• 보건의료산업학회지
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• 제10권3호
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• pp.173-184
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• 2016

Objectives : This research analyzed the general characteristics of care workers and verified the correlation among self-perceived health, job stress and customer orientation. Methods : We conducted a survey from May 1st, to May 31st, 2015 of 260 care workers who are affiliated with elderly care facilities or home care facilities in Busan, Korea. Results : The more the workers were stressed about their organizational culture, the more they recognized psychological difficulties. However, there was no correlation between organizational culture and their tendency to be oriented toward customers. It was verified that the recognized psychological health has a positive regulation effect between customer orientation and job stress such as job skill requirement(p<0.01), job autonomy(p<0.01), and organizational culture(p<0.01). Conclusions : Because both suppliers and recipients of care services are aging, it is necessary for elderly care facilities to make a greater effort to minimize the physical and psychological losses of recipients.

• 디지털융복합연구
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• 제12권3호
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• pp.309-316
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• 2014

이 연구는 종합병원들이 마케팅 컨셉트를 적극적으로 도입하고 있는 상황에서 그 구성개념인 전략 지향성이 성과에 어떻게 영향을 미치는지, 또한 종합병원의 조직구조와 규모가 독립변수와 종속변수 사이에서 어떻게 조절효과를 보이는지를 분석했다. 전략 지향성과 성과 관련 선행연구들을 살펴보았으며, 전략 지향성 개념을 고객, 경쟁, 진료기술 지향성 등의 세 차원으로 세분화하고 이들이 각각 성과에 어떤 영향을 미치는지를 분석하고자 했다. 이러한 연구목적을 달성하기 위해 5개의 연구가설을 설정하였으며, 20313년 7월 1일부터 8월 13일까지 5개 종합병원에 근무하는 176명의 직원들을 대상으로 설문조사를 실시했다. 실증분석 결과 전략 지향성을 구성하는 세 차원 모두가 종합병원의 경영성과에 유의하게 정(+)의 영향을 미치는 것으로 나타났다. 또한 종합병원의 조직구조와 규모의 조절효과 분석에 있어서는 부분적으로 지지되는 것으로 조사되었다. 종합병원의 조직구조 및 규모 변수 모두 경쟁 지향성에 대한 조절효과는 유의하게 도출되었으나 고객 지향성과 진료기술 지향성에 대한 조절효과는 통계적으로 유의한 결과가 없는 것으로 나타났다.

• 보건행정학회지
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• 제7권2호
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• pp.147-176
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• 1997

This research identifies the most important domains in health care administration from now to the year 2005 and differentiates job skill, konwledge, and ability requirements necessary for successful management. Fellows of the Korean Hospital Association from about thirteen percents of the country responded to mail inquiry. Five of eleven domains, in order of ranked importance, were health care delivery concepts, leadership characteristics, quality management, cost/finance and human resources management. Results indicated that while a business orientation is needed for organizational survival, and equal emphasis on person-oriented skills, knowledge, and abilities is required.

• 대한간호
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• 제37권4호
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• pp.58-71
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• 1998

The purpose of this study was to contribute the improvement of nursing staff development by implementing of effective and organized orientation program using the measure of effectiveness in the application of preceptor program with the reduction of the time of New entry nurse orientation. The subjects were comprised of 116 new entry nurses(59 new entry nurses were employed at June, 1996 and 57 at May & July, 1997) and 79 preceptors, who were in charge of new entry nurse orientation at 1997. These date were collected from June 18, 1996 to August 29, 1997. The characteristics of questionairs applied in this study were general characteristics(7 questions), knowledge of nursing care(138 questions); attitude toward her profession(40 questions) and the degree of satisfaction for the program(5 questions). The questionnairs were developed by the researchers of Asan Medical Center. The Check-list for basic nursing skill were used for the measurement of nursing skill which was developed by nursing department of AMC. The data were analyzed for the mean, standard deviation, difference of mean, ANOV A & t-test. The results of this study are as follows : 1) The changes in knowledge of nursing care : After three months of training the difference of mean between before and after the orientation was higher than the result of two month period training. However, the result was insignificant(p= .469). 2) Performance in nursing practice : Two month period orientation was more effective than three-month training period, however, the statistical significance can not be reached than 3 month period, which resulted in insignificant difference(p=.150). 3) The change in attitude toward her profession : After three-month of orientation, the difference of mean between before and after the orientation was higher than 2 month period orientation, which resulted in significant difference (p=.000). 4) The degree of satisfaction for the program with the time of new entry nurse orientation : After two-month of orientation, the mean of points was 2.57 where the score is higher than 3 month period with mean of 2.30. It resulted in significant difference(p=.000).

