• Title/Summary/Keyword: 중소규모 병원

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Difference of Conflict Levels of Nurses and Nurse-aids against Doctors (의사와의 관계에서 간호사와 간호조무사의 갈등수준 비교)

  • Lee, Mun-Jae;Choi, Man-Kyu
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.112-115
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    • 2011
  • 본 연구는 간호사와 간호조무사의 동기를 제고하고 효과적인 간호서비스 제공을 촉진하기 위해 의사와의 관계에서 간호사와 간호조무사가 느끼는 직무 및 대인관계의 갈등 정도와 원인을 파악하고자 수행하였다. 이를 위해 중소규모 병원에 근무하고 있는 간호사와 간호조무사 271명을 대상으로 직무 및 인간관계 갈등 정도, 원활한 의사소통 여부, 갈등 원인과 해결방법 등에 대해 설문조사를 실시하고 분석하였다. 분석 결과 의사와의 관계에서 간호사와 간호조무사가 느끼는 갈등의 내용과 정도는 대체로 비슷하였으나 의사와 간호직의 역할이 중복되거나 모호한 부분이 있다고 느낀다는 점에서는 간호사가 간호조무사 보다 더 많은 스트레스를 받고 있었다. 의사와 갈등이 발생했을 때 해결하는 방법으로는 간호사와 간호조무사 모두 적당히 피한다는 의견이 가장 많았다. 그 다음의 갈등해결 방법은 간호사와 간호조무사 간에 차이가 있었는데 간호사는 상대방에게 나의 의견을 따르도록 함, 노조를 통해 해결등의 순이었고, 간호조무사는 상사에게 해결하도록 함, 서로 조금씩 양보해서 타협함 등의 순이었다.

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Comparison of Internal Marketing, Job Satisfaction and Customer Orientation of Nurses by Size of Medical Care Institution; Small-medium Hospitals and General Hospitals (의료기관 규모별 간호사가 인지하는 내부마케팅, 직무만족 및 고객지향성에 미치는 영향요인 비교 - 중소.종합병원 중심으로 -)

  • Do, Eun-Su;Kim, Mi-Ye
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.1
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    • pp.56-66
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    • 2012
  • Purpose: This study was conducted to compare internal marketing, job satisfaction and customer orientation between nurses in small-medium hospitals and nurses in general hospitals. Method: The participants were 470 nurses were working in 8 small-medium hospitals and 5 general hospitals. Data were collected with structured questionnaires in July, 2010, and analyzed using descriptive statistics, ${\chi}^2$-test, MANCOVA, t-test, One-way ANOVA, and Scheffe test with PASW (SPSS) 18.0 program. Results: There was no significant difference between small-medium hospital nurses and general hospital nurses in internal marketing and customer orientation. But nurses in small-medium hospitals had higher levels of job satisfaction than general hospital nurses. Conclusions: These findings demonstrate the necessity of developing programs that will help to improve job satisfaction in nurses.

Application of Mixed HVAC in Large Sized Office Building (대형오피스 빌딩 혼합공조(시스템에어컨+중앙공조)적용사례)

  • 서경진;정기호
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.33 no.8
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    • pp.23-31
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    • 2004
  • 국내 시스템에어컨 시장은 신도시 형성과 주상복합건물 및 중대형 아파트의 전실공조 필요성이 증대하고 빌딩 리노베이션 등 지속적인 건설시장 성장에 따라 수요가 급격히 증가해 왔으며, 중대형 공조설비를 대체할 차세대 공조시스템으로 시장에서 평가받고 있으며, 상업용 공조시장에서 차지하는 비율도 점차 증가하고 있다. 이런 결과 지난해 3,000∼3,500억 원대의 시장 규모는 올해 4,500∼5,000억 원대로 성장이 예상되면, 매년 30% 이상의 지속적인 시장확대가 예측되며, 도입초기에 주상복합, 아파트, 교단, 병원, 중소형 빌딩 등에 한정되었던 시장은 최근에는 중대형 빌딩용 멀티 에어컨의 수요가 꾸준히 늘어나고 있으며 선진시장인 일본에서 중앙공조 및 멀티에어컨의 장점만을 이용한 혼합 공조시스템이 90년대부터 적용되어져 왔으며, 현재에는 대형오피스 빌딩의 경우에도 공조방식이 시스템에어컨 및 혼합공조가 증가하는 추세이다. (중략)

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Difference of Conflict Levels of Nurses and Nurse-aids against Doctors (의사와의 관계에서 간호사와 간호조무사의 갈등수준 비교)

