• Title/Summary/Keyword: Hospital organization

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Structural Components of Leadership Perceived by Head Nurses (수간호사가 인지하는 리더십의 구성요소)

  • Kim, Jung-Hwa;Kim, Myoung-Soo;Lee, Hae-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.3
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    • pp.233-241
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    • 2005
  • Purpose: The purpose of this study was to understand the components of successful leadership and organizational structural barrier to apply leadership perceived by head nurses. Method: We collected the data using interviews from August 1 to August 31 in 2003. The participants of this study were 19 head nurses from two university hospitals in Pusan. Result: Three categories of successful leadership in nursing organization were identified; leadership, opportunity, authority. Leadership category included accepting nurses' opinions, providing comfortable work environment, and interpersonal harmony. Opportunity category included verbal convincing for professional development and emotional support. Authority category included accomplishment and competence. Head nurses included autonomy, incentives, and equal opportunity across to different discipline as power category. Barriers identified by head nurses were lack of opportunity and power from hospital level. They seem to be frustrated when they don't have enough support from hospital. Conclusion: We think that head nurses have to apply effective leadership to achieve organizational goal and harmonious nursing environment. Based on the barriers identified in the study, interdisciplinary managemental intervention can lead better quality of care and nurses' work satisfaction which could further enhance hospital productivity and quality of care.

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Determinants of Service Mind and Skills of Hospital Employees (원무과 직원의 서비스 마인드와 기술에 영향을 미치는 요인)

  • Lee, Ji-Sun;Jin, Ki-Nam
    • Korea Journal of Hospital Management
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    • v.9 no.4
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    • pp.70-86
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    • 2004
  • The purpose of this study is to find determinants for service mind and skills of hospital employees to seek ways to improve the service level of hospitals. The past studies focused on the perspectives of customers in finding the solutions for service improvement. However, the existing approach failed in delving into the whole picture of service system. The behind operation of service system(e.g., selection and training of employees, support system) needs to be examined to have a balanced solution of service improvement. The personal characteristics, organizational characteristics, and customer experience were considered as the independent variables in predicting service mind and skills. The data collected in this study was gathered through questionnaire survey with 291 employees in five hospitals - from Sept. 10 to Oct. 16 in 2004. The results are as follows. 1. The regression analysis showed that job satisfaction and service commitment of organization were statistically significant in predicting service mind and skills. 2. The hierarchical regression analysis showed that the effect of hospital type on service mind was explained by service commitment of organization.

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Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units (간호사의 환자확인 행동 관련 요인 및 개인-조직 가치일치 분위기의 상호작용 효과)

  • Kim, Young Mee;Kang, Seung-Wan;Kim, Se Young
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.198-208
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    • 2014
  • Purpose: This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used. Methods: A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed. Results: The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high. Conclusion: This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

A Small-and-medium-sized Hospital's Crisis Management during 2015 MERS Outbreak: A Case of G Hospital (중소병원의 2015 MERS 위기 대응: G병원의 사례)

  • Son, Heejung;Kim, Kwang-Jum
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.144-156
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    • 2017
  • Purpose: Crisis is inevitable to every organization and therefore, successful crisis management is critical to the organizations' survival and prosperity. With the understanding, this study aims to draw propositions for successful crisis management of hospitals when facing infectious disease outbreak. For the purpose, a case of a small and medium sized hospital's experience of crisis management during 2015 Middle East Respiratory Syndrome outbreak was analyzed. Methodology/Approach: The detailed internal circumstances and experiences of the hospital during the MERS outbreak were identified by in-depth interview as well as the extensive material review, and analyzed under the view of the theories of accident, error, and crisis in relation of organization management Findings: Overall, nine propositions are drawn by the phase of crisis. In pre-crisis phase, for example, 'the hospital preparedness has positive influence on the effective responding to the crisis'. In detection phase, 'the mindfulness of the hospital organizations' as well as the individuals' has positive influence on detecting the crisis signals'. In crisis phase, for example, 'improvising naturally occurs in crisis by the unknown disease, therefore, a component site supervisor coordinating such improvision is important'. Lastly, in post-crisis phase, 'successful crisis responding experience facilitates the positive hospital culture'. Practical implication: From the experience of a small and medium size hospital, it is suggested that proactive system approach oriented by safety is beneficial for effective crisis management.

Effects of Satisfaction Level of Doctors from Five University Hospitals on Organization Commitment Level (5개 대학병원들의 의사만족도가 조직몰입도에 미치는 영향)

  • Kim, Jang-Mook;Han, Ju-Rang;Sung, Dong-Hyo
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.1-11
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    • 2014
  • The present study aimed to survey doctors working in five university hospitals about internal customer satisfaction and organization commitment level in order to identify casual relationships through structure equations. According to the analysis, organization management had the biggest impact on internal customer satisfaction level, and the sooner the factor was named personnel, leadership, job, and compensation, the bigger the impact it had on the level. The research model was generally found to be good in terms of goodness of fit, considering the value of $x^2$ calculated as 103.314, the degrees of freedom of 38, GFI 0.924, AGFT 0.868, NFI 0.888, CFI 0.925, and RMSEA 0.086. In conclusion, the internal customer satisfaction level of doctors was significantly proportionate to organization commitment by means of their general satisfaction level, while also being directly proportionate to organization commitment (p<0.05). Meanwhile, statistical significance could not be found when measuring the effects of the doctors' basic characteristics on the levels of internal customer satisfaction and general satisfaction in hospitals.

Factors Related to Organizational Socialization of New Nurses (신규간호사의 조직사회화 관련요인 탐색)

  • Yoo, Cheong Suk;Kim, Ju Hee;Kim, Mi Yeon;Kim, Sung Jae;Kim, Young Soo;Kim, Jeong A;Park, Seung Hyun;Cho, Eun Ju;Choi, Eun Ha;Choi, Hee Kang
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.239-250
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    • 2012
  • Purpose: The purpose of this study was to explore and describe the factors related to new nurses' organizational socialization (OS) process and to find out the strategic information for successful organizational socialization. Methods: The qualitative data were gathered from three focus group discussions with 13 new nurses and 5 experienced nurses. All interviews were recorded and transcribed. The transcript analyzed according to qualitative content analysis processes. Results: The factors related to new nurses' OS derived from new nurses' focus groups were 'burdens related to the characteristics of nursing duties', 'emotional and psychological characteristics' and 'facilitating factors to OS'. Two factors at the forepart were interfering factors to new nurses' OS. The factors related to new nurses' OS derived from experienced nurses' focus group classified to 'facilitating factors to OS', 'interfering factors to OS' and 'supports to facilitate new nurses' OS process'. Conclusion: The findings of the study revealed the facilitating and interfering factors to organizational socialization of new nurses. The main factors to interfere new nurses' OS were individual factors such as professional incompetency and psychological characteristics. On the other hand, Interactional factors within the organization were important to facilitate new nurses' OS. The findings can be applied for developing a special program to help new nurses adjust to the nursing organization successfully.