• 간호행정학회지
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• 제9권3호
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• pp.495-505
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• 2003

Purpose: The purpose of this study was to develop 360 feedback for nursing unit manager based on the current personnel evaluation system and to evaluate the new tool according to evaluation subjects. Total of 277 subjects of nurse unit managers and staff nurses were participated in this study. Method: The study was conducted in three phases each for development, application, and analysis of 360 feedback. SAS program was utilized for data analysis with descriptive statistics, t-test, and analysis of variance. Result: The evaluation criteria of the developed 360 feedback tool consisted of 13 subscales such as professional knowledge, apprehension & judgement, job performance, applicability, creativity, leadership, responsibility, promptness & accuracy, administrative ability & sense of mission, activeness, cooperation, communicability, and general attitude. The internal consistency of the tool was Cronbach's alpha .939. The evaluation score by! peers(M=4.30) was the highest one, followed by self-evaluation(M=4.23), evaluation by supervisor(M=4.17), and evaluation by subordinate(M=4.10). The differences in the total evaluation scores among the subjects supervisor, self, peer, and subordinate were not statistically significant, but significant differences were found in some subscales scores. Conclusion: Further research is required to test the reliability and validity of the $360^{\circ}$ feedback tool, and to test the outcome and the process of $360^{\circ}$ feedback system.

• Safety and Health at Work
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• 제8권1호
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• pp.19-28
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• 2017

Background: Conservation of resources theory assumes loss of resources as a cause of job strain. In hospital work, conflicts with supervisors are tested to predict lower resources, that is, supervisory social support, participation possibilities, and appreciation. All three resources are expected to predict, in turn, experienced stress (job strain) and lower job satisfaction, lower affective commitment, and a higher resigned attitude towards the job (job attitudes). Methods: The sample included 1,073 employees from 14 Swiss hospitals (n = 604 nurses, n = 81 physicians, n = 135 medical therapists, and n = 253 technical and administrative staff). Of the total sample, 83.1% were female and 38.9% worked full-time. The median tenure was between 7 years and 10 years. Constructs were assessed by online questionnaires. Structural equation modeling was used to test mediation. Results: Structural equation modeling confirmed the negative association of conflict with supervisors and job resources. Tests of indirect paths to resources as a link between conflicts with supervisors and job attitudes were significant. For nurses, social support, participation and appreciation showed a significant indirect path, while among medical technicians the indirect paths included social support and appreciation, and among physicians only appreciation showed a significant indirect path. In medical therapists no indirect path was significant. Job resources did not mediate the link between conflict with supervisors and stress in any occupational group. Conclusion: Conflicts with supervisors are likely to reduce job resources and in turn to lower job attitudes. Work design in hospitals should, therefore, address interpersonal working conditions and conflict management in leadership development.

• 한국의료질향상학회지
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• 제29권2호
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• pp.2-14
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• 2023

Purpose: This study aimed to identify strategies to enhance the competencies of patient safety coordinators in Korea. Methods: Fourteen participants from nine hospitals were interviewed between May and November 2022. Qualitative content analysis was used to analyze the data. Results: As for the strategies to enhance patient safety management competency, 3 themes and 11 sub-themes were derived. The first theme was 'Having individual competence as a patient safety coordinator', and the sub-themes were 'Communication skills with members', 'Flexible thinking from multiple perspectives', and 'Preparing for administrative work competencies that they had not experienced as a nurse.' The second theme was 'Responding strategically to promote improvement activities', and the sub-themes for it were 'Multi-angle approach to the problem', 'A careful approach so as not to be taken as criticism in the field', 'Increasing the possibility of improvement activities through awareness', 'Activating the network between patient safety coordinators', and 'Expanding learning opportunities through patient safety case analysis.' The third theme was 'Obtaining support to facilitate patient safety activities', and the sub-themes for this were 'Improving staff awareness of patient safety', 'Providing a training course for nurse professional of patient safety', and 'Expanding the manpower allocation standard of patient safety coordinators.' Conclusion: This study explored personal competencies such as document writing and computer utilization capabilities, focused on ways to improve the field of patient safety management, and emphasized the need for organizational and political support.

