• Title/Summary/Keyword: Organizational health model

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The Impacts of Hindrance·Challenge Stressor and Psychological Capital on Presenteeism: The Mediation Effects of Job Engagement and Job Burnout (방해성 및 도전성 스트레서, 긍정심리자본이 프리젠티즘에 미치는 영향: 직무열의와 직무탈진의 매개효과)

  • Seong, Yu-Gyeong;Han, Young-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.48-54
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    • 2019
  • This study was based on Job Demand-Resource Model and tried to understand the causes of presenteeism that work but have decreased productivity in spite of health problems. In order to examine the psychological causes of presenteeism, we reinterpreted job resources as psychological capital, which is a psychological resource of personal dimension, and examined the positive and negative aspects of job demands by classifying job demands into challenge and hindrance stressors. Data analysis was conducted using SPSS 21.0 and AMOS 20.0 statistical programs. Data were gathered from 329 employee in Korea. The results of this study are as follows: Hindrance and challenge stressor and psychological capital were fully mediated in the influence of presenteeism through job engagement, and hindrance stressor and psychological capital were fully mediated in the influence of presenteeism though job burnout. Based on the results.

Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals (근거기반 정맥주입요법 간호실무지침 실무적용 프로그램 개발 및 평가 - 중소병원을 대상으로)

  • Hong, Inhwa;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.863-875
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    • 2020
  • Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

A Study on Satisfaction of New Nurse Orientation Program Applying CIPP Evaluation Model Focusing on Affiliated Hospitals of an Educational Foundation in South Korea. (CIPP평가모형을 적용한 신규 간호사 입문교육 만족도에 관한 연구: 일 학교법인 산하 대학병원을 중심으로)

  • Kim, Young-Jin;Son, Eun-Gyo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.226-235
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    • 2017
  • This study was conducted to analyze new nurse satisfaction and factors of the new nurse orientation program and improve their effectiveness. The CIPP evaluation model was applied in this study to assess each module of the program systematically. The respondents of the survey were 452 of five affiliated hospitals of an educational foundation. The respondents' perceptions were 'Senior', 'Operating', 'Introduction', 'Unity', 'Usefulness', and 'Needs' (from highest to lowest). Multiple regression analysis indicated that 'Operating', 'Unity', 'Usefulness', and 'Hospital Introduction' had a significant impact on satisfaction. The results presented herein indicate that planners and operators should improve effectiveness of new nurse orientation programs by enhancing sense of unity, instilling confidence as a nurse, and increasing personal utilization of subjects.

Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses (간호정보역량, 미완료간호, 환자간호의 질이 간호생산성에 미치는 영향에 관한 경로분석)

  • Yu, Mi;Kim, Se Young;Ryu, Ji Min
    • Journal of Korean Academy of Nursing
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    • v.53 no.2
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    • pp.236-248
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    • 2023
  • Purpose: Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established. Methods: Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p = .741), normed χ22 /df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%. Conclusion: Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.

Factors Influencing Health Status by the salutogenic Theory of Radiologists (방사선사의 건강생성이론에 의한 건강상태 영향요인)

  • Seo, Young-Ho;Kim, Keon-Yeop;Nam, Hang-Me;Park, Chang-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.291-299
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    • 2020
  • This study is based on the theory of salutogenesis, and investigates factors affecting the health status of radiologists who experience high stress and health problems in the rapidly changing medical environment. The study enrolled 379 radiologists working at hospitals in Daegu. A health structure model was established by applying the theory of salutogenesis. Sense of coherence had a direct effect on the health status of radiologists. Psychological stress, social support, and drinking were also influential factors, due to their mediating effect on the sense of coherence. Moreover, social support was also found to be lower when job stresses were higher. Hence, increased psychological stress resulted in lower levels of sense of coherence, social support and exercise. Taken together, results of this study indicate that effects on the sense of coherence have maximum influence on the health status of radiologists, and social support among general resistance resources is an important factor for enhancing sense of coherence. In addition to social support and health behaviors, researches involving various resources and the development of organizational strategies and health promotion intervention programs are required in future, to enable radiologists to cope with their stresses and improve health.

Effects of Individual Motivation on Turnover Intention among Social Workers : Focused on the mediation effects of multiple commitment (사회복지사의 개인적 동기가 이직의도에 미치는 영향 - 다중몰입의 매개효과를 중심으로 -)

  • Moon, Young Joo
    • Korean Journal of Social Welfare Studies
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    • v.42 no.2
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    • pp.493-523
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    • 2011
  • This study set out to investigate the effects of individual motivation on turnover intention among social workers and examine their turnover intentions in details by focusing on the mediation effects of multiple commitment. To be specific, it aimed to propose and test a prediction model for social workers' turnover intentions based on the Self-determination Theory and Theory of Planned Behavior. For those purposes, a mail survey was taken among social workers working for use facilities, residential facilities, public health centers, social welfare foundations and associations, and all kinds of centers and institutions in 15 cities and provinces across the nation. Total 1,918 questionnaires were distributed, and 1,671 ones were returned, and 979 whose respondents expressed a turnover intention were used in final analysis. The analysis results indicate that psychological motivation of social workers had direct impacts on their turnover intention. However, their role stress had no direct impacts on their turnover intention, which suggests that the impulsive routes model for turnover intention is supported only in psychological motivation and job characteristics. Secondly, their psychological and job motivation turned out to have indirect impacts on turnover intention through the multiple commitment, which suggests that the reflective routes model for turnover intention is supported in all career, job, and organizational commitment. Career commitment had the most significant impacts on turnover intention, being followed by job commitment and organizational commitment in the order, which suggests that the social welfare academy should increase their interest in career commitment. Based on the findings, the study proposed implication for the career management plans, plans for human resources

