• Journal of Digital Convergence
• /
• v.17 no.10
• /
• pp.313-320
• /
• 2019

This study ascertained convergent influence on state anxiety and its association with subjective happiness, job burnout and psychosocial stress among Hospital Women Administrative Staff(HWAS). The survey period was from July 4, 2018 to July 25, 2018. The subjects were 226 HWAS randomly extracted from 24 hospitals in J area. The data were collected using a structured self-administered questionaries. State anxiety was negatively correlated with subjective happiness, and it was positively correlated with job burnout and psychosocial stress. The covariance structure analysis showed that the lower subjective happiness, and the higher job burnout and psychosocial stress tend to increase state anxiety. In conclusion, in order to reduce the state anxiety of HWAS, it is necessary to increase subjective happiness, to reduce job burnout and psychosocial stress. These results are expected to be used for industrial health education and hospital internal customer management to reduce the state anxiety of HWAS. In the future study, it is necessary to investigate the convergent additional factors that affect the state anxiety of HWAS.

• Journal of Digital Convergence
• /
• v.19 no.4
• /
• pp.185-192
• /
• 2021

The purpose of this study is to investigate the relationship between emotional intelligence and convergence factors of hospital administrative staff. During the survey period from From May 1st to May 31st, 2019, anonymous self-administered responses to 212 administrative staffs of 19 hospitals randomly selected in J area were used as analysis data. According to hierarchical multiple regression analysis, the higher the ego-resiliency, the higher the organizational loyalty, and the higher the organizational commitment, the higher the emotional intelligence, and their explanatory power was 43.0%. Based on these analysis results, efforts are needed to increase ego-resiliency, increase organizational loyalty, and increase organizational commitment in order to increase the emotional intelligence of hospital administrative jobs. The above results are expected to be applied to industrial health education and job management in the future at hospitals to enhance emotional intelligence of hospital administrative staffs. Future research requires the establishment and analysis of a structural equation model that affects the emotional intelligence of hospital administrative staffs.

• Korea Journal of Hospital Management
• /
• v.23 no.2
• /
• pp.82-94
• /
• 2018

Purposes: The purpose of this study is to investigate the factors which affect the promotion of the employees working at university hospitals in Korea. Methodology: The data of this study were obtained from personnel management database of 1,634 employees working at 4 university hospitals owned by an education foundation located in the City of Seoul and Kyoung-kee Province. The collected data were analyzed using frequency analysis, correlation analysis and probit regression analysis using SAS 9.4. Findings: The main findings of the study were as follows: First, appraisal score of the employees was the most important factors affect the possibility of the promotion and the following variables of tenure, higher degree, number of transfers, managers were also found to have significant effect on the possibility of the promotion. Second, Impact of those are varied among promotion ladders and the occupations like nurses, administrative staff, and technicians, which revealed that the important competency needed for the promotion was different. Practical Implications: The study results imply that, in order to motivate the employees through the promotion system at university hospitals, it is strongly recommended to use different criteria for evaluating the employees' performance and qualification for the promotion in terms of the promotion ladder and the characteristics of each occupation.

• Journal of Korean Academy of Nursing Administration
• /
• v.15 no.1
• /
• pp.45-53
• /
• 2009

Purpose: This study was to analyze the relationship between head nurse's leadership, staff nurse's health promotion life style and job satisfaction and nursing work performance. Method: The duration for investigation took place from September 11 to 29, 2006 and 501 staff nurses. Results: Nursing work performance of 3 groups of nurses that group of nurses who evaluated leadership of head nurse is high in authority aspect but is low in harmony aspect(p<.05), group of nurses who evaluated leadership of head nurse is low in authority aspect but is high in harmony aspect(p<.01), and group of nurses who evaluated leadership of head nurse is high both in authority aspect and in harmony aspect(p<.001), was all statistically much higher than group of nurses who evaluated leadership of head nurse is low both in authority aspect and in harmony aspect. Conclusion: nursing work performance of staff nurses are compositively affected by social psychological factor such as job factor, health promotion conduct, and job satisfaction and leadership factor of head nurse.

• Journal of Korean Academy of Nursing Administration
• /
• v.21 no.2
• /
• pp.174-183
• /
• 2015

Purpose: This study was conducted to explore the impact of nurse staffing level and oral care on pneumonia in elderly inpatients in long-term care hospitals (LTCHs). Methods: Data were obtained from the Health Insurance Review and Assessment Services (HIRA) including the profiles of LTCHs, monthly patient assessment reports and medical report survey data of pneumonia patients by HIRA in the fourth quarter of 2010. The sample consisted of 37 LTCHs and 6,593 patients. Results: Patient per nurse staff (OR=1.43, CI=1.22~1.68) and no oral care (OR=1.29, CI=1.01~1.64) were significantly related with hospital acquired pneumonia. The difference in percent of oral care by hospital was not significant between high and low group in nurse staffing level. Conclusion: In order to reduce the occurrence of pneumonia in eldery patients, effective nursing interventions are not only required but also nurse staffing levels that enable nurses to provide the intervention.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.15 no.1
• /
• pp.17-23
• /
• 2017

