• 한국병원경영학회지
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• 제7권1호
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• pp.64-87
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• 2002

The purpose of this study is aimed to grasp the factors, which may influence the harmonized organizational efficiency of the objects of hospital structure as well as its structural constituents of each departments of administration, nursing, and para-medical personnels, in order to provide basic data enable to contribute in the development of hospital. The survey data involved in the study was derived from 385 personnels working in 5 medium and small sized hospitals in Seoul area. The main finding of the study can be summarized as follows; 1. The organizational efficiency in accordance with the general characteristics of subjects in order of male, over 30 years of age, university graduates, long-term tenure and high position is higher, whereas, in as much as wage and well trained personnels in administration departments are higher, its organizational efficiency is higher in comparison with those of nursing and para-medical departments. 2. The organizational efficiency in accordance with satisfaction and the motive contributional factors is higher as much as the high satisfactory level in every departments in general. 3. The organizational efficiency in accordance with the factors of job characteristics is higher in as much as difficulty of the jobs is lesser, however there was not statically significance between administration and para-medical departments. In as much as the job circulation is intact, job standard level is higher and the more job responsibility the higher organizational efficiency, while the more workload and the more work feud resulted lower organizational efficiency. It was obvious that the higher professional expertise as well as the training and application level are improving the organizational efficiency. 4. The organizational efficiency in accordance with the factors of structural characteristics was higher in as much as the intercommunication was smooth and the structural formalization level are higher, however there was not statically significance between the participation level of decision making and the organizational efficiency. 5. In as much as higher educational level of over university graduates, management of organization and the job level are satisfied, the psychological motive contributional level is higher, while the lesser job difficulty, the smooth job performance, the higher level of professional expertise, the higher structural formalization level, the smooth intercommunication, have affected as major influence factors of the structural characteristics of organizational efficiency. 6. As the management of hospital organization, the job level and personal relation are satisfied or psychological motive is provided, especially when there are no difficult jobs or smooth job circulation and no job feud are prevailing, it was apparent that the organizational efficiency is improving accordingly. The nursing departments has high educational standard and is satisfied in the management and job level of hospital organization as there are no difficult jobs while the level of hospital's organizational formality is high and the intercommunication is smooth, which are improving the organizational efficiency. The para-medical departments is also satisfied the management and job level of hospital organization and it was apparent that the organizational efficiency is higher in as much as the level of job standardization is high and the intercommunication is smooth. As a result of this study, in order for improving the organizational efficiency of the medium and small sized hospitals, the management and job level as well as personal relation are preferably satisfied, whereas the level of job circulation, job responsibility, the expertise and formalization of organization, intercommunication and etc. should be satisfied, and, therefore, it is advisable to buildup discriminated organizational management and environment for different division on the basis above factors. Since this study is carried on several hospitals in Seoul area, there is a certain limit to generalize its result to all domestic hospitals, nevertheless the gallop poll was made by developing the questionnaires with reasonability and reliability. Especially, as the study was carried by analyzing the comparison of influence factors' difference of organizational efficiency in accordance with the divisional characteristics of the medium and small sized hospitals.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.2695-2702
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• 2014

본 연구의 목적은 중소병원 간호사의 간호전문직관, 직무만족도 및 이직의도와의 관계를 파악하기 위해 2011년 10월부터 2012년 6월까지 "I"시에 위치한 100-400병상 규모의 8개 중소병원에 근무하는 간호사 240명을 대상으로 설문조사하였다. 대상자의 평균 간호전문직관 점수는 $3.23{\pm}.44$, 평균 직무만족 점수는 $2.81{\pm}.47$점, 평균 이직의도 점수는 $2.70{\pm}.87$점으로 대상자의 일반적 특성과 직무 관련 특성 중 유의한 차이가 있었던 변수는 연령, 결혼상태, 임상경력, 근무형태, 밤 근무 횟수였고, 대상자의 이직의도는 직무만족과 양의 상관관계, 간호전문직관 과의 관계는 정적인 상관관계를 보였다. 이직의도를 설명하는 주요 변수는 직무만족도, 임상경력, 연령이며, 이중 직무만족도(${\beta}$=.533)가 다른 관련요인보다 가장 영향력이 많은 것으로 나타났다. 본 연구결과 여전히 직무만족도가 중소병원 간호사의 이직의도에 영향을 주는 주요 변수인 것이 확인 되었고, 이로써 중소병원 간호사의 이직의도를 이해하고, 그 수를 줄이는데 있어 중소병원 간호사에 대한 직무 만족도에 관해 계속적으로 연구하는 것이 필요하겠다.