Safety of Workers in Indian Mines: Study, Analysis, and Prediction

  • Verma, Shikha;Chaudhari, Sharad
    • Safety and Health at Work
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    • v.8 no.3
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    • pp.267-275
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    • 2017
  • Background: The mining industry is known worldwide for its highly risky and hazardous working environment. Technological advancement in ore extraction techniques for proliferation of production levels has caused further concern for safety in this industry. Research so far in the area of safety has revealed that the majority of incidents in hazardous industry take place because of human error, the control of which would enhance safety levels in working sites to a considerable extent. Methods: The present work focuses upon the analysis of human factors such as unsafe acts, preconditions for unsafe acts, unsafe leadership, and organizational influences. A modified human factor analysis and classification system (HFACS) was adopted and an accident predictive fuzzy reasoning approach (FRA)-based system was developed to predict the likelihood of accidents for manganese mines in India, using analysis of factors such as age, experience of worker, shift of work, etc. Results: The outcome of the analysis indicated that skill-based errors are most critical and require immediate attention for mitigation. The FRA-based accident prediction system developed gives an outcome as an indicative risk score associated with the identified accident-prone situation, based upon which a suitable plan for mitigation can be developed. Conclusion: Unsafe acts of the worker are the most critical human factors identified to be controlled on priority basis. A significant association of factors (namely age, experience of the worker, and shift of work) with unsafe acts performed by the operator is identified based upon which the FRA-based accident prediction model is proposed.

Measurement of Care Coordination between Korean Medicine and Western Medicine: Development and Validation of an Instrument (한.양방 협진의 진료협력수준 측정도구개발 및 타당도 연구)

  • Park, Minjung;Choi, Byunghee;Baek, Yun Hui;Park, Jeong Hye
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.1
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    • pp.71-82
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    • 2015
  • Objective : The purpose of this study is to present the desirable model for the promotion of care coordination between Korean Medicine and Western Medicine and develope the instrument to measure the level of coordination. Moreover, we verified the validity and reliability of the developed Instrument. Method : In this study, We developed the 16 items regarding care coordination in Korean Medicine and Western Medicine by literature review and expert interviews. In addition, we verified the validity and reliability of the instrument as a methodological research. Results : We developed two factors such as 'Inter-professional activities' and 'Organizational support' as the instrument to measure the level of care coordination, and each of seven, eight total of 15 measurement items are listed. Conclusion : Since the legal permission, the level and type of care coordination and the effects of them are needed to be checked. So, the measurement instrument driven by this study has a political signification in healthcare system specially in these times. In addition, by utilizing this instrument, we propose to perform a variety of future studies on the levels of healthcare coordination and related outcomes.

Determinants of Occupational Commitment of Dental Hygienists (치과위생사의 직업몰입 영향요인 연구)

  • Sim, Su-Hyun;Seo, Young-Joon
    • Korea Journal of Hospital Management
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    • v.13 no.1
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    • pp.84-102
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    • 2008
  • The purpose of this study is to investigate the determinants of the occupational commitment of dental hygienists in Korea. The independent variables contain three groups of work rewards variables which consist of task reward variables (autonomy, job significance, resource adequacy, role conflict, workload, and routinization), social reward variables(supervisory support, co-worker support, and negative affectivity), and organizational reward variables(job security and promotional chances), and eight sociodemographic variables. The sample of this study consisted of 474 dental hygienists who work at general hospitals, university hospitals, dental hospitals and clinics across the nation. Data were collected with self-administered questionnaires and analyzed using hierarchical regression technique. It was found that: (1) job significance have a significant positive effect on the occupational commitment of dental hygienists; (2) role conflict, workload, routinization, and type of work site have significant negative effect on the occupational commitment of dental hygienists; (3) the study model explains 23.7% of the variance in occupational commitment among dental hygienists. The results of the study indicate that managers of dental clinics and hospitals should make efforts to extend the scope and quality of dental hygienists' work through job enlargement and job enrichment.

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Priority analysis of NCS based vocational core competency of dental hygienists in Gwangju (광주광역시 치과위생사의 NCS 기반 직업기초능력 우선순위 분석)

  • Hong, Nam-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.337-346
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    • 2016
  • Objectives: This study aims to investigate and analyzed the priority of vocational core competency factors in dental hygienists in Gwangju. Methods: Expert survey was conducted and Analytic Hierarchy Process(AHP) was applied to evaluate the weighting factors. First, we established the vocational core competency defined in NCS as AHP analysis model. The vocational core competency has 10 categories and 34 sub-categories. Secondly, AHP survey was conducted by 195 dental hygienists in Gwangju. Finally, the weights representing relative importance of each factor were calculated by using AHP method. Results: The AHP analysis on 10 categories showed that the weighting of interpersonal skills(0.165) was higher than any other categories while that of numeracy(0.035) was at the bottom, and the analysis on sub-categories revealed that the most important factors in each categories included the teamwork skills(interpersonal skills), problem-solving capability(problem-solving skills), listening skills(communication skills), ethical community(professional ethics), ability to understand business(ability to understand organizational structure), applicable technical skills(technical skills), self-management skills(self-development capability), information processing capabilities(information capacity), ability to manage time(resource management capabilities) and basic math skills(numeracy). Conclusions: The results in this study can be used as basic data for the development of liberal arts curriculum for dental hygiene education.