The mean turnover intention in nurses of small and medium sized hospitals was $3.52{\pm}0.53$. Factors affecting turnover intention in the nurses included age, work unit, monthly income, number of night-duties, work hours per day and unit-level nurse practice environment. The unit-level nurse practice environment accounted for 15% of turnover intention when other variables were controlled. Conclusion: The results of the study indicate that nurse turnover intention is associated with the nurse practice environment at the unit level. Small and medium sized hospitals can improve nurse retention and lower turnover intention by changing the nurse practice environment of unit, such as creating better support services and nurse participation in hospital affairs.

직무 스트레스와 간호사가 인식하는 간호단위 관리자의 진성 리더십이 임상간호사의 재직의도에 미치는 영향 (Effect of Job Stress and Perception of Unit Managers' Authentic Leadership on the Clinical Nurses' Intention to Stay )

  • 이혜자;채덕희
    • 한국직업건강간호학회지
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    • 제32권3호
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    • pp.99-110
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    • 2023
  • Purpose: This study examined the job stress and perception of unit managers' authentic leadership on clinical nurses' intention to stay in nursing. Methods: This descriptive cross-sectional study utilized self-administered questionnaires. The study recruited a convenience sample of 211 clinical nurses from threertiary hospitals in South Korea. The survey was conducted between July and August 2021. The collected data underwent hierarchical multiple regression analyses. Results: The regression analyses indicated that clinical nurses' intention to stay was significantly associated with job stress (B=-0.06, 95% CI [-0.09, -0.04]), six or more years of clinical practice (B=0.60, 95% CI [0.13, 1.07]), men (B=0.87, 95% CI [0.30, 1.44]), and being placed on their desired nursing unit (B=0.39, 95% CI [0.27, 0.76]). Intention to stay was not found to be associated with authentic leadership by the unit managers. Conclusion: It is essential to implement workplace health promotion programs to prevent and reduce job stress among nurses to retain proficient clinical nurses. Additionally, nursing workforce management strategies tailored to the specific sex and career path of nurses are necessary. Moreover, careful consideration should be given to nursing unit placements that align with the individual aptitudes of nurses.