• 간호행정학회지
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• 제1권2호
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• pp.388-407
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• 1995

This study is (a) to describe the history of Total Quality Management (TQM) generated in the industry, health care service, and nursing society ; (b) to define the concept, total quality management including the definition of quality ; (C) to explain the each principle of TQM theory developed by main theorists, E. Deming, J. Juran, and B. Crosby ; (d) to give the examples related to TQM implementation at the health care organization ; and (e) to mention the extent to which the health care organizations are able to evaluate their cultural organization toward TQM and have had the way to measure the effect of TQM implementation. TQM referred to Continuous Quality Improvement(CQI), Quality Improvement(QI), and Total Quality Improvement(TQI), was not recognized by experts in the United States industry, but by economists in Japan until the end of the 1970's. However, the United States' government led to introduce the principles of TQM to general industry as well as health care service area so that TQM became a main philosophy to manage the organizations in health care service. TQM is a structured, systematic process for creating organization-wide participation in planning and implementing continuous improvement in quality. E. Deming established the "Chain reaction in Quality" and the fourteen point of TQM. The Chain reaction in quality is to describe the relationship among the reduction of waste, rework, and delay, quality improvement, customer satisfaction, and productivity. There are fourteen points to explain the principles of TQM by E. Deming. Juran defined the "Quality Trilogy" to improve the level of quality in any organization. Quality Trilogy has three steps such as quality planning, quality control, and quality improvement for implementing the TQM projects. Crosby describes his TQM theory by establishing "Four Absolutes" and "Fourteen steps in TQM" implementation. Until now, most healthcare organizations have made efforts to organize the TQM task team and to implement TQM principles with various issues. There are three priorities to select the TQM issues : High-volume, High-risk, and Problem-prone. However, there is no absolute, credible measurement yet to evaluate the effects of TQM implementation in health care organization regardless of the classification of health care organizations, geographical background, and social influence. Thus, developing the evaluation way in terms of TQM is the foremost task in health service area. The most important thing for TQM implementation in the organization is to settle up the concept, cultural transformation from traditional management toward quality.

• 한국간호교육학회지
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• 제11권2호
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• pp.127-134
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• 2005

Purpose: The purpose of the study was to develop a cooperative clinical nursing education model in response to the challenge to provide quality clinical instruction for nursing students. Method: A hypothesized model was developed based on literature review and Cho's partnership model of preservice teacher. Final model was refined with cooperative committee meetings, workshop and post clinical education meetings. Results: A Cooperative clinical nursing education model was developed with three phases(collaboration, planning, redefinition of major roles) and ten constructs(organization of cooperative committee, goal setting, partnership contract, planning objectives, and operating manual). Conclusion: The Cooperative clinical nursing education model support the need for continued collaborative partnership between nursing college and hospitals to foster quality clinical instruction.

• 간호행정학회지
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• 제23권1호
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• pp.1-7
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• 2017

Nursing research in the United States (US) spans several decades. Many of the priorities/trends have stayed through the years. Today, the goal of producing evidence to support nursing care interventions coupled with the drive for Magnet Recognition has encouraged academic nurses (faculty) to work with nurse clinicians to form research teams. Interdisciplinary research teams have also formed to address growing concerns over patient safety and quality care. These issues are not just US issues but global ones. This article addresses US trends with the link to global research trends. The role that organizations such as the International Council of Nurses (ICN), the World Health Organization (WHO), and the Council of International Neonatal Nurses, Inc. (COINN) pay in shaping research agendas and promoting nursing research is highlighted. It emphasizes the key role that nurses, especially nurse leaders/administrators play in changing health outcomes through support of nursing research.

