• Journal of Digital Convergence
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• v.11 no.1
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• pp.349-359
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• 2013

The study was conducted to identify the perception of patient-safety and the level of safety care activity among nurses in small-medium sized general hospitals. Data were collected at three hospitals among 344 nurses on April 2012 and administered questionnaire regarding the perception of patient-safety and safety-care-activity. Data analyzed by using descriptive statistics, inferential statistics was used to determine comparison, correlation and association (Pearson correlation, t-test, ANOVA, Scheffe test, multiple regression). The results revealed that there were significant differences in the level of perception of patient-safety according to the nurses' career, time of work, and work department in their hospitals. And also there were significant differences in the level of safety-care-activity according to the nurses' age, position, marriage, the nurses' career, time of work in their hospitals. Nurses with higher perceived level of patient-safety performed more safety-care-activities. The findings of the study suggests that in order to improve the nurse's perceived level of patient-safety and safety-careactivities, the hospitals need to establish the policies that support patient-safety, improvement the environmental system, proper working atmosphere to ensure appropriate work time, regulation nurse-patient ratio are also required.

• International Journal of Internet, Broadcasting and Communication
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• v.10 no.3
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• pp.98-103
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• 2018

Globally, medical tourism draws attention as a national growth engine industry, and is actively expanding. Current medical tourism leans towards large hospitals making it difficult to attract new users. Users collect the information for medical tourism through various paths in order to receive medical consultations and customized tour services. To expand medical tourism to small and medium sized hospitals, it is necessary to have customized medical consultations, tours and interpreter services, which are the key elements of medical tourism. This paper suggests services that users can use to match medical consultations and find tours and interpreters they want at the same time. This paper suggests ways to provide integrated services based on the information experienced by users, combining the required items from the perspectives of each user, hospital and guide. To match the content provided by hospitals and guides with experience information from users systematically, this study suggests the convergence plan for a service model that can match the experience information between users and hospitals, between users and guides and between hospitals and guides systematically by operating the data in the universal container.

• The Journal of the Korea Contents Association
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• v.20 no.10
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• pp.424-435
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• 2020

The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x²-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.8
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• pp.492-500
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• 2018

This study was conducted to identify the degrees of awareness and performance of hospital infection control of early stage nurses working in medium and small sized hospitals. This survey was conducted for 15 days from Sep. 15 to Sep. 30, 2017. Data were then analyzed by SPSS Win 22.0 to determine the mean and SD, as well as to conduct t-tests, ANOVA, and Scheffe's test. The result were as follows: 1. There were significant differences in awareness of hospital infection according to urinary tract infection, respiratory infection, and disinfection of contaminated goods managements with age. 2. There were significant differences in performance of hospital infection according to hand washing (working department), fluid therapy (education need p<0.001), urinary tract (position), and respiratory infection management (position p<0.001). 3. The mean score of awareness and performance regarding hospital infection were significantly different (all items p<0.001). According to these results, systematic education for improving awareness and performance regarding hospital infection control by nursing staff in medium and small sized in hospitals should be conducted. In addition, organizational efforts to increase the number of early stage nurses and improve the usability of personal infection control devices should be encouraged.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.222-230
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• 2017

The purpose of this study was to investigate the effects of turnover intention of nursing according to the nurses' practice environments and job embeddedness in medium-to-small sized hospitals. A total of 131 nurses working in a hospital with less than 200 beds, and 145 nurses in a hospital with 200 to 400 beds were included in this study. Data were collected from 10th to 24th of August, 2015 and analyzed using the SPSS/WIN 18.0 program. The results were as follows: (a) Nurses' practice environment and job embeddedness showed no significant differences between the two groups, but there were significant differences of turnover intention between the two groups; (b) turnover intention was negatively correlated with nurses' practice environment and job embeddedness in each group; and (c) in hospital of less than 200beds, the factors of influencing turnover intention were job embeddedness, age and nurses' practice environment. Conversely, in a hospital with 200 to 400 beds, the factors of influencing turnover intention were job embeddedness, pay, and nurses' practice environment. This study suggests that to reduce turnover intention, we have to improve the practice environment of nurses and to enhance job embeddedness for nurses in medium-to-small sized hospitals.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.294-299
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• 2019