• 대한간호학회지
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• 제35권6호
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• pp.1004-1013
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• 2005

Purpose: The main purpose of this study was to explore nurse-patient interaction behaviors and patient satisfaction with the interaction in the emergency department. Method: This study used video technology to record complete conversations between the nurse and patient, thus obtaining the interactions naturally occurring in a clinical setting. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data was collected from November, 2002 to April, 2003. The video recordings were observed for 4 hours for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS), which yields frequencies of thirty-six types of interaction behaviors. Result: The information exchange related to therapeutic items including medications, simple orientation, and situational positive talk were characterized in the nurses' interaction behaviors. Giving information about one's own condition, questions about therapeutic regimen, and showing worry were characterized in patient interaction behaviors. The patients' satisfaction with the interaction was 37.75.9 (range 9-45). Conclusion: The emergency nurse-patient interaction behavior was task-related. The results suggest that identification of effective interaction behavior in the Emergency department and an interaction skill training program could increase patient satisfaction.

• 대한간호학회지
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• 제40권1호
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• pp.99-109
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• 2010

Purpose: The purpose of this study was to identify effective nurse interaction patterns with patients in the emergency department. Methods: For this study, video technology was used to record complete conversations between the nurse and patient. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data were collected from November, 2002 to April, 2003. The video recordings were observed for 4 hr for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS). The data were analyzed using cluster analysis to identify the patterns of nurse-patient interaction. Results: Cluster analysis revealed 4 distinct nurse interaction patterns; 1) "closed" characterized by orientation and negative talk, 2) "positive" characterized by positive affective talk, 3) "informative and directing" characterized by task-focused behavior including data gathering, and giving information about medical condition and treatment, 4) "facilitative" characterized by balance of psychosocial and biomedical topics. Patient satisfaction was highest in the facilitative interaction pattern. Conclusion: The patient centered interaction pattern, balancing information exchange and psychosocial exchange are the most effective interactions in the emergency department, suggesting that effective interaction skill is a core clinical nursing intervention in acute care.

• 문화기술의 융합
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• 제6권1호
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• pp.179-183
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• 2020

Seligman은 미국 프로야구와 프로농구 선수들을 대상으로 실시한 연구결과를 근거로 낙관적인 운동선수가 승리한다고 주장한다(최호영 역, 2008). 이에 본 연구는 낙관성으로 배드민턴 청소년 대표선수들의 경기력을 예측할 수 있는지 알아보기 위하여 수행되었다. 고등학생 대표 60명을 경기력 상, 하 두 집단으로 구분하여 그들의 낙관성에 차이가 있는가를 알아보았다. 검사도구로는 Scheier, Carver 및 Bridges(1994)가 개발하고 신현숙(2005)이 번안한 삶의 지향성 검사 개정판(LOT-R : Revised Life Orientation Test)을 사용하였고 빈도분석, 신뢰도 분석, 독립 t검증을 실시하여 자료를 분석하였다. 그 결과, 경기력 상집단이 하집단에 비해서 낙관성이 통계적으로 유의미하게 높은 것으로 나타났다. 따라서 경기력을 향상시키기 위해서는 체력훈련, 기술연습과 동시에 낙관성을 향상시킬 수 있는 심리기술훈련이 필요하겠다.

• 임상간호연구
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• 제25권3호
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• pp.237-250
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• 2019

Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.