• 대한간호
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• 제25권3호통권136호
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• pp.60-86
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• 1986

Much has been changed in the field of hospital administration in the wake of the rapid development of sciences techniques and systemic hospital management. However, we still have a long way to go in organization, in regulation, in education and in Q A in

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.307-316
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• 2015

본 연구는 간호사의 감성지능, 소진, 간호생산성과의 관계를 규명하고, 간호생산성에 미치는 영향요인을 파악하여 간호조직의 효율적 관리를 위한 기초 자료를 제공하고자 한다. 본 연구의 대상은 D광역시에 소재한 300병상 이상의 종합병원에서 근무하는 간호사 255명을 편의표집 하여 2013년 11월 12일부터 12월 26일까지 구조화된 설문지를 통해 자료를 수집하였다. 자료는 SPSS/WIN 17.0 program을 이용하여 t-test, one way ANOVA, Scheffe 사후검정, Pearson's correlation coefficient, enter multiple regression analysis하였다. 연구결과 임상간호사의 감성지능과 소진은 유의한 음의 상관관계를, 감성지능과 간호생산성은 유의한 양의 상관관계를 나타냈다. 감성지능, 총 임상경력, 소진, 직위가 간호생산성에 유의한 영향을 미쳤으며 간호생산성 변이의 43.4%를 설명하였다. 따라서 임상간호사의 감성지능을 향상 시킬 수 있는 중재프로그램을 다양하게 개발하여 소진을 낮추고 간호생산성을 높일 수 있도록 경력자 관리에 대한 간호조직의 효율적 운영과 전략 구축이 절실히 요구된다.

• 디지털융복합연구
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• 제14권6호
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• pp.335-345
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• 2016

종합병원 간호사의 조직몰입도, 긍정심리자본 및 직무소진 관계를 파악하고 직무소진에 미치는 영향을 파악하여 직무만족도 증진을 위해 연구를 시행했다. 연구의 방법은 C도에 소재한 종합병원에 근무하고 있는 간호사 107명을 대상으로 설문을 실시했으며 연구자가 직접 대상자를 방문해서 연구 목적과 취지를 설명한 뒤 동의를 서면으로 확인한 후 자기기입식으로 조사를 시행하였다. 연구의 분석결과 임상 간호사의 조직몰입도와 긍정심리자본이 직무소진에 영향을 미치는 것으로 확인되었으며 하부영역으로 보았을 때 조직몰입도의 동일시와 긍정심리자본의 복원력이 특히 유의한 변수였다. 이는 임상 간호사의 직무소진을 낮추기 위해 조직몰입도와 긍정심리자본을 높여야하며 더욱이 조직몰입도를 높이는 프로그램을 개발하여 그 필요성과 효과를 확인하는 연구가 필요함을 제언하며 임상간호사의 긍정심리자본을 높이기 위해 간호사조직에서 노력이 필요할 것이다.

• 재활간호학회지
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• 제6권2호
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• pp.201-212
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• 2003

This study was for understanding about the current situation of internal nursing research related to empowerment and for suggesting the direction the research on empowerment should improve. 17 nursing research articles between 1991 and 2001 were analyzed and their analysis results showed that the research on empowerment tends increasing in number. Looking at study methods, survery and research had a majority of researchs and the target of research was mainly nurses. Empowerment concept is a process that it helps to be able to assert the control about factors which influence on human life. This process suggested the precondition and result on empowerment in view of nursing that it includes broader systematic, structural and social responsibility in making individual taking responsibility on his health in management. Empowerment is to enhance the power and its basic starts from his own empowerment. The contents of his own empowerment is to improve his own ability(including spiritual, physical, and social ability), to connote also his own confidence enhancement which looks at himself as positive and strong, and to run after the his internal repletion through strengthening of his positive aspect. Based on above his own empowerment, the empowerment that builds the capability of group or organization is eventually to strengthen the spirit of individual and organization. Finally, this concept means that it can have an usefulness about nursing practice, education, administration and research. With the foundation of this research analysis, although the research on empowerment is largely limited to nurse, in future this should be applied to various nursing targets. In addition, the research on diverse applying methods including program develoment which bases on this concept should be made.

• 대한간호
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• 제31권5호
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• pp.39-52
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• 1992

