• Clinical Endoscopy
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• 제55권6호
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• pp.784-792
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• 2022

Background/Aims: Patients with acute cholecystitis (AC) after metallic stent (MS) placement for malignant biliary obstruction (MBO) have a high surgical risk. We performed percutaneous transhepatic gallbladder aspiration (PTGBA) as the first treatment for AC. We aimed to identify the risk factors for AC after MS placement and the poor response factors of PTGBA. Methods: We enrolled 401 patients who underwent MS placement for MBO between April 2011 and March 2020. The incidence of AC was 10.7%. Of these 43 patients, 37 underwent PTGBA as the first treatment. The patients' responses to PTGBA were divided into good and poor response groups. Results: There were 20 patients in good response group and 17 patients in poor response group. Risk factors for cholecystitis after MS placement included cystic duct obstruction (p<0.001) and covered MS (p<0.001). Cystic duct obstruction (p=0.003) and uncovered MS (p=0.011) demonstrated significantly poor responses to PTGBA. Cystic duct obstruction is a risk factor for cholecystitis and poor response factor for PTGBA, whereas covered MS is a risk factor for cholecystitis and an uncovered MS is a poor response factor of PTGBA for cholecystitis. Conclusions: The onset and poor response factors of AC after MS placement were different between covered and uncovered MS. PTGBA can be a viable option for AC after MS placement, especially in patients with covered MS.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제14권2호
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• pp.25-34
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• 2008

The purpose of this study was to spatial organization feature and area composition of the over 500beds general hospital that will be expected construct in Seoul, Gyeonggi-do area after 2000year. From this study, we can suggest architectural planning for the efficiency operating of emergency medical facilities that can be used as preliminary data. The Spatial organization of emergency medical facilities are categorize into 4 session as medical examination and treatment, diagonosticradiology, staff, public and the others. We can find spatial organization system and area composition that compare area composition of 6 hospital the subject of research in a emergency medical facilities. The result of this study were as follows : spatial distribution of its field, grasping of spatial organization factor and recognize its merits and demerits should be researched in advance. Through this kind of recognizing emergency system, realistic medical local and condition architectural planning for spatial organization will be operate.

• 한국병원경영학회지
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• 제13권3호
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• pp.17-43
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• 2008

The purpose of this study was to analyze affecting factors on labor union commitment among nurses in two general hospitals. The subjects of this study were 282 nurses in one university hospital in Seoul and one general hospital in Gyeong-Gi province from April 20 to May 9, 2008 through survey questionnaires. The main results of this study were as follow: First, labor union commitment level among nurses was increased as 30 years old and lower job position. Second, organization conflict level among nurses did not statistical differ significantly regarding age, education level, wedding, job year, job position, and labor manager. Third, correlation between labor union commitment level and other variables as follow. It was increased as age, education level, job year, job position, organization conflict level but not statistical difference significantly. Finally, from the results of multiple regression analysis to identify major affecting factors of labor union commitment level, it depends on low education level, high conflict between individual and group but not significantly. Therefore, new research was required regarding organization culture and commitment.

• 한국융합학회논문지
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• 제12권11호
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• pp.511-519
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• 2021

본 연구는 병원간호사의 직무배태성과 조직애착이 잔류의도에 미치는 영향을 파악하기 위하여 시도되었다. 종합병원 간호사 211명을 대상으로 수집된 자료는 t-test, ANOVA, Pearson Correlation, Multiple regression으로 분석하였다. 본 연구결과 병원간호사의 직무배태성이 높을수록, 조직애착이 높을수록 잔류의도에 높은 점수를 나타냈다. 잔류의도의 주요 영향 요인은 직무배태성, 조직애착으로 나타났으며, 잔류의도의 45%를 설명하였다. 따라서 간호사의 능력에 알맞은 업무 배치 및 평가가 필요하며, 조직애착을 높일 수 있는 개인적·조직적 활동을 지원해야 한다.

• 융합정보논문지
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• 제9권11호
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• pp.234-240
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• 2019

본 연구는 노동집약적이고 관계지향형인 병원조직에서 인적자원관리의 효율성 방안 모색을 위하여 근접한 서비스 접점인 간호직 의료기사직 행정직 종사자들을 대상으로 조직태도와 개인성향간의 관계를 살펴보았다. 분석결과, 병원종사자들의 개인성향이 변덕형 수준이 낮을수록, 외향적 수준이 높을수록, 목표추구형 수준이 높을수록 조직태도가 우호적인 것이라는 것을 알 수 있었는데, 특히 변덕형 수준의 정도가 가장 큰 영향을 미쳤다. 따라서 병원조직은 조직구성원들이 적극적이고 논리적인 외향적 성향과 조심스러운 언행과 목표달성을 위한 감정조절 등의 목표추구형 성향의 수준을 강화시키고, 원만하지 않은 인관관계와 결정의 번복이나 미루는 행동 등의 변덕적 성향의 수준을 최소화 시킬 수 있는 방안에 대한 검토의 필요성이 제기된다.

