• Title/Summary/Keyword: University hospitals

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Violence Experiences of Clinical Nurses and Nurse Aids in Hospitals (병원종사 간호 인력의 직장폭력 경험 실태)

  • Kim, Souk Young;Ahn, Hye Young;Kim, Hyeon Suk
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.1
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    • pp.76-85
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    • 2008
  • Purpose: The purpose of this study were to explore workplace violence experiences and to analyze differences of violence experiences based on the department and harmers to nurses in hospitals. Method: Data were collected from the self-reported survey of 496 nurses and nurse aids in three hospitals in D area in Korea from April to May in 2007. The data were analyzed by descriptive statistics and logistic regression analysis using SPSS Win 12.0. Result: The nurses in hospitals experienced offensive verbal abuse (88.4%), verbal threat (36.5%), physical violence (24.5%), serious physical violence (2.2%), and sexual harrassment (25.7%) during last one year in hospitals. Nursing staffs in hospital demonstrated different violent experiences by age and service areas. Conclusion: These findings revealed high rates of violence experiences of nursing staffs in hospital. Thus, hospitals should develop policies, guidelines, and programs for preventing and managing workplace violence.

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Physical symptoms, Hope and Family Support of Cancer Patients in the General Hospitals and Long-term Care Hospitals (종합병원과 요양병원에 입원한 암 환자의 신체적 증상과 희망 및 가족지지 비교 연구)

  • Chae, Seon Yeong;Kim, Kye Ha
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.298-311
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    • 2013
  • Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

Comparative Analysis of Financial Performance between Metropolitan General Hospitals and Non-metropolitan General Hospitals (수도권 종합병원과 비 수도권 종합병원의 재무성과 비교 분석)

  • Le, Jin-Woo
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.11-25
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    • 2017
  • Objectives : The purpose of this study is to analyze the differences in financial performance, productivity, and patient care performance between metropolitan and non - metropolitan hospitals and examine the factors affecting profitability of both groups. Methods : The survey period consisted of three years of data that can identify the financial performance of the hospital. The survey subjects were selected from 58 metropolitan hospitals, 87 non - metropolitan hospitals and 147 hospitals. Results : There was a significant difference in stability, activity, cost index, productivity, and patient care performance between the metropolitan and non - metropolitan hospitals, and metropolitan hospitals showed a relatively higher ratio. Conclusions : In the metropolitan and non-metropolitan hospitals, the variables of productivity and cost index increase the profitability. However, if the factors with less influence on the results of the study are applied to the variables of various situations, it may have a great influence on the profitability increase.

Analysis of Financial Structure and Managerial Performance of Profit/Loss-Making Hospitals under the IMF (IMF 초기 2년간 흑자/적자병원의 재무구조와 경영성과분석)

  • Lee, Chang-Eun;Jung, Key-Sun;Hwang, In-Kyung
    • Korea Journal of Hospital Management
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    • v.6 no.2
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    • pp.156-172
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    • 2001
  • Financial ratio indicators of the 73 sample hospitals provided by the Korea Hospital Association in 1998-1999, together with the data by the Korea Health Industry Development Institute in 1007, were analysed to identify the financial structure and managerial performance of the profit/loss-making hospitals under the IMF. The major findings of this study were as belows. 1. Among the general characteristics, there was a statistical significance in the hospital location and the number of operating beds between profit-making hospitals and loss-making hospitals. 2. Financial ratio indicators of the profit-making hospitals were better than those of the loss-making hospitals. 3. Financial ratio indicators, including Liquidity, Performance Indicators and Growth Rate Indicators of profit-making hospitals, were better than those of loss-making hospitals except for Turnover Ratios under the IMF economic impasse.