• 대한간호학회지
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• 제35권8호
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• pp.1493-1499
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• 2005

Background. Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services. Purpose. To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics. Methods. A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals. Results. None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing. Conclusions. The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.559-566
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• 2018

전 세계적으로 고학력화는 만연한 현상이며 점점 더 심해지고 있는 추세이다. 고학력의 효과성에 대한 많은 연구들이 발표되고 있지만, 주로 2000년대 이전의 연구가 많고 진행된 연구도 서구권 국가를 대상으로 진행되었다. 또한 제조업 및 일부 공공영역(예; 경찰)을 주된 표본으로 사용하였고, 다양한 조절변수를 다루지 못한 한계점이 있다. 이러한 상황에서 학력과 조직행동 연구의 중요 변수인 직무만족과의 관계 및 그 관계에서의 조절효과를 살펴보는 것은 의미가 있을 것으로 생각된다. 이에 본 연구에서는 조직 내 인력이 기업의 성과에 크게 영향을 미칠 수 있다고 생각되는 병원 근로자들을 대상으로 최종 학력이 직무 만족에 어떠한 영향을 미치는지 그리고 상황변수인 직급이 이들 간의 관계를 어떠한 방향으로 조절하는지에 대해 분석하였다. 연구문제를 검증하기 위해 경기북부의 1개 병원에서 근무하고 있는 377명의 간호사, 의료기사, 행정직의 자료를 실증분석 하였다. 회귀분석 결과 최종 학력은 직무만족과 정의 관계를 가지는 것으로 확인되었으며, 개인의 직급이 높아질수록 최종학력이 직무만족에 주는 긍정적 관계는 완화되는 것으로 나타났다.

• 의학교육논단
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• 제14권1호
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• pp.37-49
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• 2012

The main purpose of this study is to examine the improvement and discourse of the medical education system in Korea since 1990. In particular, this study, focusing on the graduate medical education system initiated in 2002, has explored the discussions that led to the system's establishment and what the context of those discussions. To meet this objective, this study analyzed research report related to the medical education system authored by members of the government and medical community, suggestions to the government, discussion materials, and data with regard to the Medical (Dental) Education Eligibility Test. The improvement of the medical education system in Korea has been an important issue in education reform by the expansion of the number of years of higher education, the requirements for increased levels of professional knowledge by improving public educational standards, and the basic formation policy of higher education consisting of graduate school, special graduate school, and professional graduate school. Nevertheless, the views of the government and the medical community on improving medical education system have made an obvious difference. This was due to different aims about how to improve the medical education system and different perception of the degree and medical education system. The medical community at least tended to prefer the status of academic positions over professional positions. The policy of medical education for people with a bachelor's degree which was introduced in 2002 spread to many colleges of medicine based on the government's administrative and financial support policy. Even so, the absence of accompanying policy by the relevant government agencies and department of education, which could have ensured the success of the system, has led to continued debate. In conclusion, without a consistent and persistent government policy, the graduate medical education system has led to confusion in many medical institutions. Above all, an evidence-based policy decision and policy approach based on a long-term perspective are necessary in order to improve the medical education system.

• 한국융합학회논문지
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• 제11권3호
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• pp.27-35
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• 2020

본 연구의 목적은 시·도교육청 교육행정정보시스템 학생생활기록부가 중요한 교육활동의 기록이나, 지속적으로 불법유출·조작하는 등의 문제점을 방지하기 위한 기술적 구현방법을 연구하는 것이다. 이를 위해 본 논문에서는 정해진 조직 또는 개인만이 참여할 수 있는 프라이빗 블록체인을 적용함으로서 외부자에 의한 블록네트워크 참여를 방지하고, 생활기록부 학생정보 블록과 접근기록 블록 두 종류의 블록 데이터를 생성하여 정당한 권한을 부여받은 실무자에 의해 서만 등록, 수정, 접근할 수 있는 블록 메커니즘을 제시하였다. 그 결과, 제3자에 의한 생활기록부의 위·변조방지와 생활 기록부의 무결성 확보를 할 수 있는 하나의 대안을 마련하였으며, 실제 교육행정정보시스템에 적용하게 된다면 생활기록부 운영과 관리가 신뢰할 수 있다는 사회적 공감대를 확보하게 될 것이다.

