• 디지털융복합연구
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• 제15권7호
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• pp.239-246
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• 2017

병원행정직 근무자들의 자기효능감, 직무특성 및 직무스트레스와 직무만족도 간의 관련성을 파악하고 직무만족도에 미치는 융복합적 영향을 조사하였다. 조사대상은 임의로 선정된 11개 종합병원의 재직자 221명으로 하였으며, 자료수집은 2016년 11월 1일부터 2017년 1월 31일까지 구조화된 무기명 자기기입식 설문지를 통해 이루어졌다. 직무만족도는 자기 효능감, 직무특성의 3가지 하위요인과는 양의 상관관계를, 직무스트레스의 7가지 하위요인과는 음의 상관관계를 보였다. 공분산구조분석 결과, 직무스트레스는 자기효능감 및 직무특성보다는 직무만족도에 더 큰 영향을 미쳤으며, 자기효능감 및 직무특성이 높아질수록, 직무스트레스가 낮아질수록 직무만족도를 증가시키는 효과가 있는 것으로 나타났다. 이러한 결과를 볼 때, 병원행정직의 직무만족도와 관련된 자기효능감, 직무특성 및 직무스트레스를 관리하는 노력이 필요하다. 분석결과는 병원행정직의 직무만족도를 높이는 조직인사관리에 활용될 수 있다. 추후연구에서는 병원행정직의 직무만족도에 영향을 미치는 융복합적인 추가요인에 대한 분석이 필요하다.

• 한국의료질향상학회지
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• 제26권1호
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• pp.46-54
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• 2020

Purpose: The purpose of this study was to, present basic data on the necessity of introducing assistant staff to support administrative tasks related to patient safety. Methods: This was a cross-sectional study. The participants (n=103) of this study were nurses, working at general and long-term care hospitals in Korea. Data were collected using structured questionnaires on August 29, 2019 and analyzed with SPSS 25.0. Specifically, data analysis was conducted using frequencies, mean and standard deviation, independent t-test, and X²-test. Results: Assistant staff was needed to support patient safety tasks, but this required nurses who could fully perform patient safety tasks by supplementing their work experience rather than employees who only support administrative tasks. This is because the hospital's patient safety management activities are difficult to distinguish between administrative tasks and patient safety tasks, and even nurses with five years of work experience, must be aware of the basic concepts and should have knowledge of patient safety and have gained experience in managing the patient safety activities. Conclusion: Hospitals are calling for an improvement in the system that increases the number of workers in charge of patient safety affairs and lowers their work experience, rather than the introduction of assistant staff who help with patient safety work.

• 간호행정학회지
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• 제5권2호
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• pp.389-400
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• 1999

The purpose of this study is to examine a possibility of applying the ABC system to analyze the cost of nursing service on one obstetrics and gynecology (OB/GYN) unit in a major medical center. The activities of nurses on an OB/GYN unit were analyzed for 4 days for 96 hours. 2 week days and 2 days on weekend. Total cases included in the study were activities of 12 charge nurses and 12 staff nurses. Activities were categorized into direct and indirect activities in order to calculate the cost of activities. Nursing activities were defined multidimesionally in order to utilize the ABC system. The 60 nursing activities were classified into the direct nursing activities and the indirect nursing activities based on a literature review, interview, and survey results. The direct activities were further categorized into the single nursing activities and the multiple nursing activities. The indirect activities were classified into the indirect nursing service activities and the general management activities. The major findings of this study were as follows : 1. There were differences in activities according to the positions and duties of the nurses. The charge nurses mostly performed the indirect nursing service activities and the general management activities. Almost all of their indirect nursing activities spent on each patient were similar. The staff nurses performed the single nursing activities and the multiple nursing activities. 2. The activities of staff nurses included medication, patient assessment, rounding and organizing the unit. patient education, nursing treatment, admission and discharging of patients. There was no differences in types and amount of time spent between the nurses on day-time duty and evening-time duty, but the patient assessment activity increased during the night-time. 3. The cost of post partum nursing services for women who had a normal vaginal delivery using the ABC system included the cost incurred by direct nursing activities provided by the staff nurses (85.9%), indirect nursing activities incurred by the staff nurses(19.0%) and the nursing activities by the charge nurses and the head nurse(14.1%). The ABC system is a relatively new method of cost analysis. The results of this study can provide the nursing and hospital managers with useful information on cost control. It is suggested that more studies should be done using the ABC system and extend the scope of studies to include value analysis to aid the Activity-Based Management(ABM) and/or the reengineering of hospital process.