As society has changed, the demand for improved health care has increased. To keep up with this type of social need, professional nursing care is seeking to efficiently satisfy the care needs of human beings. The goal of clinical nurse is to meet nursing care needs of patients. This study was designed to survey attitudes of nursing profession of clinical nurses. The following specific 5 objectives were investigated and the attitudes of clinical nurses were determined. 1. The social position of nursing as a profession. 2. Factors influencing the development of nursing. 3. The future of nursing. 4. Their work. 5. Job satisfaction. The subjects consisted of 120 nurses who are working at 5 general hospital over 150 beds Ill CHONG NAM. The nurses were surveyed by means of a questionnaire from May 24 to Jun 15, 1992. The tool used for this study was based on earlier work by Lee, Nam Hi(1978) and Kim, Myong Hee(1984). Computer was used for Data Analysis. Frequency and Percentage were used to examine the genera] characteristics of the subjects. ANOV A and t.test were used to test the relation in characteristics of the subjects and attitudes Loward nursing prfession. The finding of this study were as follows; 1. Social position of nursing as a profession; The response with the highest agreement was "The professional nursing organization is less power. ful than the other professional organization" 3.333 points, and the response with the lowest agreement was "Nursing get a big salary" 2.225 points. 2. Factors influencing the development of nursing; the response with the highest agreement was "Hospital environment should be improved" 4.267 points, and the response with the lowest agreement was "Nurses satisfaction with salary"2.175 points. 3. The future of nursing; the response with the highest agreement was "Along the deveiopmem of science technique will be elevated educational state and graduate to needed in nursing" 3.958 points, and showed generally positive response toward the future of nursing. 4. Their work; the response with the highest agreement was "Work loading due to nursing staff insufficient" 4. 308 points, the response with the lowest agreement was "Nurses are unkind to patient" 2.508 points. 5. The subject's view regarding job satisfaction;it showed that "Interpersonal nursing staffs" 3.508 points, showed generally unsatisfactory response toward job satisfaction. 6. The relationship between the subject's attitudes toward professional nursing and general characteristics showed a significant difference statistically in regard to the field of work(P<.05). 7. The relationship between general characteristics and the subject's attitudes toward factors influencing the development of nursing showed a significant difference statistically in regard to the age and the status of position(P<.05). The subject's attitude toward the future of nursing showed a significant difference statistically in regard to the age and the period of nursing career and the field of work(P<.05, P<.005). The subject's attitude toward the job satisfaction showed a significant difference statistically in regard to the age and the period of nursing career and the status of position and the field of work(P<.005).

• 간호행정학회지
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• 제18권4호
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• pp.374-382
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• 2012

Purpose: This study was done to investigate the effects of university hospital nurses' organizational conflict between organizational commitment and labor union commitment, so as to provide data on prevention of conflict with the hospital and to improve work achievement with commitment of two different groups: hospital and labor union commitment. Methods: Data collection was conducted from May 15 to 31, 2011 for nurses registered in the labor union of a university hospital. The collected data were analyzed using t-test, ANOVA, Scheffe test and multiple regression. Results: Organizational commitment of the nurses showed significant differences according to age, position and work experience, and degree of labor union commitment according to academic achievement. The factors affecting labor union commitment were organizational conflict and recognition of need for labor union, which accounted for 19% of the variance. Factors affecting organizational commitment were organizational conflict, recognition of need for labor union, participation in organizational events, and renewal of membership in the union, which accounted for 33% of the variance. Conclusion: The results of this study indicate that there is a need to improve work achievement by minimizing conflict and preventing labor disputes for better organizational commitment and labor union commitment of nurses.

• 간호행정학회지
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• 제9권1호
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• pp.19-30
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• 2003

Purpose : The concept of organizational socialization has been regarded as an abstract concept of organizational learning process and it has been used as strategy for the organizational goal attainment. New graduated nurses' organizational socialization has been a very important process for learning knowledge, skills and behaviors in hospital setting. This study was to analyze and clarify the meaning of the concept of Organizational Socialization. Method : This study use the process of Walker & Avant's concept analysis. Results : The critical attributes of organizational socialization were identified as : 1) Internalization of Value and belief of organization; 2) Learning of organizational rules and modes of living; 3) Improvement of job performance; 4) Maintenance of supportive relationship; 5) Formation of occupational identity. The antecedents of organizational socialization consist of those facts that 1) negative feeling of role; 2) difficulties of interpersonal relationship; 3) unskilled work performance. And the consequences of organizational socialization consist of those facts that 1) organizational commitment; 2) job satisfaction; 3) intention of leave work setting; 4) improvement of job performance; 5) improvement of decision making; 6) maintenance of supportive relationship. Conclusion : Through this concept analysis, the concept of organizational socialization is defined as internalization of value and belief of organization, learning of organizational rules and modes of living, improvement of job performance, maintenance of supportive relationship and formation of occupational identity.