  • Lee, Mun-Jae;Choi, Man-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4844-4851
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    • 2011
  • This study seeks to measure the level and root causes of occupational and interpersonal conflicts between nurses and nurse aids against hospital doctors, in order to help increase motivation of both groups in their workplace and enable more effective nursing care to patients. 271 nurses and nurse-aids working in small- and medium-sized hospitals were therefore given a series of surveys on topics such as conflicts with doctors, communications, cause of conflicts and solutions. Analysis of the survey result shows that both nurses and nurse-aids share relatively similar level and causes of conflicts in their place of work; however, nurse-aids felt more stress when their responsibilities seem to be duplicated or blurred from those of doctors and nurses. When conflicts actually occur with doctors, both groups would first try to avoid it one way or another. Then, nurses would make others cave in or file complaints through union, while nurse aides would seek help from supervisors or try to meet them half way.

Cost-Effective MapReduce Processing in the Cloud (클라우드 환경에서의 비용 효율적인 맵리듀스 처리)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.114-115
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    • 2018
  • This paper studies a mechanism for cost-effective analysis of big data in the cloud environment. Recently, as a storage of electronic medical records can be managed outside the hospital, there is a growing demand for cloud-based big data analysis in small-and-medium hospitals. This paper firstly analyze the Amazon Elastic MapReduce which is a popular cloud framework for big data analysis, and proposes a cost model for analyzing big data using Amazon EMR with less cost. Using the proposed model, the user can construct a cost-effective computing cluster, which maximize the effectiveness of the analysis per operational cost.

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Development of Key Performance Indicators to Implement Balanced Scorecard to Small and Medium Size Dental Clinic (중소 규모의 치과의원에 균형성과표를 적용하기 위한 핵심성과지표 개발)

  • Kim, Sangsuk;Kim, Myeng Ki;Choi, Hyungkil
    • Korea Journal of Hospital Management
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    • v.22 no.1
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    • pp.40-50
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    • 2017
  • The purpose of this study is to develop the KPIs(Key Performance Indices) needed to improve management and strategy in the dental clinic based on the four perspectives of BSC(Balanced Scorecard). The questionnaire was conducted on 52 dentists approved by Dental Managment Research Committee in Seoul National University as a panel. Using the Delphi technique, the top five KPIs for each point of perspective in BSC were extracted from KPI pools. In the third survey, the top five KPIs of all points were compared with each other through AHP(Analytic Hierarchy Process) method, and priority and overall importance rankings were calculated. The biggest difference in the three level AHP results was the customer perspective took priority to others. In the second survey, the financial perspective, which was number one, was pushed back. The overall significance of KPIs was in the order of customer, internal process, finance, learning and growth perspective, with the exception of medical profits (5th of 20) and new patient growth (10th of 20). We were able to overcome the limitations of the Delphi Technique with the AHP method. In general, the financial perspective in BSC is known to be the most important, but we conclude that the customer perspective is more important through the pairwise comparison survey. In the current dental service market, which is a long-term recession, excessive competition, customer satisfaction and customer relationship management seem to be the first goal to pursue in dental clinic.

Analysis of Intakes and Satisfaction of Patient Foodservice in Mid-Sized Hospital Settings (중소규모병원 입원환자의 병원식 섭취실태 및 만족도 조사)

  • Kim, Ji-Myung;Kang, Bok-Hee
    • Journal of Nutrition and Health
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    • v.44 no.4
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    • pp.326-337
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    • 2011
  • The purpose of this study was to investigate dietary intake and to evaluate patient satisfaction toward the quality of hospital foodservice. Questionnaires were distributed to 203 hospitalized patients in 3 hospitals having 300 beds. The intake rates for served amounts of rice, side dishes, and soup were 72.5%, 68.2%, and 62.6%, respectively. The main reasons for left-overs were 'no appetite' (25.8%) and 'not salty enough' (19.9%). The rate of patients eating outside food was about 33.5%. The average score for quality satisfaction of meal characteristics was 3.34 ${\pm}$ 0.61, and the average score for quality satisfaction of sanitation and service characteristics was 3.58 ${\pm}$ 0.61. 'Seasoning' showed the lowest score and 'temperature' showed the highest score for quality satisfaction of meal characteristics. In the quality satisfaction of sanitation and services, 'explanation of meals' showed the lowest score and 'exactness of meal times' showed the highest score. The patients hospitalized for 10 days showed significantly lower average scores than those hospitalized over 60 days for quality satisfaction of meal characteristics. The patients with 'little appetite' and 'regular appetite' showed significantly lower average scores than those with 'much appetite' for the quality satisfaction of meal, sanitation, and service characteristics. The patients who 'rarely had leftovers' showed significantly higher average scores than those who 'always had leftovers' and 'often had leftovers' for quality satisfaction of meal characteristics. Meal characteristic scores were significantly correlated with age (r = 0.216), length of admission (r = 0.310), appetite (r = 0.251), leftovers (r = 0.233), and intake of soup (r = 0.205). Also, sanitation and service characteristics scores were significantly correlated with age (r = 0.327), education (r = -0.202), length of admission (r = 0.168), and appetite (r = 0.155). Thus, it would seem to be desirable that hospital foodservices improve the taste and seasoning of meals and provide appropriate nutrition education and counseling in mid-sized hospitals.