Korean hospitals implement external quality assessment (EQA) schemes to improve the quality of clinical tests. However, smaller hospital do not implement EQA due to lack of appreciation and cost burdens. The purpose of this study was to analyze the results of EQA from the perspective of clinical chemistry carried out at a small-to-medium sized hospital (SMH) and to investigate factors influencing quality control. The medical institution concerned had performed EQA on 21 items annually for three years and had analyzed measurement methods, variation coefficients, and anomalous results as defined by the SMH. No significant change in test methods or variation coefficients, which exhibited a high level of variation, were observed for any test item over the 3-year period. The results obtained showed that anomalous test results were significantly more frequent when EQA was not conducted (p<0.05), internal quality control was not conducted daily (p<0.01), and when tests were less frequently performed (p<0.01). Small-to-medium sized hospitals need to be more aware of the benefits of EQA and provide tailored education to staff.

• 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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.678-688
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• 2019

This study evaluated the factors related to quality of life, job satisfaction and turnover intention of nurses attached to small and medium hospitals. From 24th June to 2nd August 2019, data were collected through a questionnaire from 360 nurses attached to H, G, S and C medical centers. Data were analyzed by applying the independent t-test, ANOVA, Spearman rho Correlation, and Multiple Linear Regression, using SPSS/WIN statistics 18.0. The factor that most significantly affected the quality of life of nurses in small and medium hospitals was support reason for self-efficacy (t=14.796, p<0.001), which accounted for 62.6% of the total factors. Factors that were significant to job satisfaction include support reason for quality of life (t=5.962, p<0.001) and turnover intention(t=-10.059, p<0.001), which account for 51.8% of the total. Moreover, 40.1% of significant factors that affect turnover intention were support reason for job satisfaction (t=-10.059, p<0.001), sex (t=2.049, p=0.041) and age (t=-2.207, p=0.028). In conclusion, this study confirms the need to improve the quality of life and job satisfaction of nurses attached to small and medium-sized hospitals, and lowering of turnover intention.

• Korea Journal of Hospital Management
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• v.28 no.4
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• pp.47-61
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• 2023

Purpose: The purpose of this study was to identify the influential factors on job satisfaction among nursingassistants working in medical institutions. Methods: Small and medium-sized hospitals and general hospitals (S City, U City, N City), 11 Geriatric hospitals(S City, N City, U City, T City, I City), and 29 clinics (S City, I City, N City). Data was collected from 194employed nursing assistants from February 15 to April 15, 2021. The obtained data were analyzed usingdescriptive statistics, ANOVA, Scheffe's test, Pearson's correlation analysis, and hierarchical regression analysis. Results: We confirmed a positive correlation between job satisfaction and organizational commitment, andconducted a hierarchical multiple regression analysis using monthly income, work-life balance, organizational commitment, and work confidence as influencing factors for job satisfaction, and found that organizational commitment and work confidence were significant influencing factors for job satisfaction. Conclusion: To improve the job satisfaction of nursing assistants, it is necessary to improve their understanding of the organizational culture in the workplace and expand education and training opportunities to enhance their work confidence to induce long-term retention. In addition, it was suggested that clear job scope and adequatecompensation are necessary for efficient human resource management.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.4
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• pp.466-474
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• 2010

Purpose: This study was done to identify the relationship between emotional intelligence (EI) and job stress of clinical nurses in small to medium-sized hospitals. Methods: Data were collected from a convenience sample of 152 nurses working in 4 local public hospitals in one district. EI was measured with the scale developed by Law, Wong, & Song (2004), and job stress with the scale by Choi, Kang, & Woo (2006). Data were analyzed with PASW (SPSS) 18.0, using descriptive statistics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficients, and multiple regression. Results: There were significant differences in EI according to work time, in self-emotional appraisal according to salary, in regulation of emotion according to marital status, age, work time, and salary. There were also significant differences in job stress including somatization, depression and anger according to marital status, work time, and salary. Correlation between EI and job stress was negative. EI explained 17.3% of variance in job stress. Conclusion: The findings indicate that to decrease job stress, nursing managers need to develop EI, especially self-emotional appraisal and regulation of emotion for nurses in their twenties and for unmarried nurses.