• 융합정보논문지
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• 제10권2호
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• pp.167-175
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• 2020

본 연구는 병원종사자들의 이직의도 결정시 가장 큰 원인이 될 수 있는 관계갈등 종류를 살펴보고, 이직의도를 완화시킬 수 있는 관계갈등 요인과 스트레스 요인을 파악하여 병원조직의 안정적인 인력관리를 위한 유용한 정보제공을 목적으로 실시하였다. 연구방법은 병원 및 종합병원에 근무하고 있는 행정직과 간호직 종사자들을 대상으로 2019년 9월 16일부터 9월 30일까지 구조화된 설문자료를 수집하여, t-test, 분산분석, 카이제곱 검정, 회귀분석을 실시하였다. 분석결과, 이직결정시 가장 큰 원인이 될 수 있는 갈등종류는 병원에서 얻을 것이 없는 경우에 이직할 것이라는 응답이 과반수이상이었다. 행정직은 상사나 선임자의 자기중심적 언행으로 인한 관계갈등이 높을수록 그리고 불명확한 업무지시로 인한 스트레스가 높을수록 현재 이직의향이 높았으며, 간호직은 상사나 선임자의 자기중심적 언행으로 인한 관계갈등이 높을수록 그리고 무시하는 행동 및 불쾌한 언행으로 인한 스트레스가 높을수록 현재 이직의향이 높은 것으로 확인되었다. 따라서 병원조직이 안정적인 인력관리를 위해서는 조직차원에서의 조직문화와 부서차원에서의 조직문화가 조직구성원들이 직무현장에서 실질적으로 체감할 수 있도록 검토할 필요성이 제기되었다.

• 디지털융복합연구
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• 제18권3호
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• pp.259-266
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• 2020

본 논문은 병원행정직원의 조직시민행동과 관련된 융복합적인 요인을 찾아보고자 시도되었다. 설문조사는 무기명 자기기입식 설문지를 사용하여 임의로 선정된 J지역 22개 병원의 행정직원 274명에 대하여 시행되었다. 설문조사 기간은 2019년 7월 1일부터 7월 31일까지 약 한 달간 소요되었다. 위계적 다중회귀분석 결과, 조직공정성의 하위영역인 절차공정성이 높을수록, 집단내신뢰가 높을수록, 조직헌신도가 높을수록 조직시민행동이 높았으며, 이들의 설명력은 41.9%이었다. 이러한 분석결과를 볼 때, 병원행정직원의 조직시민행동을 높이기 위해서는 조직공정성의 하위영역인 절차공정성 및 분배공정성을 높이고, 집단내신뢰를 높이고, 조직헌신도를 높이는 노력이 필요하다. 이상의 결과는 병원행정직원의 조직시민행동을 높이는 의료기관의 인적자원관리 및 산업보건교육에 활용이 기대된다. 추후연구에서는 병원행정직원의 조직시민행동에 영향을 미치는 구조방정식 모형의 수립이 필요하다.

• Child Health Nursing Research
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• 제21권3호
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• pp.253-260
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• 2015

Purpose: Child Health nurse practitioners (CHNPs) in Korea have important roles in disease management and health promotion for children and adolescents. Yet, practices of CHNPs licensed and employed in hospitals have not been adequately identified. Thus, in this study the scope of practice by CHNPs and job satisfaction and stress were investigated and compared according to the CHNPs' position in the working place. Methods: A descriptive cross-sectional survey design was used. All 53 licensed CHNPs participated in the mail survey which included a 71-item questionnaire on job performance and job satisfaction and a job contents questionnaire. Descriptive statistics, ${\chi}^2$ test, independent t-test and Mann-Whitney U test were used to compare CHNPs employed as nurse practitioner (NP) and CHNPs employed as staff nurses. Results: Compared to CHNPs employed as staff nurses, CHNPs employed as NPs more frequently provided education, environment management, coordination and research in their practice areas. No significant difference was found in job satisfaction between the two groups except for the administration and income subdomains. Only the physical exertion subdomain in job stress was stressful to CHNP employed as staff nurse. Conclusions: Job performance of CHNPs in Korea needs to be revised to include more practical practice in education, coordination, and research related areas.