Analysis of Determinant Factors of Apartment Price Considering the Spatial Distribution and Housing Attributes (공간지리적 요인과 주거특성을 고려한 공동주택 가격결정 분석)

  • Moon, Tae-Heon;Jeong, Yoon-Young
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.1
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    • pp.68-79
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    • 2008
  • Because local cities are different from large cities, they need to reflect their own characteristics of housing market. Thus in order to obtain useful implications for the establishing sound housing market in Jinju City, this paper investigated the characteristics of spatial distribution and determinant factors that affect apartment price in Jinju City. GIS representation of the apartments showed that most of old and small apartments were built in 'land readjustment project' areas executed in 1970s. On the contrary, new and large scale apartment complexes were built quite recently and distributed in the western and southern parts of the city. Next, in order to examine the factors which affect apartment price, this paper subtracted firstly several variables from the related studies. However in order to avoid multi-colinearity, variables were summarized by means of factor analysis. Then, setting apartment price as a dependant variable, 12 hedonic price models were established with 33 independent variables. As results, building age, floor area, accessibility to university and hospital, accessibility to arterial road, and stair-type building were turned out to be significant. These results will be used in making the supply and allocation plan of urban facilities and housing. Finally as conclusions this paper emphasized the need of periodic analysis of local housing market and establishing detailed housing information systems.

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The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea (국내 의료기관의 의료관련감염 관리 실태)

  • Jeong, Sun-Young;Kim, Og Son;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.353-366
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    • 2014
  • The purpose was to describe the state of healthcare-associated infection(HAI) control. Data were collected from 134 hospitals. The questionnaire developed by Kang[8] were modified. The mean of hospital beds was 556.4, 26.9% of hospitals were less than 300 beds. 99.3% of hospitals had infection control committee(ICC). ICC met 3.4 times a year. 54.5% of hospitals had one infection control practitioner(ICP). 95.5% of ICPs were nurse, 48.7% of ICPs had more than master's degree. Hospital experience of ICPs was 13.5 years. ICP experience was 3.2 years. 30.8% of ICPs worked for less than 1 year. All hospitals investigated HAI, 75.4% performed improvement activities. There are significant differences in existence of ICD, negative pressure room, computer program, numbers of ICPs according to hospital size. Manpower, organization, and facilities lacked in less than 300 beds. This conclusions will give baseline data to establish infection control system, manpower and practice in small-medium hospitals.

Influence of Internal Competency on the Job Satisfaction Based on General Hospital (종합병원 내부역량이 직무만족도에 미치는 영향)

  • Jung, Yong-Ju
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.325-336
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    • 2019
  • The purpose of this study is to analyze the structural relationship between internal capabilities and job satisfaction using the 7S model and propose measures to improve management performance through internal factors. For this study, seven research hypotheses were set up, and the survey conducted among members of all professions working in general hospitals in small and medium-sized cities in the provinces. From September 20 to October 20, 2016, 385 people were surveyed, and 327 pieces of data (84.9%) used for the study. Multiple regression analyses were performed to verify the effects of internal capabilities on job satisfaction. The analysis results showed that the explanatory power of the research model was suitable by showing 69.1%, and among the 7S factors, the leadership style (β=.392**), the organizational structure (β=.129*), the membership (β=.232**), and the management technique (β=.204*) showed a positive influence on job satisfaction. That has been confirmed to affect job satisfaction as the standardized factor values increase. Relationships between strategies, systems, and shared values on job satisfaction could not be identified. Significantly observed in the relationship between some internal capacity factors and job satisfaction is that internal capacity can be used as an alternative to an organization's performance improvement measures. Internal capacity can be affected by various environmental variables, such as establishment classification, size, and location. Further implications will also be provided for measuring future internal satisfaction levels separately from internal and external factors.