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Analysis of Mission Statements and Organizational Performance of Hospitals in South Korea (국내 의료기관의 사명진술문과 조직성과 분석)

  • Kim, Eun-Kyung;Kim, Se Young;Lee, Eunpyo
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.565-575
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    • 2015
  • Purpose: The purpose of the study was to examine mission statements and their elements and to investigate correlations between mission statements and organizational performance. Methods: The current research was a descriptive study based on the examination of mission statements of 353 hospitals that posted mission statements on their webpage and 92 hospitals that made their income statements public. Results: The most common mission element was 'identification of principal services', which accounted for 92.6%. Mission statements of hospitals included the average of 4.82 mission elements out of 9, and the objective of medical quality improvement was 0.81 among 6 objectives of IOM (Institute of Medicine). Net profit of hospitals with mission statements that have above average number of mission elements were significantly higher (t=2.71, p=.008) than those of other hospitals. Net profit was significantly correlated with mission statements (r=.26, p<.001), and mission elements (r=.29, p<.001). Conclusion: The results of the study empirically reveal that mission statements in the hospital affect organizational performance. That is, better organizational performance is shown for hospitals with better, more diversified, and more firmly stated mission statements which include identification of target customers, identification of principal services, contribution to society as a non-profit organization, and concern for employees.

Nurses' View about Old Age by Workplace (근무처별 간호사의 노년기 견해)

  • Yang, Hee-Ah;Lee, Kang-Yi
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.114-120
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    • 2013
  • Purpose: The purpose of this study was to investigate the view on old age of nurses working at general hospitals, geriatric hospitals, oriental hospitals and public health centers. Methods: Data were collected using a self-report questionnaire from 461 nurses working at 3 general hospitals, 8 geriatric hospitals, 7 oriental hospitals and 6 public health centers located in Seoul, Gyeonggi-do and Chungcheong-do from June 20 to September 6, 2012. Results: The mean score of the nurses' view about old age was 3.38 out of 5 points. The details show that the 'society character' was the highest at 4.58, followed by the 'capacity character' 3.94, the 'psychology-economical character' 3.02 and the 'physical-cognitive character' 2.71. As for workplace, oriental hospitals had the highest points on the view about old age, while geriatric hospitals had the lowest. Conclusion: The results of this study indicated that the nurses' view about old age were above the moderate level. As for workplace, geriatric hospital nurses had the lowest view about old age. Therefore, it is recommended to develop an educational program that may promote the nurses' view about old age and provide the better elderly care service.

An Analysis of the Physician Productivity in General Hospitals (전국 종합병원 의료인력의 생산성분석)

  • Lee, Jung-Un;Lee, Ki-Hyo;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.400-413
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    • 1991
  • The purpose of this paper is to identify factors affecting the optimum mix of required inputs and other relevant factors which account for the variation in physician's productivity in general hospitals, and to find out their implications for the efficient health planning and management. An extended version of Cobb-Douglas production function and cross sectional data of one day patient census from all general hospitals in Korea in 1988 were used in the analysis. Main results of the analysis and their implications could be summarized as follows : (1) The production function for physician's inpatient service shows the evidence of economies of scale, but the production function for physician's outpatient and adjusted-patient service, which combines both out- and in-patient service, shows that of dis-economies of scale. (2) The physician's role for production for all service is smaller than auxiliary personnel's, which imply that more intensive utilization of nurses, nursing aides and other auxiliary personnel is desirable for improving general hospital productivity (3) In case of physician's inpatient and adjusted-patient service, nurses' role is greater than nursing aides'. Therefore, more extensive utilization of nurses is recommended for the efficient operation of general hospitals. (4) The factor of hospital beds plays the leading role among required inputs in the production for physician's in- and adjusted-patient service. (5) The physician's productivity of general hospitals in rural area is lower than that in urban area. And the productivity of teaching hospitals is lower than that of the other hospitals. Further analysis was made in physician production function based upon the size of hospitals, namely those hospitals below 250 beds and those above. Explained variances by the factor of hospital beds was significantly increased in the case of those hospitals above 250. A more detailed and thorough investigation is needed for verifying factors influencing physician's productivity in general hospitals in Korea.