• 한국안전학회지
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• 제38권1호
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• pp.78-86
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• 2023

In this study, we explored the psychometric properties of the Korean version of the Safety Organization Scale (K-SOS). The SOS is based on the principles of a high-reliability organization and is an effective measure of the self-reported behaviors underlying the safety culture of an organization. We conducted a methodological study to examine the validity and reliability of the 9-item SOS translated into Korean. The data of 108 nurses working in three general hospitals with more than 100 beds located in D City were included. Content validity, construct validity, criterion validity, and reliability were evaluated. The results confirmed that the K-SOS is a unidimensional structure scale. Higher K-SOS scores exhibited a significant correlation with Hospital Survey On Patient Safety Culture, thus indicating the validity of the criterion. The internal consistency of the K-SOS was acceptable. Thus, the K-SOS is a reliable self-report scale for directly measuring the safety behaviors of an organization. The K-SOS can be used to improve patient safety in Korean hospital settings.

• 보건행정학회지
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• 제24권3호
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• pp.291-300
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• 2014

Background: The efficient knowledge management in hospital organization is generally known as the important activities relevant to employees' knowledge sharing behavior and work performance. This research examined factors affecting employees' knowledge sharing behavior and work performance in top 4 university hospitals. This study is based on individual factors such as incentives, reciprocity, behavioral control, and subjective norms. Also, there are organizational factors such as CEO support, learning climate, IT system, rewards system, and trust. Methods: Data was collected from employees who are working at 3 hospitals university in Seoul and 1 university hospital in Gyeonggi-Do through the self-administered questionnaires. A total of 779 questionnaires were analyzed by PASW SPSS ver. 18.0. (SPSS Inc., Chicago, IL, USA). Results: The significant variables affecting knowledge sharing behavior are behavioral control (in individual factor) and CEO, IT system, and trust (in organization factor). Also the significant variables affecting work performance are incentives, reciprocity, subjective norms, and behavioral control (in individual factor) and CEO support, IT system, reward system, and trust (in organization factor). Conclusion: The personality and organization characteristics factors is important to improve knowledge sharing behavior and work performance of hospital employees. Therefore, to make more efficient knowledge management is to build and system knowledge sharing culture, system, and leadership and to develop practical strategies.

• 디지털융복합연구
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• 제14권1호
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• pp.275-284
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• 2016

본 연구는 병원간호사의 고객지향성에 영향을 미치는 간호조직문화, 직무만족과 조직몰입 간의 인과관계를 알아보고자 시도되었다. 연구대상자는 병원에 근무하는 간호사 261명으로, 자료분석은 SPSS와 AMOS programs이용하여 경로분석하였다. 연구결과는 첫째, 직무만족과 조직몰입은 고객지향성에 직접 영향을 주는 것으로 나타났다. 둘째, 간호조직문화와 직무만족은 조직몰입에 영향을 주어 고객지향성에 간접영향을 주는 것으로 나타났다. 병원간호사의 고객지향성을 제고하기 위해서는 간호조직문화를 구축하는 것뿐만 아니라 구성원들의 직무만족과 조직몰입을 높이도록 병행하는 것이 더욱 효과적이라는 것을 시사해 준 것이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권4호
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• pp.7-16
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• 2012

Purpose : The purpose of this study is to look into the change of area and space organization percentage of wards in main general hospitals in Busan and Gyeongnam. Method : Patient area, nursing area, service area, training area, common area were classified for functional space organization. Patient area was reclassified to bedroom and comfort area, and common area was reclassified into vertical circulation, horizontal circulation and facility area. Also, method of area calculation was chosen standard to wall center-lines following building act 911 and functional space area of each hospital was estimated and comparatively analyzed. Result : For hospitals completed before 2000, area ratio by functional space for patient area, nursing area, service area and common area showed 53.6%, 10.2%, 0.8%, and 35.3% respectively. For hospitals completed after 2000, area ratio by functional space for patient area, nursing area, service space, and common area showed 49.2%, 12.6%, 1.1%, and 37.2% respectively. Implications : Through this study, change of percentage of space organization of main general hospitals in Busan Gyeongnam can be understood. Also because most studies on area organization of general hospital wards were focused on the capital area, this study provides basic material for future studies related to area of general hospital wards in Busan Gyeongnam.

• 대한간호학회지
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• 제16권2호
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• pp.5-12
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• 1986

The purpose of this study was to identify the factors which influence the effectiveness of nursing organization in the hospital. The data were collected by employing Delphi technique in a series of three rounds from June 15, 1985 to January 31, 1986. In each round the responses to questionnaires were analyzed and the results were communicated back to the subjects. Finally consensed among subjects in identification of the 45 items which influence the effectiveness of nursing organization in the hospital. The 48 items were reduced to 6 factors and named; planning, organization and problem-solving, staffing and staff developing, supporting, evaluating-controlling and leading, and the number of items included for each factor were 14,14,8,5,3,2 and respectively. Among the 48 items, 2 items were not loaded on forementioned 6 factors because factor loading was below 0.3.