Purpose: Activated charcoal (AC) has been widely used as a universal antidote. Currently, emergency medical centers in Korea cannot administer AC due to discontinuation of the supply of commercial ready-mixed AC suspension. This study was conducted to investigate the proportion of emergency medical centers that administer AC to poisoning patients and provide basic information for emergency physicians and toxicologists. Methods: A prospective telephone survey of all of the included emergency medical institutions was conducted. The type of emergency medical institution, average annual number of patients admitted to the emergency department, annual average number of patients who were poisoned and whether the hospital currently utilizes gastric lavage and administration of AC were determined. Results: AC was administered to poisoning patients in 40% of regional emergency medical centers, 59.3% of local emergency medical centers, and 45.9% of local emergency medical rooms. Overall, 37% of total emergency medical institutions did not administer AC due to discontinuation of the commercial ready-mixed AC suspension. Additionally, 77% of emergency physicians in institutions without AC knew AC is necessary for poisoning patients. The rate of vomiting experienced by the medical staff according to types of charcoal showed that the average rate of vomiting was 33% for commercial ready-mixed activated charcoal suspension and 51% for self-prepared charcoal powder (p=0.02). Conclusion: AC should be secured promptly in emergency medical institutions. Before the supply of commercial ready-mixed AC suspension becomes again it is essential to develop a standardized regimen for self-preparation of charcoal powder and to educate emergency physicians and toxicologists to its use.

• Journal of Korean Academy of Nursing Administration
• /
• v.12 no.2
• /
• pp.276-286
• /
• 2006

Purpose: The purpose of this study was to analyze the effects of self-efficacy and collective-efficacy on job stress in the nursing staff. Method: This study surveyed 160 nurses in three general hospitals in the Seoul and Gyung-gi province for two months starting in September 2004. The questionnaire consisted of 54 questions about job stress, 10 questions about self-efficacy, and 7 questions about collective-efficacy. The answers were on a scale rating of 5. The answer sheets were analyzed with descriptive statistics, the t-test, ANOVA, the tukey test, the Pearson correlation coefficients and stepwise multiple regression using SAS version 8.2. Result: The average job stress rating of the nurses was 3.11. The average self-efficacy and the average collective-efficacy were 3.41 and 3.39, respectively. The age, working department, income level, shift-work and hospital have influence on job stress. Efficacies such that self-efficacy and collective-efficacy have influence on job stress. The much efficacy makes the less job stress. The stepwise multiple regression revealed that the significant predictor of job stress was working department and hospital. Conclusion: This study showed that collective-efficacy as well as self-efficacy reduces job stress, so nursing intervention methods should promote collective-efficacy. The collective-efficacy improvement program should be developed to improve job performance, to improve cohesion of nursing units, and to improve satisfaction on the job. The next research could be to develop collective-efficacy improvement programs for nursing units.

• Journal of Korean Academy of Dental Administration
• /
• v.5 no.1
• /
• pp.45-54
• /
• 2017

The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

• Journal of Digital Convergence
• /
• v.16 no.9
• /
• pp.301-307
• /
• 2018

We study convergent influence on depression and its association with self-esteem, fatigue and psychosocial stress among General Hospital Administrative Staff(GHAS). The subjects were 201 randomly extracted GHAS from 9 general hospitals in J City, Data collection was carried out via a structured self-administered questionaries from Jul. 3rd, 2017 to Jul. 29th, 2017. Depression was positively correlated with three sub-domains of fatigue and psychosocial stress, and it was negatively correlated with self-esteem. With the analysis of covariance structure, depression was more influential on self-esteem than fatigue and psychosocial stress. The study found the higher fatigue and psychosocial stress, and the lower self-esteem tend to increase depression. The results indicate that the efforts, to increase self-esteem, and to decrease fatigue and psychosocial stress, are required to decrease the depression of GHAS. The results are expected to be useful for industrial health education and job management to decrease the depression of GHAS. In the following study, the analysis about convergent additional factors of influence on the depression of GHAS will be needed.

• Health Policy and Management
• /
• v.34 no.1
• /
• pp.78-86
• /
• 2024

Background: The purpose of this study was to determine the effectiveness of the specialty hospital system by comparing the medical use of inpatients who had artificial joint replacement surgery in specialty hospitals and non-specialty hospitals. Methods: This study utilized 2021-2022 healthcare benefit claims data provided by the Health Insurance Review and Assessment Service. The dependent variable is inpatient medical use which is measured in terms of charges per case and length of stay. The independent variable was whether the hospital was designated as a specialty hospital, and the control variables were patient-level variables (age, gender, insurer type, surgery type, and Charlson comorbidity index) and medical institution-level variables (establishment type, classification, location, number of orthopedic surgeons, and number of nurses). Results: The results of the multiple regression analysis between charges per case and whether a hospital is designated as a specialty hospital showed a statistically significant negative relationship between charges per case and whether a hospital is designated as a specialty hospital. This suggests a significant low in charges per case when a hospital is designated as a specialty hospital compared to a non-specialty hospital, indicating that there is a difference in medical use outcomes between specialty hospitals and non-specialty hospitals inpatients. Conclusion: The practical implications of this study are as follows. First, the criteria for designating specialty hospitals should be alleviated. In our study, the results show that specialty hospitals have significantly lower per-case costs than non-specialty hospitals. Despite the cost-effectiveness of specialty hospitals, the high barriers to be designated for specialty hospitals have gathered the specialty hospitals in metropolitan and major cities. To address the regional imbalance of specialty hospitals, it is believed that ease the criteria for designating specialty hospitals in non-metropolitan areas, such as introducing "semi-specialty hospitals (tentative name)," will lead to a reduction in health disparities between regions and reduce medical costs. Second, it is necessary to determine the appropriateness of the size of hospitals' medical staff. The study found that the number of orthopedic surgeons and nurses varied in charges per case. Therefore, it is believed that appropriately allocating hospital medical staff can maximize the cost-effectiveness of medical services and ultimately reduce medical costs.