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A Comparison of Compliance with Standard Precautions for Infection Prevention between Nurses at Accredited Korean Medicine Hospitals and Non-accredited Korean Medicine Hospitals (인증 한방병원과 비인증 한방병원 간호사의 감염예방 표준주의지침 수행도의 차이 비교)

  • Shim, Sean Ja;Park, Hyunju
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.91-99
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    • 2022
  • Purpose: The purpose of this study was to compare compliance with standard precautions of infection prevention between nurses at accredited Korean medicine hospitals and non-accredited Korean medicine hospitals. Methods: Data were collected from a total of 138 participants (69 nurses from 3 accredited hospitals and 69 nurses from 3 non-accredited hospitals) in January of 2021 using structured questionnaires. Descriptive statistics, t-test, one-way ANOVA, and multiple regression analyses were carried using the SPSS Statistics 24.0 Program. Results: Results showed that the scores of nurses' compliance with standard precautions of infection prevention at accredited Korean medicine hospital (40.54±2.74) were significantly higher (p=.002) than the scores of nurses at the non-accredited Korean medicine hospitals (38.94±3.28). After controlling for covariates, the results were same. In addition, we found that scores of compliance with standard precaution for infection prevention in nurses at hospitals belong to university were significantly high compared to those of nurses at private hospitals. We also found that the scores of compliance with standard precaution for infection prevention in nurses with more than 5 years of experience were significantly higher than those of nurses with less than 3 years of experience (p=.039). Conclusion: Nurses working at the accredited Korean medicine hospitals showed higher scores of compliance with standard precaution for infection prevention. Therefore, it is suggested that the participation in the hospital accreditation program should be encouraged for the Korean medicine hospitals.

A Study on the Economic Feasibility of 4-bed Rooms in Public Hospitals (공공병원의 4인병실 도입에 따른 경제적 타당성에 관한 연구)

  • Kwon, Soonjung;Chai, Choul Gyun;Choi, Kwangseok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.41-48
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    • 2014
  • Purpose: At the moment, a lot of Public Hospitals in Korea have adopted 5 or 6 bedrooms as a standard multi-bedroom type. However 5-6 bedrooms have many problems related to inpatient satisfaction and nosocomial diseases. Therefore 4 bedroom is under considering for standard multi-bed room in Public Hospitals in Korea. This paper tries to prove that adoption of 4 bedroom in Public Hospitals has nothing to do with economic loss which is now an obstacle in adopting 4 bedrooms. Methods: 3 Methods have been used in this paper. 1) Comparative analysis between medical insurance fee and service cost for hospitalization has been conducted through literature survey. 2) Scenario analysis has been used for the estimation of inpatient number when 4 bedrooms are adopted in Public Hospitals. 3) Relation analysis between profit and proportion of 4 bedroom in Public Hospitals. Results: Adoption of 4 bedroom as a standard multi-bedroom in Public Hospitals has been proved to have nothing to do with the economic loss of hospitals. Implications: It is necessary to introduce and expand 4 bedrooms instead of 5-6 bedrooms in hospitals for the upgrade of hospital environment and easy control of cross infection in inpatient bedrooms.

A Study on Relationship between Outsourcing and Organizational Effectiveness in Hospital (병원의 아웃소싱과 조직유효성의 관계에 관한 연구)

  • Kim, Young-Hoon;Oh, Su-Jin;Kim, Han-Sung;Kim, Key-Hoon;Kim, Hyo-Jeong
    • Korea Journal of Hospital Management
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    • v.18 no.3
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    • pp.83-105
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    • 2013
  • The purpose of this study is to make managerial information regarding outsourcing more concrete by identifying and evaluating how outsourcing as an useful strategic tool for hospitals influences organizational effectiveness. The survey was performed to 311 general hospitals and tertiary hospitals, and 63 questionnaires were recovered and analyzed. As the result of measuring organizational effectiveness after introduction of outsourcing, non-financial performance(3.34) was higher than financial performance(3.25) and satisfaction(3.08). According to the characteristics of organizational structure, financial performance showed statistically significant difference when categorizing the hospitals. It was higher in the general hospitals than in the tertiary hospitals. In addition, the hospitals that outsource the logistic and patient affairs parts have higher financial performances than non-financial ones. Especially, there was statistically significant difference depending on the sub-parts of the logistics, which means the hospitals outsourcing the logistic part have higher financial performance than the hospitals without outsourcing the logistics.

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