• Title/Summary/Keyword: Professional autonomy

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Effect of Professional Autonomy, Communication Satisfaction, and Resilience on the Job Satisfaction of Intensive Care Unit Nurses (중환자실 간호사의 전문직자율성, 의사소통만족도, 회복탄력성이 직무만족도에 미치는 영향)

  • Park, Eun Jin;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
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    • v.11 no.2
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    • pp.63-74
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    • 2018
  • Purpose : This study aimed to identify the factors influencing job satisfaction in intensive care unit (ICU) nurses. Method : Using a cross-sectional design, data collected from 145 ICU nurses working at two university hospitals with more than 1,200 beds located in B and Y city were analyzed. The instruments used for this study assessed autonomy, communication satisfaction, resilience, and job satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results : Job satisfaction was significantly correlated with communication satisfaction (r=.60, p < .001) and resilience (r=.34, p < .001). Further, job satisfaction was influenced by communication satisfaction (${\beta}=.48$, p < .001), working at a surgery ICU (${\beta}=.21$, p =.008), and dissatisfaction with nursing (${\beta}=-.24$, p =.005). The explanatory power of this model was 44.7%. Conclusion : These results suggest the need for programs to improve communication satisfaction and nursing satisfaction.

Review the Governance of Graduate Medical Education (대학(대학원) 졸업 후 의사 수련교육 거버넌스 고찰)

  • Park, Hye-Kyung;Park, Yoon-Hyung
    • Health Policy and Management
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    • v.29 no.4
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    • pp.394-398
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    • 2019
  • Education on the physician continues with undergraduate medical education, graduate medical education, and continuous medical education. The countries such as the United States, Japan, the United Kingdom, German, and others are required to undergo training in the clinical field for 2 years after completing the national medical examination, and to become doctors after passing the clinical practice license test. Korea can obtain a medical license and become a clinical doctor at the same time if it passes written and practical tests after completing 6 years of undergraduate medical education or 4 years of graduate school. About 90% of medical school graduates replace clinical practice with 4-5 years of training to acquire professional qualifications, but this is an option for individual doctors rather than an extension of the licensing system under law. The medical professional qualification system is implemented by the Ministry of Health and Welfare on the regulation. In fact, under the supervision of the government, the Korean Hospital Association, the Korean Medical Association, and the Korean Academy of Medical Sciences progress most procedures. After training and becoming a specialist, the only thing that is given to a specialist is the right to mark him or her as a specialist in marking a medical institution and advertising. The government's guidelines for professional training are too restrictive, such as the recruitment method of residents, annual training courses of residents, dispatch rule of the residents, and the quota of residents of training hospitals. Although professional training systems are operated in the United States, the United Kingdom, France, and Germany, most of them are organized and operated by public professional organizations and widely recognize the autonomy of academic institutions and hospitals. Korea should also introduce a compulsory education system after graduating from medical education and organize and initiate by autonomic public professional organization that meets global standards.

Establishment and Decline of the Korean Librarian Association from the View Point of Professionalism (전문직관점에서 본 전국사서협회의 성립과 소강)

  • Lee, Sun-Woo;Kim, Gi-Yeong
    • Journal of the Korean Society for information Management
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    • v.26 no.1
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    • pp.259-278
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    • 2009
  • The Korean Librarian Association was established in 1990 for the professionalization of the librarian in Korea. So far there has been no research with the association as a main subject in spite of its importance in the history of Korean Libraries. In this study, we attempt to investigate the meaning and the importance of the association from the view point of professionalism. As a professional association, the Korean Librarian Association tried to get professional autonomy from the governing bodies and the market to reach higher level in professionalization. But the activities of the association has been radically declined since 1997, which would be affected by the character of librarianship that is mainly based not on individual characteristics but on organizational characteristics.

Influencing Effects of Job Stress, Professional Autonomy, Reciprocity on the Job Embeddedness of Comprehensive Nursing Care Unit Nurses (간호·간병통합서비스 병동 간호사의 직무 스트레스, 전문직 자율성, 호혜성이 직무착근도에 미치는 영향요인)

  • Park, Seon Ok;Park, Wanju
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.1-11
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    • 2023
  • Purpose: The purpose of this study was to identify the influencing effects of job stress, professional autonomy, and reciprocity on the job embeddedness among comprehensive nursing care unit nurses. Methods: The participants in this study were 147 nurses who have worked for over 6 months in Comprehensive Nursing Care Unit. Data were collected from January 3 to January 31, 2022 from six general hospitals with more than 300 beds in three cities in G, G and P. Results: As the results of hierarchical regression analysis, job embeddedness was lower when nurses had clinical experiences for 1 to under 5 years (β=-.49, p<.001), 5 to under 10 years (β=-.27, p=.035), 10 to under 20 years (β=-.54, p<.001) compared to those who had clinical experiences for more than 20 years. Also, job embeddedness was higher when there was greater balance within team caregiving of reciprocality (β=.27, p<.001) and intrinsic reward (β=.22, p=.003), and lower role conflict (β =-.27, p<.001). Conclusion: The results of the study showed that job embededness would increase if the role conflict of comprehensive nursing care unit nurses reduces, if there was a culture that the members can make cooperative relationship with other health care professionals and, if there was an appropriate intrinsic reward depending on their work experience.

Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine

  • Chiasson, Mike;Kumar, Nanda
    • Journal of Information Technology Services
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    • v.15 no.1
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    • pp.39-66
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    • 2016
  • There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.