• 간호행정학회지
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• 제21권1호
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• pp.133-141
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• 2015

Purpose: The purpose of this study was to identify the mediating effect of head nurses' emotional leadership as perceived by nurses in the relationship between nurses' job stress and job satisfaction. Methods: Study participants were 278 staff nurses currently working at two university hospitals in Busan, Korea. SPSS/WIN 21.0 program was used for data analysis to analyze descriptive statistics, t-test, correlation, and stepwise multiple regression. The significance level was set at p<.05. Results: Nurses' job satisfaction had a significant correlation with job stress (r=-.31, p<.001) and emotional leadership of nurse managers as perceived by nurses (r=.53, p<.001). Also, head nurses' emotional leadership experienced by nurses had a partial mediating effect in the relationship between nurses' job stress and job satisfaction. Conclusion: The results of this study show that the nurse managers' emotional leadership has an important influence on nurses' job stress and job satisfaction. Therefore, head nurses' emotional leadership is very important for effective human resource management and the hospital should offer education and training to booster head nurses' leadership by developing emotional intelligence to promote staff job satisfaction.

• 간호행정학회지
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• 제17권2호
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• pp.189-197
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• 2011

Purpose: This study was an analysis of the relationship between perception for appraisal of staff nurses in operating rooms and performance and organizational commitment. Method: The survey was conducted with 176 staff nurses in operating rooms in 2 hospitals in Seoul. Data were analyzed using frequency, one-way ANOVA, Pearson correlation analysis, and stepwise multiple regression. Result: 1. Perception for appraisal including accuracy and justice was significantly related to organizational commitment (r=.496, P=.000). Perception for appraisal including accuracy and justice was slightly related to performance (r=.220, P=.003). 2. In order to determine the percentage of the variance of performance and organizational commitment that could be predicted by perception for appraisal, perception for appraisal was entered in the regression equation. Accuracy accounted for 25% of the variance in the organizational commitment. To determine the percentage of the variance of performance that could be predicted by perception for appraisal and organizational commitment, the perception for appraisal and organizational commitment were entered in the regression equation. Organizational commitment accounted for 21% of the variance in the performance. Consequently accuracy predicted organizational commitment. Organizational commitment predicted performance. Conclusions: Findings indicate the need to increase accuracy of performance appraisal to promote organizational commitment and performance in perioperative nurses.

• 한국병원경영학회지
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• 제5권1호
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• pp.1-23
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• 2000

This study was undertaken to develop performance measurement indicators in S Hospital, which is the largest component of Y Medical Center which implemented the Responsible Management System in 1993. To begin, strategic initiatives for S Hospital were reestablished based on Y Medical Center's goals and objectives. The BSC(Balanced Scorecard) was used to develop performance measurement indicators after validity checks by specialists. The results were that total 16 indicators were developed to measure performance for strategic initiatives. Those included the growth rate of patient revenues, operating profit to gross revenues, reduction rate in administrative expenses from a financial perspective; average medical expenses per adjusted patient, patient satisfaction survey for inpatients and outpatients and emergency room patients, return rate for treatment results from the customer's perspective; reduction rate in average length of hospital stay, expenses for lost cases of medical disputes, rate for contracted employees, the number of published reports per faculty member from an internal perspective; educational expenses for training medical staff and full time employees, adjusted patient per medical staff, and the number of cases implemented which were proposed by employees. Any organization needs to have its own explicit objectives to grow and develop and it is absolutely necessary to measure performance to accomplish them. The performance measurement indicators developed by this study are expected to be used as a tool to attain the objectives of S Hospital.

• 디지털융복합연구
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• 제18권5호
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• pp.317-324
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• 2020

본 연구에서는 병원행정직의 조직공정성, 집단내신뢰 및 조직헌신도와 조직시민행동 간의 관련성을 검토하고, 이들 요인이 조직시민행동에 미치는 융복합적인 영향을 규명하고자 하였다. 조사대상자들은 J지역에서 임의로 선정한 22개 병원의 병원행정직 274명을 무작위로 추출하였다. 자료의 수집기간은 2019년 7월 1일부터 7월 31일까지 대략 한 달여 기간 동안으로 하였다. 자료조사는 구조화된 무기명 자기기입식 설문지를 사용하였다. 조직시민행동은 조직공정성, 집단내신뢰 및 조직헌신도와 양의 상관관계를 보였다. 공분산구조분석 결과, 조직공정성, 집단내신뢰 및 조직헌신도가 높아질수록 조직시민행동을 증가시키는 것으로 나타났다. 분석결과는 병원행정직의 조직시민행동을 증대하기 위해서는 조직공정성, 집단내신뢰 및 조직헌신도를 높이는 노력의 필요를 나타내었다. 조사결과는 병원행정직의 조직시민행동을 높이는 병원인적자원관리와 병원행정직의 정서 및 심리적인 측면의 보건교육의 기초자료로 활용이 기대된다. 향후연구에서는 병원행정직의 조직시민행동에 영향을 미치는 융복합적인 다양한 요인들에 대한 조사가 필요하다고 본다.