• 국제학술발표논문집
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• The 1th International Conference on Construction Engineering and Project Management
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• pp.550-557
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• 2005

Because each building is built in different time, there exists different equipment to meet the need for each age. Before the announcement of "Community Management Regulation", the old communities usually suffer the problem of lower requirement and living quality. This may bring some security problem that we should face. In this research, we construct "Building Administration System" to provide users a tool to perform a standard operation procedure in community management. This powerful tool will also help manager to effectively handle important tasks in property administrating by reducing unnecessary documentation. In the current regulation, all community committee members shall be voted each year. This will seriously affect the cumulative of management knowledge and cause a worse efficiency. In this research, we use Object Oriented concept and Visual Modeling techniques to combine with Interbase, ER/Studio, and Delphi to develop this management system for Building Property. Through the help of current computing technology, we can solve the problem that can not be inherited and the storing of the huge amount of data. In this system, we develop the modules such as Basic Data Module, Administrative Expense Calculation, Receipt Print, and Inquiring for Inheritance. In this system, we have integrated all houses, parking lots, and public equipments in it. Manager will only need to handle some basic accounting data; the system will automatically handle the rest. Through the help of this system, the community management staff can be easily accomplished and put more manpower on some needed aspect to improve the living quality.

• 대한한의학회지
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• 제44권2호
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• pp.45-59
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• 2023

Objectives: This study investigated the role of Korean medicine doctors in the national quarantine system and the status of their duties through questionnaire surveys and in-depth interviews with Korean medicine staff who participated in COVID-19 work. Methods: We developed a questionnaire survey to investigate the status and perception of Korean medicine doctors' participation in responding to infectious diseases, and the results were derived by conducting frequency analysis and T-test using SPSS program. The measurement variables of this study were the status of COVID-19 related work participation and perception of Korean medicine doctors' role in infectious diseases, and the maximum significance level was 0.05. Results: There were 300 respondents to the survey, and as for the COVID-19 related work, Korean medicine treatment for COVID-19 patients accounted for the most(52.7%), and various preventive and treatment tasks such as epidemiological investigations and specimen collection were conducted. Conclusion: According to this study, it was confirmed that there are sufficient legal and administrative grounds for Korean medicine doctors to perform specimen collection and epidemiological investigations. Therefore, it is necessary to prepare a policy framework to solidify the status of Korean medicine doctors in national infectious diseases in the future.

• 사회복지연구
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• 제36호
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• pp.281-299
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• 2008

지역사회 정신건강 서비스 지원을 수반하는 독립주거 (Supported Housing)는 정신장애인들에게 더 나은 삶의 질, 독립성, 지역사회 통합의 기회를 제공하는 이상적이고도 실현 가능한 주거모델로 간주되어 오고 있다. 그러나 독립주거의 긍정적 결과물 가운데 하나인 삶의 질과 관련된 요인들에 대한 선행연구는 부족하다. 본 연구는 개인 및 환경적 요인들과 독립주거에 거주하는 정신장애인들의 삶의 질과의 관계에 대하여 분석하는 것이 주목적이다. 이 목적을 위해 본 연구는 미국 펜실베니아주 필라델피아시의 독립주거 프로그램인 SIL(Supported Independent Living)에 거주하는 237명의 중증 정신장애인을 연구대상으로 하고 있다. 연구자료는 연구 참여자들과의 인터뷰, 정신건강 서비스 행정데이터 및 2000년도 미국 센서스 자료가 사용되었으며 다중 회귀분석을 이용하여 인적자원, 주거환경, 지원 프로그램, 서비스 요인과 삶의 질과의 관계를 분석하였다. 연구결과 정신건강 진단, 정신질환 수준, 신체 및 정신건강 상태, 그리고 프로그램 관리자와의 우호적 관계가 삶의 질과 관련이 있는 것으로 나타났다. 본 연구에서 파악된 삶의 질과 관련된 요인들은 중증 정신장애인들의 더 나은 삶의 질을 통한 안정된 독립생활에 대한 욕구를 충족시켜 줄 수 있는 지역사회 서비스 계획 및 정책 개발에 도움을 줄 것이다.