• 보건의료산업학회지
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• 제8권3호
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• pp.75-87
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• 2014

The purpose of this study was to identify job satisfaction and organizational commitment depends on their organizational cultures. A survey, including the Organizational Culture Scale, Job Satisfaction Scale and Organizational Commitment Scale, was administered to 276 nurses working at 4 small to medium sized hospitals in B city. The dominant organizational culture of nursing organization was relation-oriented culture. The mean score of job satisfaction and organizational commitment was 2.68 and 4.25 respectively. Job satisfaction and organizational commitment were positively correlated with innovation-oriented, task-oriented and relation-oriented culture. Organizational commitment was negatively correlated with rank-oriented culture. Innovation-oriented, clinical career, relation-oriented and rank-oriented culture were variables influencing on job satisfaction and innovation-oriented and rank-oriented culture were major variables influencing organizational commitment. In conclusion, innovation-oriented and rank-oriented culture had a significant influence on nurses' job satisfaction and organizational commitment. Therefore, we have to develop strategies to enhancing the innovation-oriented culture and to reducing the rank-oriented culture.

• 보건의료산업학회지
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• 제11권1호
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• pp.55-66
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• 2017

Objectives : The aim of this study was to ascertain the effectiveness of job embeddedness and emotional intelligence on the performance of nurses working in medium and small sized hospitals. Methods : Data were collected from 283 nurses at 6 hospitals in G city. Structured questionnaires were used to assess the status of job embeddedness, emotional intelligence and nursing performance. The relationship and effectiveness between the factors were analyzed using multiple regression analysis. Results : The scores of job embeddedness, emotional intelligence and nursing performance were 3.02, 4.50 and 3.56, respectively. It was shown that the sacrifice of job embeddedness, self-motion appraisal, others emotions appraisal and the of regulation of emotion were positively correlated with nursing performance. The fit of job embeddedness, however, was negatively associated with nursing performance. The results showed that the status of job embeddedness and emotional intelligence explained the nursing performance($R^2=35%$). Conclusions : It has been shown that job embeddedness and emotional intelligence are important factors to enhance nursing performance. Activities to promote job embeddedness and emotional intelligence might be needed to enhance nursing performance.

• 한국간호교육학회지
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• 제18권3호
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• pp.446-455
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• 2012

Purpose: This study was performed to investigate the level of knowledge, self-confidence, and intention of basic life support (BLS) and identify the reason why clinical nurses lack confidence to initiate BLS at the cardiac arrest scene. Method: A cross-sectional survey was used with questionnaires which authors developed; a BLS knowledge questionnaire and a tool for measuring the level of self-confidence and intention of performing BLS. The subjects consisted of 396 nurses by convenient sampling from ten small to medium sized hospitals in Korea. Data were collected from March to August, 2008. Data were analyzed by the SPSS/WIN 14.0 program with t-test, ANOVA, and Pearson correlation coefficients. Results: The percentile score of BLS knowledge was 40.6%, self-confidence 62.1%, and intention 73.0%. Clinical career rather than BLS knowledge has a significant effect on increasing the self-confidence and intention of performing BLS. A major reason for not performing BLS was lack of confidence in operating an AED (automatic external defibrillator). Conclusion: An effective and continuous training program especially including AED for CPR should be provided with clinical nurses to increase self-confidence and intention of performing BLS and to improve the survival of cardiac arrest patients in the hospital.

• 한국임상보건과학회지
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• 제3권4호
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• pp.476-489
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• 2015

Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

• 한국직업건강간호학회지
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• 제26권1호
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• pp.47-54
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• 2017

Purpose: The purpose of the study is to examine the impact of job stress on the patient safety nursing activities among nurses. Methods: The subjects of the study are 258 nurses working at 15 small-medium sized hospitals in D city. Data analysis was done using frequency, percentage, average and standard deviation, t-test, one-way ANOVA, $Scheff{\acute{e}}test$, Pearson's correlation coefficient, stepwise multiple regression. Results: The job stress scored average 3.67 and patient safety nursing activity scored average 4.35. Job stress was positively associated with patient safety nursing activity. It explains 9.49% of the variance. Conclusion: Universal and inevitable job stress among nurses should not exceed optimum level to assure patient safety. So, personal and organizational efforts to manage job stress are needed.