Radiographers: Responsible Medical Professional or Detached Employee? (방사선사: 전문 의료직인가? 단순 기술직인가?)

  • Choi, Ji-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.10
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    • pp.234-240
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    • 2008
  • This article examines the professional status of radiographers in an attempt to answer the question "Radiographers: responsible medical professional or detached employee?" Comparisons are made on the past and present views of radiography with thoughts given into the possible change for the future. It can be clearly seen that the professional rights have been taken away as a result of overwhelming medical dominance but changes are slowly taking to place which are attempting to replace the lost autonomy to place radiography as a profession once again.

Surgical Informed Consent Process in Neurosurgery

  • Park, Jaechan;Park, Hyojin
    • Journal of Korean Neurosurgical Society
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    • v.60 no.4
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    • pp.385-390
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    • 2017
  • The doctrine of informed consent, as opposed to medical paternalism, is intended to facilitate patient autonomy by allowing patient participation in the medical decision-making process. However, regrettably, the surgical informed consent (SIC) process is invariably underestimated and reduced to a documentary procedure to protect physicians from legal liability. Moreover, residents are rarely trained in the clinical and communicative skills required for the SIC process. Accordingly, to increase professional awareness of the SIC process, a brief history and introduction to the current elements of SIC, the obstacles to patient autonomy and SIC, benefits and drawbacks of SIC, planning of an optimal SIC process, and its application to cases of an unruptured intracranial aneurysm are all presented. Optimal informed consent process can provide patients with a good comprehension of their disease and treatment, augmented autonomy, a strong therapeutic alliance with their doctors, and psychological defenses for coping with stressful surgical circumstances.

A critical inquiry on the feminine ethics in nursing (간호에서의 여성적 윤리에 대한 비판적 탐구)

  • Kong, Byung-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.1
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    • pp.41-49
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    • 2003
  • Purpose : This study was to illuminate the main characteristics and limits of the feminine ethics of care when it applies to the nursing ethics, and suggested sufficient conditions of care ethics in nursing in order to actualize the autonomy for nurses. Method : This study inquired the relationship between the ethical trait of caring in nursing and Gilligan & Noddings's moral theory as feminine ethics in relation to supporting the nursing ethics. In contrast to traditional moral theories based on universal principles, Gilligan's moral theory emphasized the conscious of the interpersonal relationship on the basis of the empathy and the responsibility for the other's need in contextual situations, and Noddings developed her ethics based on mothering as a model for the caring relation, the moral feature of which was characterized as reciprocity, receptiveness and responsiveness. Result : The feminine ethics of care came to support nursing ethics considering the nterpersonal relationship and responsibility. However, it did not show a possible ideal of nursing ethics because it has some difficulties in actualizing the nurse's individual and professional autonomy in the health care system. Conclusion : Therefore, in order that ethics of care can be an ideal and universal nursing ethics, it should be studied in proper direction, that is, toward actualization of the autonomy of the universal ethical self in relation to the concern and responsibility for the other.

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A Study on the Job Satisfaction of Physical Therapist's in Chungbuk (충북지역 물리치료사의 직무만족도에 관한 연구)

  • Park, Seoung-Ha;Jeong, Han-Shin;Choi, Won-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.214-223
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    • 2002
  • The purpose of this study was practiced to investigate factors affecting physical therapist's job satisfaction. The data were collected from September 15, 2002 and 113 valid questionnaires were obtained and analyzed. They were analyzed by the percent, frequency, T-test, one-way ANOVA and Pearson correlation coefficiency The results of the study were as follows: The average marks by their job satisfaction factors indicated 3.09 for professional status, 3.22 for task requirement, 3.62 for pay, 2.96 for physical therapist-doctor relationship, 2.96 for administration, 2.89 for autonomy. There were statistically a difference of the professional status, pay, administration, in their age. There were statistically a difference of the professional status in total career, marriage presence. There were statistically a difference of the professional status, task requirement in total career.

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The Effect of job Characteristics and Personal Factors on Work Stress, Job Satisfaction and Turnover Intention (간호사의 직무특성과 개인의 성격이 직무스트레스, 직무만족 및 이직의도에 미치는 영향)

  • 이상미
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.790-806
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    • 1995
  • The present study examined the causal relationships among nurses' job environment /job characteristics(work overload, lack of autonomy, professional role conflict, interpersonal relationships), maturity, job stress, job satisfaction and turnover intention by constructing and testing a theoretial framework. Based on Katz and Kahn's (1978) theory of organizational open system and Kahn, Wolfe, Quinn, and Snoek's (1964) theory of stress, nurses' turnover intention, job satisfaction and job stress were conceived of as outcomes of the interplay between personal characteristics and work environment. Personal aspects associated with outcome variables included professional knowlege and skill, and maturity(challenge, commitment, control, responsibility). The work environment factors involved work overload, lack of autonomy, professional role conflict, and interpersonal relationships (social support). Three university hospitals located in Seoul were selected to participate. The total sample of 443 registered nurses represents a response rate of 96 percent. Linear structural relationships (LISREL) technique was used to test the fit of the proposed conceptual model to the data and to examine the causal relationships among variables. The result showed that both the proposed model and the modified model fit the data excellently, revealing considerable explanatinal power for job stress and job satisfaction. The explanatory power of turnover intention was relatively lower than those of stress and satisfaction. In predicting nurses' stress, satisfaction and turnover intention, the findings of this study clearly demonstrated that professional role conflict might be the most important variable of the all the environmental variables and personal characteristics. The results were dis-cussed, including directions for the future research and practical implications drawn from the research were suggested.

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