• 한국전자거래학회지
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• 제20권3호
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• pp.89-112
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• 2015

본 연구는 모바일 시대의 진입, 글로벌 경쟁격화, 및 의료서비스 요구사항의 확대 등, 의료경영환경의 급격한 변화에 부응하기 위해 새로운 IT 기반 의료서비스가 필수적임에도 불구하고 이를 실현하고 있지 못한 중소형 규모 병원에 클라우드 기반 의료서비스를 제공할 수 있는 '중소형 병원의 클라우드 병원정보시스템(CHISSMH, Cloud Hospital Information System for Small Medium Hospitals)'의 아키텍처와 서비스 모델을 제시하였다. 스마트폰 시대에 진입하면서 개인단위의 클라우드 서비스는 일반화되었지만 비즈니스 단위의 서비스, 특히 병원정보시스템에 대한 클라우드 서비스의 도입은 초기단계이기에 이를 활성화하고자하는 차원에서 CHISSMH의 아키텍처를 개발하여 제시하였다. 특히 본 연구는 병원산업계에 클라우딩 서비스 도입 활성화를 위해 사용자관점이 아닌 서비스 제공자 관점에서 이에 대한 해결책을 제시하였다. 즉, 서비스 제공자가 고품질 및 합리적 가격의 클라우드 의료 서비스를 제공한다면 비록 일부 저해요인이 존재하더라도 도입이 활성화될 것으로 기대한다. 이를 위해 CHISSMH는 하드웨어뿐만 아니라 애플리케이션까지 가상화를 시도하여 자원공용화(Resource Pooling)를 추구함으로써 운영비용의 최소화를 통해 합리적 가격의 서비스를 제공할 수 있는 기술 기반 아키텍처와 서비스 모델을 제시하였다. 또한 CHISSMH이 15개 중소병원을 대상으로 서비스한 자료를 분석하여 CHISSMH의 합리성과 유용성을 제시하였으며, 전통적 소유형 HIS와 비교하여 44.5%의 IT 서비스 비용이 절감되는 것으로 나타났다.

• 한국병원경영학회지
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• 제29권2호
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• pp.57-79
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• 2024

연구의 목적: 본 연구의 목적은 중소 지방 병원 내에서 사내 기업가 활동 의도의 선행요인을 탐색함에 있다. 본 연구는 병원 종사자의 개인적 역량과 경영적 역량이 사내 기업가 지향성에 긍정적인 영향을 미칠 것으로 예측하였다. 그리고 사내 기업가 활동의도에 미치는 사내 기업가 지향성의 영향은 사내 기업가 활동의 헌신에 의해서 매개가 될 것으로 예측하였다. 연구방법론: 우리나라 창원시에 위치한 'D'병원과 'E' 병원에서 종사하는 299명의 의료인으로부터 설문자료를 수집하였다. 그리고 수집된 자료에 대하여 구조방정식 모형분석을 수행하여 연구모형과 연구가설을 통계적 유의수준에서 평가하였다. 연구결과: 본 연구의 주요 결과는 다음과 같다. 첫째, 연구대상자가 인식하는 개인적 역량과 경영적 역량은 사내 기업가 지향성에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 둘째, 사내 기업가 지향성은 사내 기업가 활동 의도에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 셋째, 사내 기업가 활동 의도에 미치는 사내 기업가 지향성의 영향은 사내 기업가 활동 헌신에 의해서 매개가 되는 것으로 나타났다. 넷째, 비의료 집단 내에서의 사내 기업가 활동 헌신의 매개효과는 의료집단 내에서의 매개효과보다 크며, 관찰된 차이는 통계적으로 유의한 것으로 평가되었다. 시사점: 본 연구의 결과는 우리나라 중소병원이 가지는 어려움과 문제점을 해결하기 위해 수행해야 하는 전략 중의 하나인 사내 기업가 활동을 활성화하기 위한 중요한 전제조건과 시사점을 제공한다.

• 한국임상보건과학회지
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• 제2권3호
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• pp.158-166
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• 2014

Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.